2016 q1 regional tap report - michigan · 2016 q1 aggregate tap report . ... beginning with the...
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Michigan Region 1 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module, under their original baselines. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 12 All 0.4 Y -9.5 Prevented 10 ICU 0.5 ---- -3.4 Prevented 12 Ward 0.2 ----- -6.0 Prevented
CLABSI 12 All 0.2 Y -5.2 Prevented 10 ICU 0.3 ----- -2.7 Prevented 12 Ward 0.1 ----- -2.9 Prevented <5 NICU ----- ----- ----- -----
CDI 11 Facility-wide 0.608 Y -6.8 Prevented MRSA Bac 11 Facility-wide 0.339 N -2.4 Prevented SSI COLO 10 ---- 1.156 N 2.8 Need to Prevent SSI HYST 9 ---- 1.546 N 1.5 Need to Prevent
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
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Michigan Region 2N 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 14 All 0.7 Y -3.5 Prevented 14 ICU 0.8 ---- 4.8 Need to Prevent 14 Ward 0.6 ---- -8.2 Prevented
CLABSI 14 All 0.6 3.9 Need to Prevent 14 ICU 0.6 ---- 4.5 Need to Prevent 14 Ward 0.5 ---- -0.7 Prevented <5 NICU ----- ---- ----- ----
CDI 14 Facility-wide 0.80 Y 38.2 Need to Prevent MRSA Bac 14 Facility-wide 0.83 N 1.6 Need to Prevent SSI COLO 14 ---- 0.86 N 2.3 Need to Prevent SSI HYST 12 ---- 0.76 N 0.03 Need to Prevent
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
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Michigan Region 2S 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 16 All 0.6 Y -15.6 Prevented 16 ICU 0.6 ---- -8.1 Prevented 16 Ward 0.6 ---- -7.5 Prevented
CLABSI 16 All 0.5 Y -1.6 Prevented 16 ICU 0.5 ---- 2.1 Need to Prevent 16 Ward 0.5 ---- -2.1 Prevented 6 NICU 0.4 ---- -1.6 Prevented
CDI 16 Facility-wide 0.96 N 73.3 Need to Prevent MRSA Bac 16 Facility-wide 0.85 N 2.5 Need to Prevent SSI COLO 14 ---- 0.87 N 2.5 Need to Prevent SSI HYST 14 ---- 0.74 N -0.08 Prevented
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
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Michigan Region 3 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 15 All 0.4 Y -18.8 Prevented 13 ICU 0.5 ----- -8.5 Prevented 15 Ward 0.3 ----- -10.3 Prevented
CLABSI 15 All 0.4 Y -5.4 Prevented 13 ICU 0.3 ---- -3.9 Prevented 15 Ward 0.5 ---- -0.5 Prevented <5 NICU ----- ---- ----- -----
CDI 14 Facility-wide 1.0 N 43.7 Need to Prevent MRSA Bac 14 Facility-wide 1.1 N 4.2 Need to Prevent SSI COLO 11 ---- 0.8 N 0.3 Need to Prevent SSI HYST 11 ---- 1.3 N 1.7 Need to Prevent
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
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Michigan Region 5 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 11 All 0.4 Y -8.9 Prevented 11 ICU 0.6 ---- -2.2 Prevented 11 Ward 0.3 ---- -6.7 Prevented
CLABSI 11 All 0.1 Y -6.4 Prevented 11 ICU 0.3 ---- -1.9 Prevented 11 Ward 0.0 ---- -3.8 Prevented <5 NICU ---- ---- ---- ----
CDI 11 Facility-wide 0.64 Y -3.4 Prevented MRSA Bac 11 Facility-wide 0.36 N -2.2 Prevented SSI COLO 10 ---- 0.96 N 1.6 Need to Prevent SSI HYST 7 ---- 0.0 N -0.96 Prevented
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
Bar Graphs
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Region 5 SSI Colon Surgeries
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Region 5 SSI Abdominal Hysterectomies
Michigan Region 6 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 15 All 0.5 Y -6.8 Prevented 15 ICU 0.5 ---- -3.3 Prevented 15 Ward 0.4 ---- -3.5 Prevented
CLABSI 15 All 0.5 Y -0.1 Prevented 15 ICU 0.3 ---- -3.6 Prevented 14 Ward 0.9 ---- 3.1 Need to Prevent <5 NICU ---- ---- ---- ----
CDI 16 Facility-wide 0.81 Y 12.8 Need to Prevent MRSA Bac 16 Facility-wide 0.71 N -0.3 Prevented SSI COLO 15 ---- 1.58 N 9.4 Need to Prevent SSI HYST 15 ---- 3.23 Y 6.1 Need to Prevent
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
Bar Graphs
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Michigan Region 7 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 7 All 0.6 Y -2.1 Prevented 6 ICU 1.1 ---- 1.2 Need to Prevent 7 Ward 0.4 ---- -3.3 Prevented
CLABSI 7 All 0.1 Y -2.9 Prevented 6 ICU 0 ---- -1.4 Prevented 7 Ward 0.2 ---- -1.4 Prevented <5 NICU ---- ---- ---- ----
