Understanding the CDC’s National Healthcare Safety Network (NHSN) Nursing Home CDI Baseline Data June 26, 2018
Today’s Presentation • Introduce the NHSN CDI Nursing Home National Baseline • Dive deeper into your Trend Charts • Calculate your own rate • Find Reports in NHSN 2
This wouldn’t have been possible without YOU! 3
Definitions LabID Event: positive laboratory assays from any resident receiving care at your facility Community Onset (CO): Date specimen collected ≤ 3 calendar days after date of current admission Long-term Care Facility Onset (LO): Date specimen collected >3 calendar days after date of current admission (includes ACT-LO) Acute Care Transfer Onset (ACT-LO): Event with date specimen collected ≤ 4 weeks following date of last transfer from an Acute Care Facility to the LTCF 4
National CDI Nursing Home Baseline National Baseline for Facility Onset Incidence CDI Rate = 0.525 National Baseline for Total CDI Rate = 0.652 5
Facility Trend Chart Things to consider: • National and State Baseline Rates are < 1. • Look at the left side scale • The size of your home • Which way is your graph trending? • See if you can determine a cause for the event(s) • Only 1 year of data 6
Facility Trend Chart, cont’d. Things to consider: • Where are the events happening? • Are you reporting accurately? • Are you testing as recommended by clinical guidelines? 7
Calculate CDI Rate How to calculate your CDI rate: CDI Events X 10,000 Resident Days 1. Pull the most current reports in NHSN (remember to generate new data sets first) 8
Calculate CDI Rate How to calculate your CDI rate: 2. Run the Rate Tables for CDI LabID Event Data • Total CDI Rate, Residents admitted with CDI treatment, Community- Onset CDI, Facility Onset, and Recurrent events 9
Event Rate Tables Remember this is only a snapshot of your data. It doesn’t tell the whole “story” 10
What’s Next? • Continue Reporting • Use for Infection Surveillance • Work with your Hospitals and Acute Care Facilities to address any issues 11
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Give Us a Call Kristen Ives – NHSN Support Sarah Wendelboe – NHSN Support kristen.ives@area-d.hcqis.org sarah.wendelboe@area-d.hcqis.org 720-554-1695 515-267-6227 Gina Anderson Lisa Bridwell gina.anderson@area-d.hcqis.org lisa.bridwell@area-d.hcqis.org 515-223-2127 630-928-5831 Elizabeth Schulte Nell Griffin elizabeth.schulte@area-d.hcqis.org nell.griffin@area-d.hcqis.org 720-554-1395 630-928-5813 Deanna Curry Stacy Gordon deanna.curry@area-d.hcqis.org stacy.gordon@area-d.hcqis.org 720-554-1479 630-928-5812 This material was prepared by Telligen, the Medicare Quality Improvement Organization for Colorado, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents 13 presented do not necessarily reflect CMS policy. 11SOW-QIN-C2-06/13/18-2801
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