Healthcare-Associated Infections (HAI)
     
Report of HAI Rates in Nebraska Hospitals
nebraska report thumbnail 
 
Each year the CDC creates an infographic progress report on each state's HAI performance.
 
However, these reports are often 2 years old. Since January 1st, 2017 certain HAIs are reportable in Nebraska, so we are able to provide Nebraska specific HAI rates for the preceding calendar year.
 
Nebraska HAI SIRs 2015-2017
*CLABSI- Central Line Associated Blood Stream Infections
*CAUTI – Catheter Associated Urinary Tract Infection
*MRSA Bacteremia- Methicillin Resistant Staphylococcus aureus in the blood stream
*CDI- Clostridium difficile Infection
*Colon SSI- Surgical Site Infection occurring after a procedure on the colon
*HYSTER SSI- Surgical Site Infection occurring after an abdominal hysterectomy procedure
 
 
SIR- Standardized Infection Ratio is the actual number of infections divided by a predicted number of infections based on risk adjusted models developed the National Healthcare Safety Network, division of the Centers of Disease and Control (CDC).  An SIR of 1.0 indicates the number of infections a hospital reported were equal to the number of infections predicted. Hospitals strive to have a SIR in all Healthcare Associated Infections as low as possible. To learn more about SIR go to https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf

Range of SIR values in the state for each HAI in 2017

HAI # Hospitals with > 25 beds in Nebraska group #  Hospitals in NE group  used to calculate Min., Med., and Max.** NE Minimum SIR NE Median   SIR NE Maximum SIR Ne State SIR 2015 National Baseline # NE Hospitals below National Baseline
CAUTI* 21 16 0.00 0.91 2.75 0.92 0.993 10
CLABSI* 21 15 0.00 0.77 1.89 0.85 0.994 11
CDI* 25 21 0.00 0.79 1.39 0.80 0.993 16
MRSA bacteremia* 25 12 0.00 0.55 2.02 0.69 0.998 10
Colon SSI* 20 13 0.00 0.90 2.52 1.32 0.999 8
Hyster SSI* 20 6 0.53 0.82 3.88 0.98 1.003 4
Only facilities in NE State NHSN group are included, no hospitals with 25 beds or less are included. One facility is exempt from reporting, 5 facilities do not perform Colon or Total Abdominal Hysterectomies.
 
** If the predicted number of infections for a specific HAI is less than one for a facility, the SIR cannot be calculated and they are excluded from the calculation of min, med, or max SIRs.
 
 
The National Baseline for each Healthcare Associated Infection was recalculated using national data reported into the NHSN (National Healthcare Safety Network) based on calendar year 2015.  Risk models for each HAI type were re-evaluated and adjusted to reflect greater detail for individual facilities and their population of patients. If a hospital’s SIR is below the National Baseline, it means it performed better than the average for the nation for that particular HAI.
 

 
 
 
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