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Vermont
Department of Banking, Insurance, Securities
&
Health Care Administration
DIVISION OF HEALTH CARE ADMINISTRATION
2007 BISHCA COMPARISON REPORT
Central Line Associated Bloodstream Infection Rates
The “Central Line Associated Bloodstream Infection Rate” refers to the
number of infections per 1000 central line days. Lower rates are
better. Data is presented by hospital for intensive care unit patients
with central lines. This measure was developed by the national Centers
for Disease Control and Prevention (CDC).
What is a “central
line”?
A
“central line” is a flexible tube that is inserted near the patient’s
heart or into one of the large veins or arteries. A central line can be
used to give fluids, measure the amount of fluid in the body, or to give
medications. Because of where it is located, it can cause potentially
dangerous bloodstream infections.
What is an “intensive
care unit”?
ICU's are hospital units that provide intensive observation and
treatment for patients either dealing with, or at risk of developing,
life threatening problems. Intensive care units are described by the types of patients in them;
smaller hospitals typically care for both medical and surgical patients
in a combined medical/surgical ICU, while larger hospitals have a
separate ICU for medical patients and surgical patients.
What if my hospital
isn’t listed?
For this report, hospitals collected Central Line Associated Bloodstream
Infection Rates for patients in intensive care units. If you are
unable to find your hospital, it is because the hospital doesn’t have a
unit that meets the CDC definition of an ICU, or because the hospital
had fewer than 25 central line days during the November 1, 2006 through
April 30, 2007
reporting period. Those hospitals did not have to report the measure.
Are there any
considerations I should be aware of when reviewing the data?
Yes, be careful when drawing conclusions from this information. For
example, age, underlying diseases, or severity of illness are factors
that can influence a patient’s risk for infection. Hospitals that treat
patients at greater risk of infection would be expected to have higher
rates.
No
single source of information can be used to determine overall quality of
care in a hospital. Consumers should review the data presented here and
other sources of information, and talk with their physicians, hospitals,
family and friends, to decide where to receive care.
What are the results?
See tables below.
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Central Line Associated Bloodstream (CLAB) Infection Rates |
The Central Line Associated Bloodstream Infection Rate is the number of
infections per 1,000 central line days. Lower rates are better.
Results are presented separately for each type of Intensive Care Unit or
“ICU” (Combined Medical/Surgical ICU; Medical ICU; Surgical ICU).
"NHSN Hospitals" refers to the hospitals across the country that
reported data to the Centers for Disease Control and
Prevention's National Healthcare Safety Network (NHSN) Database.
There are three categories
summarizing how a Vermont hospital compares to the CLAB
Infection Rate for NHSN hospitals:
The hospital can have a lower (better) infection rate
than the national average for hospitals reporting to NHSN.
The hospital can have an infection rate that is similar
to the national average for hospitals reporting to NHSN.
The hospital can have an infection rate that is higher (worse
than) the national average for hospitals reporting to NHSN.
Keep in mind that a
hospital's infection rate is only one thing to consider when choosing
where to get your care. The advice of your physician, the hospital’s
and specialist’s experience with the type of care you need, and other
factors unique to your situation should be considered as well. Small
numbers of infections and patients may distort reported
performance. Be careful when drawing conclusions from this
information.
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Central Line Associated Bloodstream (CLAB) Infection Rates in
COMBINED MEDICAL/SURGICAL ICU
November 1, 2006 through April 30, 2007 |
|
Hospital |
Number
of Infections |
Number
of
Central Line
Days |
CLAB
Infection Rate
(per 1,000 central
line days) |
CLAB Infection Rate *(*Compared with NHSN Hospitals in U.S.) |
| Brattleboro Memorial Hospital |
0 |
146 |
0 |
Similar to
national average |
| Central Vermont
Medical Center |
0 |
288 |
0 |
Similar
to
national average |
| North Country Hospital |
0 |
104 |
0 |
Similar
to
national average |
| Rutland Regional Medical Center |
1 |
846 |
1.2 |
Similar
to
national average |
| Southwestern Vermont Medical Ctr. |
1 |
269 |
3.7 |
Similar
to
national average |
| Springfield Hospital |
0 |
72 |
0 |
Similar
to
national average |
| All NHSN Hospitals
excluding major teaching hospitals (national average for calendar
year 2006) |
431 |
198,551 |
2.2 |
-- |
|
Central Line Associated Bloodstream (CLAB) Infection Rates in
MEDICAL ICU
November 1, 2006 through April 30, 2007 |
|
Hospital |
Number
of Infections |
Number
of
Central Line
Days |
CLAB
Infection Rate
(per 1,000 central
line days) |
CLAB Infection Rate* (*Compared with NHSN Hospitals in U.S.) |
| Fletcher Allen Health
Care |
2 |
2164 |
0.9 |
Similar
to
national average |
| All NHSN Hospitals
excluding major teaching hospitals (national average for calendar
year 2006) |
489 |
170,719 |
2.9 |
-- |
|
Central Line Associated Bloodstream (CLAB) Infection Rates in
SURGICAL ICU
November 1, 2006 through April 30, 2007 |
|
Hospital |
Number
of Infections |
Number
of
Central Line
Days |
CLAB
Infection Rate
(per 1,000 central
line days) |
CLAB Infection Rate* (*Compared with NHSN Hospitals in U.S.) |
| Fletcher Allen Health
Care |
3 |
2188 |
1.4 |
Similar
to
national average |
| All NHSN Hospitals
excluding major teaching hospitals (national average for calendar
year 2006) |
378 |
137,484 |
2.7 |
-- |
For more details
about the measures above, click here for the
Technical Guide
Quality
of Care Navigation:
Hospital Report Card Main Menu I
Heart Attack
Care I
Heart Failure Care I
Pneumonia Care
I CV Line
Infection
Surgical Site Infection Prevention
I Nurse
Staffing I
Volume and Mortality
Overall 2007
Hospital Report Card Site Navigation
Hospital Report Card Main Menu I
Patient Satisfaction I
Pricing and Financial Reports
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