Hospital Characteristics Kaiser Foundation Hospital ...

Healthcare-Associated Infections Report, 2017 Kaiser Foundation Hospital, Sacramento (Sacramento)

County Sacramento

Hospital Characteristics

Medical School Affiliation Hospital Type

Graduate

Community, > 250 beds

The trend lines show this hospital's healthcare-associated infection (HAI) incidence from 2015 to 2017, reported as standardized infection ratios (SIR) when possible. Each result is interpreted as the Same, Better, or Worse than the national or state comparison.

2017 Reported 2017 Predicted Central Line Days SIR

Central Line Associated Bloodstream Infection (CLABSI)

6 1.0

9.7

0.84

SIR

10,449 0.5 0.59

0.62

0.62

2015 National Baseline 2020 CLABSI Goal

2017 Comparison

Same as 2015 National Baseline

0.0 2015

2016

2017

Year

2018

2019

On Track Toward 2020 Goal (SIR 0.80 or lower in 2017)

2020

2017 Reported 2017 Predicted Patient Days SIR

2017 Comparison

Methicillin-Resistant Staphylococcus aureus Bloodstream Infection (MRSA BSI)

1 1.8 50,394 0.57

Same as 2015 National Baseline

SIR

1.5

1.0

0.5 0.0 0.38

2015

1.86

2015 National Baseline

0.57

2020 MRSA BSI Goal

2016

2017

Year

2018

2019

On Track Toward 2020 Goal (SIR 0.80 or lower in 2017)

2020

Vancomycin-Resistant Enterococcus Bloodstream Infection (VRE BSI)

2017 Reported Patient Days

2

0.4

50,394 0.3

0.39

0.40

Rate

Rate*

0.40

2017 Comparison

Same as Statewide Rate

*SIR unavailable. Rate per 10,000 patient days

0.2 0.19

0.1

0.0 2015

2016

Statewide Rate for Community Hospitals (>250 Beds)

2017

Year

2018

2019

2020

2017 Reported 2017 Predicted Patient Days

16 32.6 50,394

SIR

Clostridium difficile Infection (CDI)

1.0

1.05

0.86

0.5

0.49

2015 National Baseline 2020 CDI Goal

SIR

2017 Comparison

0.49

Better than 2015 National Baseline

0.0 2015

2016

2017

Year

2018

2019

On Track Toward 2020 Goal (SIR 0.88 or lower in 2017)

2020

Surgical Site Infection (SSI) - Adult

Surgical Site Infection (SSI) - Adult

Procedure Type

Reported SSI Predicted SSI

Abdominal aortic aneurysm repair Appendix surgery Bile duct, liver or pancreatic surgery Colon surgery Exploratory abdominal surgery (laparotomy) Gallbladder surgery Gastric surgery Hip prosthesis Hysterectomy, abdominal Hysterectomy, vaginal Kidney surgery Knee prosthesis Laminectomy Open reduction of fracture Ovarian surgery Pacemaker surgery Rectal surgery Small bowel surgery Spinal fusion Spleen surgery Thoracic surgery

0

0.0

2

0.5

6

2.9

4

4.0

2

1.1

1

1.8

1

0.8

1

1.1

1

1.9

0

0.4

0

0.1

1

0.7

3

2.0

0

0.5

1

0.1

0

0.1

0

0.1

5

2.5

5

5.2

0

0.1

0

0.1

Number of Procedures

2 166 124 167 246 340

54 247 228

92 28 202 634 82 175 74 15 127 701 23 23

2017

Not enough procedures to calculate SIR 3.93 2.08 1.00 1.82 0.55 1.26 0.91 0.52 0.00

Not enough procedures to calculate SIR 1.50 1.52 0.00

Not enough procedures to calculate SIR Not enough procedures to calculate SIR Not enough procedures to calculate SIR

1.99 0.97 Not enough procedures to calculate SIR Not enough procedures to calculate SIR

Compared with 2015 National

Baseline

Same Same Same Same Same Same Same Same Same

Same Same Same

Same Same

Surgical Site Infection (SSI) - Pediatric

Procedure Type

Reported SSI Predicted SSI

Appendix surgery Exploratory abdominal surgery (laparotomy) Gallbladder surgery Open reduction of fracture

0

0.0

0

0.0

0

0.0

0

0.0

Number of Procedures

12 1 3 2

2017

Not enough procedures to calculate SIR Not enough procedures to calculate SIR Not enough procedures to calculate SIR Not enough procedures to calculate SIR

Compared with 2015 National

Baseline

Data tables available from the California Health and Human Services Open Data Portal:

Information on interpreting this report:

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