Office for Oregon Health Policy and Research Issues 2011 State HAI Report

May 20, 2011

Oregon Healthcare Acquired Infections May 2011 Report

The Office for Oregon Health Policy and Research (OHPR) has recently released a report pertaining to the state’s Healthcare Acquired Infection (HAI) Reporting Program.  The report contains HAI data for the 2009-2010 reporting period.

The Oregon legislature passed the state’s mandatory reporting law in 2007.  Known as House Bill 2524 (HB 2524), the law assigned responsibility for the HAI reporting requirements to the OHPR which is part of the Oregon Health Authority (OHA).

HB 2524 also created a 16 member advisory committee responsible for advising the OHPR about the state’s HAI reporting program.

The 2011 report includes information about three HAI state targets:  (1) Central line associated bloodstream infections (CLABSIs); (2) surgical site infections (SSIs) for coronary artery bypass grafts; and (3) SSIs for knee prosthesis (replacement) procedures.

The data included in the report were collected using two methods.  CLABSI and SSI data were collected using the National Healthcare Safety Network (NHSN) reporting system maintained by the Centers for Disease Control and Prevention (CDC).  Surgical Care Improvement Project (SCIP) process of care measures were reported by hospitals according to Centers for Medicare an Medicaid Services (CMS) protocols.  The report indicates most of the hospitals (48) reported their data to CMS.  OHPR obtained these data from the Hospital Compare website.

CLABSI Data Results

The statewide CLABSI rate for 2009 (1.37 infections per 1000 central line days) was one-third lower than the national rate (1.92) for the relevant time period.  The state rate for 2010 (0.77) was approximately 60% lower than the national rate and 40% lower than the state rate in 2009 (1.37).

Knee Prosthesis Surgical Site Infections

The state’s KPRO SSI rate for 2009 (0.91 percent of procedures with infections) was essentially the same as the corresponding national rate (0.89%).  The 2010 state rate (0.79%) was approximately 13% lower than the 2009 state rate (0.91%).

Coronary Artery Bypass Graft  Surgical Site Infections

The report explains that Oregon’s CABG SSI state rate for 2009 (2.10% of procedures with infections) was approximately 25% lower than the corresponding national rate (2.83%) for the same time period.  The state rate for 2010 (2.27%) was approximately 8% higher than the 2009 rate (2.10%), however it is still 20% lower than the national rate.

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Reference:  The Office for Oregon Health Policy and Research.  Oregon Healthcare Acquired Infections. (May 2011).



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