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healthcare-associated infections (HAI) program

Making Healthcare Safer for All Californians

Healthcare-Associated Infections in California Hospitals Annual Report, 2020

For the past five years, CDPH annually reported on California hospitals’ incremental progress towards achieving 2020 HAI prevention goals. By 2019, California hospitals’ HAI incidence was significantly lower than national baselines for all reportable infection types, and nearly 30 percent of hospitals were on track to achieve 2020 reduction targets for at least three infection types. In 2020, however, California hospitals’ statewide incidence for central line associated bloodstream infections (CLABSI) and methicillin resistant Staphylococcus aureus bloodstream infections (MRSA BSI) were higher when compared with the prior year and had returned to 2015 levels. 

Figure 1. Healthcare-Associated Infection Incidence in California Hospitals, 2015-2020*

Figure 1. Healthcare-Associated Infection Incidence in California Hospitals, 2015-2020*

NOTE. Dashed horizontal line reflects the national baseline for the standardized infection ratio (SIR). An SIR below the dashed line represents HAI prevention progress if the reduction was statistically significant.  *Latter six months of 2020 (2020H2).

Our findings of substantial and significant increases in CLABSI and MRSA BSI mirror the national experience. A growing body of literature cites multiple factors that likely contribute to increased HAI incidence and emergence and spread of AR during the COVID-19 pandemic, including: diversion of resources from infection prevention activities; disruptions in routine care practices; personal protective equipment (PPE) supply shortages and conservation (extended use and reuse); PPE overuse with multiple gown and glove layers; and antimicrobial prescribing changes.

CDPH is engaging the California HAI Advisory Committee and other hospital partners to identify and support implementation of strategies for building resiliency and maintaining the highest possible quality hospital infection prevention and control practices while managing ongoing pandemic- and surge-related challenges.  

Annual HAI Report

Healthcare-Associated Infections Annual Report , 2020(PDF)

If you are having difficulty accessing this document please contact CDPH at HAIProgram@cdph.ca.gov to request the information in an alternate format.​​ The 2020 data tables are available on the California Health and Human Services Open Data Portal (Select Diseases and Conditions).

Hospital, County and Statewide HAI Profiles

CDPH presents detailed three-page HAI profiles for hospitals, counties and hospital types on a statewide level. The profiles contain HAI data for 2020 and track trends over time (2015-2020).  Click on a hospital name (sorted alphabetically by county) or county name to view its report.  Long term acute care (L), critical access (C) and rehabilitation hospitals (R) are indicated.

If you are having difficulty accessing the documents below please contact CDPH at HAIProgram@cdph.ca.gov to request the information in an alternate format.​​

Alameda County

Amador County 

Butte County

Calaveras County 

Colusa

Contra Costa County

Del Norte County 

El Dorado County

Fresno County

Glenn County 

Humboldt County 

Imperial County 

Inyo County 

Kern County

Kings County

Lake County 

Lassen County 

Los Angeles County

Madera County 

Marin County 

 Mariposa County

Mendocino County 

Merced County 

Modoc County 

Mono County 

Monterey County 

Napa County 

Nevada County 

Orange County

Placer County 

Plumas County 

Riverside County

Sacramento County

San Benito County 

San Bernardino County

San Diego County

San Francisco County

San Joaquin County

San Luis Obispo County 

San Mateo County

Santa Barbara County 

Santa Clara County

Santa Cruz County 

Shasta County

Siskiyou County 

Solano County

Sonoma County

Stanislaus County

Sutter County 

Tehama County 

Trinity County 

Tulare County 

Tuolumne County 

Ventura County

Yolo County 

Yuba County 

Statewide Hospital Profiles

CDPH also provides three-page overall summaries for Statewide HAI data for acute care hospitals and by hospital type (major teaching, pediatric, or community <125 beds, community 125-250 beds, community >250 beds).  Summaries for Statewide long-term acute care, critical access, and rehabilitation hospitals/units use comparisons developed for their specific hospital type.  Click on a hospital category to view each report.

Statewide HAI data for 327 Acute Care Hospitals

            Statewide HAI Data for 94 Major Teaching Hospitals
            Statewide HAI Data for 10 Pediatric Hospitals
            Statewide HAI Data for 98 Community Hospitals with Less than 125 Beds   
            Statewide HAI Data for 71 Community Hospitals with 125-250 Beds
            Statewide HAI Data for 54 Community Hospitals with Greater than 250 Beds

Statewide HAI Data for 22 Long-Term Acute Care Hospitals

Statewide HAI Data for 34 Critical Access Hospitals

Statewide HAI Data for 14 Free-Standing Rehabilitation Hospitals and 65 Acute Care Hospital Rehabilitation Units

HAI Interactive Map

Please also visit the My Hospital’s Infections map to see how your hospital’s HAI results compare with others.     

Data tables are available on the California Health and Human Services Open Data Portal (Select Diseases and Conditions). 

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