NHSN HAI Long-term Acute Care Hospital (LTACH) ANNUAL REPORT

The HAI/AR Program produces annual reports to inform facilities and prevention responses to help reduce healthcare-associated infections (HAI) among long-term acute care hospital (LTACH) patients in the Commonwealth of Virginia.

Healthcare-associated infections (HAIs), formerly known as nosocomial infections, are infections acquired while receiving medical care. Patients can get them from routine care, surgery, as a complication from the use of medical devices such as ventilators or catheters, or as a side effect of the overuse of antibiotics.

In February 2019, the Virginia General Assembly passed House Bill 2425 which expanded statewide surveillance for HAIs to additional healthcare settings. Under this bill, long-term acute care hospitals (LTACHs) are required to share data with VDH as of July 1, 2019.

For more information, please refer to the links posted under the “Guide” section.

Introduction to the HAI LTACH Annual Report Dashboard (Guide)

Directions: Please read the information about the data that will be displayed in this dashboard. Dashboard can be navigated by clicking on any of the titles on the right-hand side.

Virginia Long-Term Acute Care Hospitals:

Please refer to the top left-hand of the screen for the color identifiers. The circles on the map indicate the location of long-term acute care hospitals that are reporting in NHSN. Each of the five VDH Health Planning Regions are represented by different colors. Hospital names are represented near the circles. More information about each hospital is located in the table below.

For more information about each hospital, hover over the circles on the map.

Statewide SIR

The standardized infection ratio (SIR) is a summary measure used to track HAIs at a national, state, or local level over time. The SIR adjusts for various facility and/or patient-level factors that contribute to HAI risk within each facility. SIRs are based on the complex admission/readmission model for adult patients (≥18 years). More information on this model can be found can be found in the CDC NHSN SIR Guide.

For more information about each SIR, hover over the SIR values in the table.
To highlight SIRs that are Better, Same, or Worse, click the highlighter button to the right of ‘SIR Interpretation’ and then select one of the categories.

The SIR value can be interpreted as follows:

If the SIR Interpretation is Better, then the number of observed infections was significantly lower than the number predicted.
If the SIR Interpretation is Same, then the number of observed infections did not significantly differ from the number predicted.
If the SIR Interpretation is Worse, then the number of observed infections was significantly higher than the number predicted.
If the SIR Interpretation is No Conclusion, then the SIR was not calculated because the number of predicted infections was less than 1.

Lab Identified Events

Hospital-specific healthcare-onset laboratory-identified Clostridiodes difficile (C. difficile) events by year.

For more information about each hospital’s SIR, hover over the SIR values in the table.
Use the filters in the menu to view data for certain hospitals.
To highlight SIRs that are Better, Same, or Worse, click the highlighter button to the right of ‘SIR Interpretation’ and then select one of the categories.

The SIR value can be interpreted as follows:

If the SIR Interpretation is Better, then the number of observed infections was significantly lower than the number predicted.
If the SIR Interpretation is Same, then the number of observed infections did not significantly differ from the number predicted.
If the SIR Interpretation is Worse, then the number of observed infections was significantly higher than the number predicted.
If the SIR Interpretation is No Conclusion, then the SIR was not calculated because the number of predicted infections was less than 1.

Device Associated Events

Hospital-specific central line-associated bloodstream infections (CLABSIs) in adults as well as hospital-specific data on catheter-associated urinary tract infections (CAUTIs) in adults by year.

The SIR value can be interpreted as follows:

If the SIR Interpretation is Better, then the number of observed infections was significantly lower than the number predicted.
If the SIR Interpretation is Same, then the number of observed infections did not significantly differ from the number predicted.
If the SIR Interpretation is Worse, then the number of observed infections was significantly higher than the number predicted.
If the SIR Interpretation is No Conclusion, then the SIR was not calculated because the number of predicted infections was less than 1.

Hospital Specific Report

Select the hospital you would like to view data for using the Hospital Name filter. If the number of predicted infections is less than 1, then the SIR was not calculated, and no data will be shown for that year.

For more information about each hospital’s report, hover over the circles in the graph. Use the filters in the menu to view data for certain hospitals.

The SIR value can be interpreted as follows:

If the SIR Interpretation is Better, then the number of observed infections was significantly lower than the number predicted.
If the SIR Interpretation is Same, then the number of observed infections did not significantly differ from the number predicted.
If the SIR Interpretation is Worse, then the number of observed infections was significantly higher than the number predicted.
If the SIR Interpretation is No Conclusion, then the SIR was not calculated because the number of predicted infections was less than 1.

Healthcare Personnel Flu Vaccination

‘Healthcare personnel’ and ‘healthcare workers’ are used interchangeably. ‘Influenza’ and ‘flu’ are used interchangeably.

Percentage of healthcare personnel (HCP) in each hospital who were vaccinated during each influenza season (October 1-March 31), starting with the 2018-2019 influenza season. Healthcare personnel include employees, licensed independent practitioners, and adult students/trainees and volunteers.

The national Health and Human Services (HHS) Healthy People 2020 Goal is to have 90% of all healthcare personnel vaccinated for the flu every season.

For more information about each hospital’s HCP flu vaccination percentage, hover over the bars in the graph.
Use the filters in the menu to view data for certain hospitals.
To highlight HCP flu vaccination percentages that are Better, Same, or Worse, click the highlighter button to the right of ‘Comparison to HHS Goal’ and then select one of the categories.