Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-28T15:35:18.215Z Has data issue: false hasContentIssue false
  • English
  • Français

Standardized Infection Ratio for Surgical Site Infection after Colon Surgery: Discord in Models Measuring Healthcare Quality

Published online by Cambridge University Press:  30 August 2016

Raymond Chinn ,
Jason M. Lempp ,
Susan S. Huang ,
Rekha Murthy ,
Francesca J. Torriani ,
Jacqueline Daley ,
Elaine Dekker ,
Barbara Goss-Bottorff ,
Wendy Kaler  and
Karen Meyer
...Show all authors
Raymond Chinn*
Affiliation:
Infection Prevention and Clinical Epidemiology, Sharp Metropolitan Medical Campus, San Diego, California
Jason M. Lempp
Affiliation:
Healthcare Associated Infections Program Office of Communicable Disease Epidemiology Washington State Department of Health, Shoreline, Washington
Susan S. Huang
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute University of California Irvine School of Medicine, Orange, California
Rekha Murthy
Affiliation:
Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Francesca J. Torriani
Affiliation:
Infection Prevention and Clinical Epidemiology Unit, University of California, San Diego Health, San Diego, California
Jacqueline Daley
Affiliation:
Infection Prevention and Clinical Epidemiology, Sharp Metropolitan Medical Campus, San Diego, California
Elaine Dekker
Affiliation:
Infection Prevention, San Francisco General Hospital, San Francisco, California
Barbara Goss-Bottorff
Affiliation:
Infection Prevention, Hoag Hospital System, Newport Beach, California
Wendy Kaler
Affiliation:
Infection Prevention, Dignity Health, Saint Francis Memorial Hospital, San Francisco, California
Karen Meyer
Affiliation:
Epidemiology Surveillance, Scripps Health, San Diego, California
Frank Myers
Affiliation:
Infection Prevention and Clinical Epidemiology Unit, University of California, San Diego Health, San Diego, California
Amy Nichols
Affiliation:
Hospital Epidemiology and Infection Control, University of California San Francisco Health, San Francisco, California
Kathleen Quan
Affiliation:
Epidemiology and Infection Prevention University of California Irvine Health, Orange, California
David Birnbaum
Affiliation:
School of Population and Public Health University of British Columbia, Principal Applied Epidemiology British Columbia, Canada.
*
Address correspondence to Raymond Chinn, MD, Sharp Metropolitan Medical Campus, 7901 Frost Street, San Diego, CA 92123 ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

The government publishes 3 different public report surgical site infection (SSI) metrics, all called standardized infection ratios (SIRs), that impact perceived hospital quality. We conducted a non-random cross-sectional observational pilot study of 20 California hospitals that voluntarily submitted colon surgery and SSI data. Discordant SIR values, leading to contradictory conclusions, occurred in 35% of these hospitals.

Infect Control Hosp Epidemiol 2016;1–5

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 11 , November 2016 , pp. 1378 - 1382
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Acute Inpatient PPS. Centers for Medicare & Medicaid Services website. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html?redirect=/acuteinpatientpps/. Updated 2016. Accessed July 5, 2016.Google Scholar
2. National Health Safety Network e-News newsletter. Your Guide to the Standardized Infection Ratio (SIR). Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/PDFs/Newsletters/NHSN_NL_OCT_2010SE_final.pdf. Published 2010. Accessed July 5, 2016.Google Scholar
3. Mu, Y, Edwards, JR, Horan, TC, et al. Improving risk-adjusted measures of surgical site infection for the national healthcare safety network. Infect Contol Hosp Epidemiol 2011;32:970–986.CrossRefGoogle ScholarPubMed
4. Austin, JM, Jha, AK, Roman, PS, et al. National hospital rating systems share few common scores and may generate confusion instead of clarity. Health Affairs 2015;3:423–430.CrossRefGoogle Scholar
5. Hwang, W, Derk, J, LaClair, M, Paz, H. Finding order in chaos: a review of hospital ratings. Am J Med Qual 2016;31:147–155.CrossRefGoogle Scholar
6. Birnbaum, D. Buyer beware: health choices information broadcast to public. Int J Health Gov 2016;21:35–40.Google Scholar
7. Yokoe, DS, Avery, TR, Platt, R, Huang, SS. Reporting surgical site infections following total hip and knee arthroplasty: impact of limiting surveillance to the operative hospital. Clin Infect Dis 2013;57:1282–1288.CrossRefGoogle Scholar
8. Hübner, M, Diana, M, Zanetti, G, et al. Surgical site infection in colon surgery. The patient, the procedure, the hospital, and the surgeon. Arch Surg 2011;146:1240–1245.CrossRefGoogle ScholarPubMed
9. Serra-Aracil, X, Garcia-Domingo, MI, Pares, D, et al. Surgical site infection in elective operations for colorectal cancer after the application of preventive measures. Arch Surg 2011;146:606–612.CrossRefGoogle ScholarPubMed
10. Rajaram, R, Chung, JW, Kinnier, CV, et al. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid services hospital-acquired condition reduction program. JAMA 2015;314:375–383.CrossRefGoogle ScholarPubMed
11. Kahn, CN, Ault, T, Potetz, L, et al. Assessing Medicare’s hospital pay-for-performance programs and whether they are achieving their goals. Health Affairs 2015;34:1281–1288.CrossRefGoogle ScholarPubMed
12. Minami, CA, Dahke, AR, Barnard, C, et al. Association between hospital characteristics and performance on the new hospital-acquired condition reduction surgical site infection measures. JAMA Surg Published online April 6, 2016. doi:10.1001/jamasurg.2016.0408.CrossRefGoogle Scholar
13. Birnbaum, D, Zarate, R, Marfin, T. SIR, you’ve led me astray!. Infect Control Hosp Epidemiol 2011;32:276–282.CrossRefGoogle ScholarPubMed
14. Letourneau, AR, Calderwood, MS, Huang, SS, et al. Harnessing claims to improve detection of surgical site infections following hysterectomy and colorectal surgery. Infect Control Hosp Epidemiol 2013;34:1321–1323.CrossRefGoogle ScholarPubMed
15. Calderwood, MS, Huang, SS, Keller, V, et al. Use of claims data identified many unreported cases of surgical site infection following colon surgery in a state-wide validation. IDWeek, Philadelphia, PA, October 2014.CrossRefGoogle Scholar
16. Zarate, R, Birnbaum, D. Validity of self-declared teaching status in mandatory public reporting. Infect Control Hosp Epidemiol 2010;31:1310–1311.CrossRefGoogle ScholarPubMed
Supplementary material: File

Chinn supplementary material

Appendix A-B

Download Chinn supplementary material(File)
File 31.2 KB