7B CLABSI and CAUTI 12-months ending 12-months ending N/A N/A (ICU only) 12/31/2015 06/30/2016 7C Surgical Site Infection: Major Colon 12-months ending 12-months ending N/A N/A Surgery, MRSA, and C. 12/31/2015 06/30/2016 Diff. 7D Hospital-acquired 9-months ending 9-months ending Injuries and Pressure ICD-9 ICD-10 09/30/2015 06/30/2016 Ulcers 7E Antibiotic N/A N/A N/A N/A Stewardship Programs 8 Bar Code Medication Latest 3-months prior to Latest 3-months prior to N/A N/A Administration survey submission survey submission 9 Readmission for Common Acute N/A N/A N/A N/A Conditions & Procedures Page Intentionally Left
7B CLABSI and CAUTI (ICU only) 12-months ending 12/31/2015 N/A 12-months ending 06/30/2016 N/A 7C Surgical Site Infection: Major Colon Surgery, MRSA, and C. Diff. 12-months ending 12/31/2015 N/A 12-months ending 06/30/2016 N/A 7D Hospital-acquired Injuries and Pressure Ulcers 9-months ending 09/30/2015 ICD-9 9-months ending 06/30/2016 ICD-10 7E Antibiotic Stewardship Programs N/A N/A N/A N/A 8 Bar Code Medication Administration Latest 3-months prior to survey submission N/A Latest 3-months prior to survey submission N/A 9 Readmission for Common Acute Conditions & Procedures N/A N/A N/A N/A Page Intentionally Left
2016Survey_Final_Updated08222016.docx