CDI 7 Facility-wide 0.69 N -0.03 Prevented MRSA Bac 7 Facility-wide 0.52 N -0.44 Prevented SSI COLO 7 ---- 1.3 N 2.04 Need to Prevent SSI HYST 7 ---- 0 N -0.87 Prevented
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
Bar Graphs
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Region 7 SSI Colon Surgeries
CH CFCI
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Michigan Region 8 2016 Q1 Aggregate TAP Report Michigan Department of Health and Human Services Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit ----------------------------------------------------------------------------------------------------------------------------------------------------------------
The Michigan Department of Health and Human Services (MDHHS) Surveillance for Healthcare-Associated and Resistant Pathogens (SHARP) Unit began including the new targeted assessment for prevention (TAP) reports in the 2014 annual statewide aggregate report. Beginning with the 2015 Quarter 1 report, individual, regional, and statewide TAP reports are provided quarterly.
This report shows modules and locations where the specified region either needs to focus additional prevention efforts, or is excelling in infection prevention. The table presents a cumulative attributable difference (CAD) determined using the HHS target standardized infection ratios (SIRs) for each module. Numbers in red show how many infections the region needs to prevent quarterly in order to reach the HHS target SIR. Numbers in green show the number of infections prevented beyond what was expected for the region according to the HHS target SIR. A corresponding SIR for each module and location are provided as well.
Bar graphs containing CAD values from all letter-coded SHARP-participating hospitals in the region by module and location are available below. These graphs allow each facility in the region to view their rank within each module and location compared to other nearby facilities. Hospital letters are provided in password-protected individual TAP reports. Letters are re-assigned each quarter. A CAD greater than zero indicates the number of infections a facility needs to prevent to achieve the HHS Target SIR for that module. A number less than zero indicates the number of infections a facility prevented beyond what was expected based on the HHS Target SIR.
2016 Q1 Targeted Assessment for Prevention Report
NHSN Module Number of Facilities
Location SIR1 Significant (Y/N)2 CAD3 Prevented or Need to Prevent
CAUTI 7 All 0.5 N -1.8 Prevented 5 ICU 0.3 ---- -1.9 Prevented 7 Ward 0.8 ---- -0.1 Prevented
CLABSI 6 All 0.2 N -1.2 Prevented 5 ICU 0 ---- -1.5 Prevented 6 Ward 0.8 ---- 0.4 Need to Prevent <5 NICU ---- ---- ---- ----
CDI 7 Facility-wide 0.77 N 1.1 Need to Prevent MRSA Bac 7 Facility-wide 0 -0.8 Prevented SSI COLO 7 ---- 2.28 N 3.4 Need to Prevent SSI HYST 7 ---- ---- ---- -0.3 Prevented
1SIR: Standardized Infection Ratio: Ratio of observed events compared to the number of predicted events, accounting for unit type or other variables. An SIR of 1 can be interpreted as having the same number of events as predicted. An SIR that is between 0 and 1 represents fewer events than predicted, while an SIR of greater than 1 represents more events than predicted. 2Significant (Y/N). A Y indicates that, based on the p-value and 95% Confidence Interval (CI), the SIR is statistically significantly different than 1. An N indicates that, based on the p-value and 95% CI, the SIR is not statistically significantly different than 1 (expected). Significance testing was only performed on overall SIRs, not location-specific. 3CAD=Cumulative Attributable Difference. The number of infections that the region either needs to prevent to meet the HHS target or has prevented beyond the HHS target. HHS CAUTI Target SIR = 0.75, HHS CLABSI Target SIR = 0.5, HHS CDI Target SIR = 0.7, HHS MRSA bacteremia Target SIR = 0.75, HHS SSI Target SIR = 0.75
Please contact Allie Murad at [email protected] with questions, comments, or suggestions. All aggregate reports are posted at www.michigan.gov/hai.
Bar Graphs
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Region 8 CLABSI (Overall)
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Region 8 SSI Colon Surgeries
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Region 8 SSI Abdominal Hysterectomies