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Targeted Assessment for Prevention of Healthcare-Associated Infections: A New Prioritization Metric

  • Minn M. Soe (a1), Carolyn V. Gould (a1), Daniel Pollock (a1) and Jonathan Edwards (a1)

Abstract

OBJECTIVE

To develop a method for calculating the number of healthcare-associated infections (HAIs) that must be prevented to reach a HAI reduction goal and identifying and prioritizing healthcare facilities where the largest reductions can be achieved.

SETTING

Acute care hospitals that report HAI data to the Centers for Disease Control and Prevention’s National Healthcare Safety Network.

METHODS

The cumulative attributable difference (CAD) is calculated by subtracting a numerical prevention target from an observed number of HAIs. The prevention target is the product of the predicted number of HAIs and a standardized infection ratio goal, which represents a HAI reduction goal. The CAD is a numeric value that if positive is the number of infections to prevent to reach the HAI reduction goal. We calculated the CAD for catheter-associated urinary tract infections for each of the 3,639 hospitals that reported such data to National Healthcare Safety Network in 2013 and ranked the hospitals by their CAD values in descending order.

RESULTS

Of 1,578 hospitals with positive CAD values, preventing 10,040 catheter-associated urinary tract infections at 293 hospitals (19%) with the highest CAD would enable achievement of the national 25% catheter-associated urinary tract infection reduction goal.

CONCLUSION

The CAD is a new metric that facilitates ranking of facilities, and locations within facilities, to prioritize HAI prevention efforts where the greatest impact can be achieved toward a HAI reduction goal.

Infect. Control Hosp. Epidemiol. 2015;36(12):1379–1384

Copyright

Corresponding author

Address correspondence to Minn M. Soe, MBBS, MPH, MS A-24, CDC, 1600 Clifton Rd NE, Atlanta, GA 30333 (msoe@cdc.gov).

References

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1. Magill, SS, Edwards, JR, Bamberg, W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 2014;370:11981208.
2. Marchetti, A, Rossiter, R. Economic burden of healthcare-associated infection in US acute care hospitals–societal perspective. J Med Econ 2013;16:13991404.
3. Scott, RD. The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention, 2009. Centers for Disease Control and Prevention website. http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPaper.pdf. Published March 2009. Accessed July 2014.
4. The National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination. US Department of Health and Human Services website. http://www.health.gov/hai/prevent_hai.asp#hai_plan. Accessed December 2014.
5. Centers for Disease Control and Prevention. Winnable Battles. http://www.cdc.gov/winnablebattles/. Accessed November 2014.
6. Cardo, D, Dennehy, PH, Halverson, P, et al. Moving toward elimination of healthcare-associated infections: a call to action. Am J Infect Control 2010;38:671675.
7. Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN). Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/. Accessed December 2014.
8. Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN) e-news: SIRs special edition. Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/PDFs/Newsletters/NHSN_NL_OCT_2010SE_final.pdf. Accessed December 2014.
9. Centers for Disease Control and Prevention. Operational guidance for acute care hospitals to report catheter-associated urinary tract infection (CAUTI) data to CDC’s NHSN for the purpose of fulfilling CMS’s hospital inpatient quality reporting (IQR) requirements. Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/pdfs/final-ach-cauti-guidance.pdf. Accessed December 2014.
10. Centers for Disease Control and Prevention. The five “W”s of the targeted assessment for prevention (TAP) strategy. Centers for Disease Control and Prevention website. http://www.cdc.gov/hai/prevent/tap.html. Accessed June 2015.
11. Centers for Medicare and Medicaid Services. Hospital Compare. US Department of Health and Human Services website. http://www.hospitalcompare.hhs.gov/. Accessed December 2014.
12. Umscheid, CA, Mitchell, MD, Doshi, JA, Agarwal, R, Williams, K, Brennan, PJ. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011;32:101114.

Targeted Assessment for Prevention of Healthcare-Associated Infections: A New Prioritization Metric

  • Minn M. Soe (a1), Carolyn V. Gould (a1), Daniel Pollock (a1) and Jonathan Edwards (a1)

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