FY 2014-2017 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 0 URI 0 0 0 0 0 0 0 0 0 0 LRI 0 0 1 0 0 0 0 0 0 0 Skin 0 0 0 0 0 0 0 1 0 0 Totals 0 0 0 0 0 0 0 1 0 0 Infection 0 0 0.26 0 0 0 0 0.28 0 0 Rate Infection Rate per 1000 patient days: Total number of infections per unit x 1000 = % Total number of inpatient days 1st Quarter 2015 = 3256 1st Quarter 2016 = 3361 1st Quarter 2017=3889 2nd Quarter 2015 = 3550 2nd Quarter 2016 = 3508 2nd Quarter 2017=3987 3rd Quarter 2015 = 3453 3rd Quarter 2016 = 3587 3rd Quarter 2017= 4th Quarter 2015 = 3422 4th Quarter 2016 =3584 4th Quarter 2017= II. Measure Name: Patient & Family Education on Hand Hygiene/Cough Etiquette Measure Description: Prior to discharge, a questionnaire will be distributed to each patient that includes the following questions: D1: I received information on how to stay healthy by washing my hands D2: I received information on how to cover my cough or sneeze to prevent the spread of illness Type of Measure: Performance Improvement Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD Quarterly 2012: D1 Target: response rate response 86% 45% 66% D1 90% “agree/strongly rate: 80% agree” for D1 & Target: D2 is set at 2012: D2 86% 45% 66% D2 90% 90% response
FY 2014-2017 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 0 URI 0 0 0 0 0 0 0 0 0 0 LRI 0 0 1 0 0 0 0 0 0 0 Skin 0 0 0 0 0 0 0 1 0 0 Totals 0 0 0 0 0 0 0 1 0 0 Infection Rate 0 0 0.26 0 0 0 0 0.28 0 0 Infection Rate per 1000 patient days: Total number of infections per unit x 1000 = % Total number of inpatient days 1st Quarter 2015 = 3256 1st Quarter 2016 = 3361 1st Quarter 2017=3889 2nd Quarter 2015 = 3550 2nd Quarter 2016 = 3508 2nd Quarter 2017=3987 3rd Quarter 2015 = 3453 3rd Quarter 2016 = 3587 3rd Quarter 2017= 4th Quarter 2015 = 3422 4th Quarter 2016 =3584 4th Quarter 2017= II. Measure Name: Patient & Family Education on Hand Hygiene/Cough Etiquette Measure Description: Prior to discharge, a questionnaire will be distributed to each patient that includes the following questions: D1: I received information on how to stay healthy by washing my hands D2: I received information on how to cover my cough or sneeze to prevent the spread of illness Type of Measure: Performance Improvement Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD Target: D1 90% Quarterly response rate “agree/strongly agree” for D1 & D2 is set at 90% 2012: D1 response rate: 80% 86% 45% 66% Target: D2 90% 2012: D2 response 86% 45% 66%
2Q2017.docx