Transcript HAI Workgroup Survey Results

Healthcare-associated Infection
Prevention Advisory Board
Survey Results
Healthcare-associated Infection Prevention Advisory Board
Survey Results
July 23, 2013
Survey Overview
A four (4) question survey was developed using Survey Monkey and sent to
the FDOH Healthcare-associated Infection (HAI) Prevention advisory board via
email on July 12, 2013. Board members, excluding FDOH and the Agency for
Health Care Administration (AHCA) staff, were asked to complete the survey.
8 of 12 (67%) of the board members completed the survey. Surveys were
completed between July 12 – 22, 2013.
The following statement was included in the email with the survey link.
We do have consensus between the boards for AHCA to pull data from the
CMS Hospital Compare page for Florida hospitals and include on Health
Finder. At a minimum, AHCA will include the HAI data that CMS reports on
Hospital Compare on Florida Health Finder in the same format that data is
already being reported on Health Finder. This means we will have "one stop
shopping."
FDOH HAI Advisory Board
• Consists of 14 members
– 2 from AHCA (excluded)
– 2 from long-term care (Florida Health Care Association &
Florida Association for Directors of Nursing Administration
in Long-term Care)
– 8 associated with acute care (Florida Hospital Association,
Florida Infectious Disease Society, Hospital Corporation of
America, Florida Professionals in Infection Control,
Hospital Epidemiology, Infection Preventionists)
– 1 from Council of State and Territorial Epidemiologists
– 1 from FMQAI, Florida’s Quality Improvement Organization
RESULTS
Question 1
Question 2
What would be the advantages of AHCA gaining their own access to NHSN
data?
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The data will made available to the public consistently
Reported data would be more accurate then what they currently get from
administrative coding
gather data and configure it in a useful way
To align public reporting through AHCA with public reporting through NHSN
I am not sure of an advantage...more concerned about having too many different
rules impacting mandatory reporting. I think AHCA can use the site as is.
DUR, SIR and incidence rates. Actual data
none
More data would be available in a more timely way. CMS analyses can only be
performed from hospitals with sufficent data on a quarterly basis. More hospitals
will have data that is analyzable over longer periods. The data will be timely,
actionable and with more granularity.
100% (8/8) responded to this open text question.
Question 3
Question 4
Please provide any additional comments you would like to
share.
62.5% (5/8) responded to this open text question.
Responses are below and continue on the next slide.
• Those of us who served on original task force for
implementing the reporting rule recommended using NHSN
data. At that time it was starting to get up and running and
was felt it would take several years to get it. Well the years
have passed and data now there. One requirement would
to only require the same data that CMS requires. In other
words that is all that some people report to NHSN while
others summit additional infection data. It would be a
tremendous burden on most to have to submit additional
info.
Question 4: Open text
responses cont’d
• I would support the same reporting to AHCA that is required for reporting
to NHSN by the CMS IPQR program. I would not support additional
reporting to AHCA nor would I endorse giving AHCA access to any other
data reported to NHSN by healthcare facilities.
• Without a rule that provides funding to support extra added reporting and
response, I believe that using the CMS inpatient quality report is more
than adequate for consumers to evaluate care related to HAIs.
• The NHSN will only give the snapshot of the ICU units. Some hospitals do
report the medical units although the the CMS IQR this is not required.
The public would need to understand that the ICU rates will vary even
among different ICU units i.e. SICU, Neuro and MICU will have different
expected number of infections and different pooled means.
• Data errors and recalls experienced
Summary
• 75% (6/8) think it would be beneficial for AHCA to gain their own
access to NHSN data for public reporting purposes and would
support a rule change.
• Support is only for data already being collected for Centers for
Medicare and Medicaid Services Inpatient Quality Reporting
Program and reported on Hospital Compare.
• 25% (2/8) think that AHCA using data from Hospital Compare is
sufficient and do not see an advantage to AHCA gaining their own
access or are concerned with too many rules impacting public
reporting.
Decision Points
• Option 1: Implement a rule to form a NHSN Users Group allowing
AHCA access to obtain and publicly report HAI data on
FloridaHealthFinder.gov
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Mandatory reporting for all hospitals?
Should AHCA remove the AHRQ Infection Measures (Postoperative Sepsis and
Central Venous Catheter-related Bloodstream Infections)?
• Option 2: Download HAI data from CMS website
(http://data.medicare.gov) and post on FloridaHealthFinder.gov
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Should AHCA remove the AHRQ Infection Measures (Postoperative Sepsis and
Central Venous Catheter-related Bloodstream Infections)?
• Option 3: Link to CMS Hospital Compare
(http://www.medicare.gov/hospitalcompare/search.html)
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Each hospital’s profile page and/or the Hospital/ASC landing page?
• Option 4: No change
Thank You
Questions?
A.C. Burke, Florida Department of Health
Division of Disease Control and Health Protection
Bureau of Epidemiology
Phone: 850-766-7547
Email: [email protected]