Infection Control Heather Brock, RN I. Measure Name: Hospital Acquired Infections Measure Description: Surveillance data will continue to be gathered on the following hospital acquired infections: UTI, URI, LRI, and Skin. Data will be reviewed monthly and reported quarterly. Type of Measure: Quality Assurance Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD Target: # of HAI per FY 2012 1 HAI 1 HAI quarter 0 HAI 0 HAI Data Analysis: There were one hospital acquired infections for 1st quarter FY2017, and 0 hospital acquired infection for 4th quarter FY2016. FY H. A. Infections FY 2015 FY 2016 FY 2017 1st Quarter H.A.I. Rate 0 0 1 2nd Quarter H.A.I. Rate 0 0 3rd Quarter H.A.I. Rate 0 1 4th Quarter H.A.I. Rate 0 0 Average H.A. Infection Rate 0 0.25 1 2014-2016 Hospital Acquired Infections Type of 1Q 1Q 1Q 2Q 2Q 2Q 3Q 3Q 3Q 4Q 4Q 4Q Infection 2015 2016 2017 2015 2016 2017 2015 2016 2017 2015 2016 2017 UTI 0 0 0 0 0 0 0 0 0 URI 0 0 0 0 0 0 0 0 0 LRI 0 0 1 0 0 0 0 0 0 Skin 0 0 0 0 0 0 1 0 0 Totals 0 0 0 0 0 0 1 0 0 Infection 0 0 0.26 0 0 0 0.28 0 0 Rate
Infection Control Heather Brock, RN I. Measure Name: Hospital Acquired Infections Measure Description: Surveillance data will continue to be gathered on the following hospital acquired infections: UTI, URI, LRI, and Skin. Data will be reviewed monthly and reported quarterly. Type of Measure: Quality Assurance Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD Target: 0 HAI # of HAI per quarter FY 2012 0 HAI 1 HAI 1 HAI Data Analysis: There were one hospital acquired infections for 1st quarter FY2017, and 0 hospital acquired infection for 4th quarter FY2016. H. A. Infections FY 2015 FY 2016 FY 2017 1st Quarter H.A.I. Rate 0 0 1 2nd Quarter H.A.I. Rate 0 0 3rd Quarter H.A.I. Rate 0 1 4th Quarter H.A.I. Rate 0 0 Average H.A. Infection Rate 0 0.25 1 FY 2014-2016 Hospital Acquired Infections Type of Infection 1Q 2015 1Q 2016 1Q 2017 2Q 2015 2Q 2016 2Q 2017 3Q 2015 3Q 2016 3Q 2017 4Q 2015 4Q 2016 4Q 2017 UTI 0 0 0 0 0 0 0 0 0 URI 0 0 0 0 0 0 0 0 0 LRI 0 0 1 0 0 0 0 0 0 Skin 0 0 0 0 0 0 1 0 0 Totals 0 0 0 0 0 0 1 0 0 Infection Rate 0 0 0.26 0 0 0 0.28 0 0
1Q2017.docx