Missouri Department of Health & Senior Services Logo Jay Nixon, Governor
Gail Vasterling, Director

Missouri Healthcare-Associated Infection (HAI) Reporting - Historical Data

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Central Line-Associated Bloodstream (CLAB) Infections
(Rates per 1000 Central-Line Days, Hospitals Only)
  2006 2007 2008 2009 2010 2011 2012
ICU INF CLD PCT INF CLD PCT INF CLD PCT INF CLD PCT INF CLD PCT INF CLD PCT INF CLD PCT
Coronary 15 3355 4.4 10 3354 2.9 11 3635 3 9 3567 2.5 6 2912 2 6 3397 1.7 2 3477 0.5
Medical 18 5293 3.4 20 5448 3.6 9 6273 1.4 14 6069 2.3 5 4882 1 5 5285 0.9 9 7678 1.1
Medical/Surgical - - - - - - - - - - - - - - - - - - - - -
Surgical 16 5650 2.8 8 7228 1.1 9 7151 1.2 5 6731 0.7 9 5547 1.6 5 6010 0.8 4 6154 0.6
Pediatric - - - - - - - - - - - - - - - - - - - - -
NICU
Below 750g - - - - - - - - - - - - - - - - - - - - -
751-1000g - - - - - - - - - - - - - - - - - - - - -
1001-1500g - - - - - - - - - - - - - - - - - - - - -
1501-2500g - - - - - - - - - - - - - - - - - - - - -
Above 2500g - - - - - - - - - - - - - - - - - - - - -
Legend
INF - Count of central-line infections during the calendary year.
CLD - Central-Line Days, for additional information see the DHSS HAI Site.
PCT - Ratio of infections to central-line days, expressed as a percent per 1000 CLD (i.e. INF/CLD x 1000).

Surgical Site Infections (SSI)
(Rates are infection rates per 100 Procedures.  Measure is applied to both hospitals and ASC's)
  2006 2007 2008 2009 2010 2011 2012
Surgery Risk Index INF CNT PCT INF CNT PCT INF CNT PCT INF CNT PCT INF CNT PCT INF CNT PCT INF CNT PCT
Abdominal Hysterectomy 0 3 157 1.9 2 138 1.4 0 117 0 0 118 0 0 66 0 1 86 1.1 0 98 0
1 6 332 1.8 5 375 1.3 6 401 1.4 8 417 1.9 6 425 1.4 7 373 1.8 7 418 1.6
2,3 2 125 1.6 10 172 5.8 3 180 1.6 7 189 3.7 4 212 1.8 2 169 1.1 11 215 5.1
Coronary Artery Bypass 0 - - - 0 1 0 0 1 0 0 1 0 0 4 0 0 2 0 - - -
1 12 186 6.4 2 172 1.1 3 263 1.1 8 260 3 5 210 2.3 0 156 0 2 167 1.1
2,3 4 106 3.7 3 106 2.8 3 60 5 4 84 4.7 0 93 0 2 121 1.6 3 155 1.9
Hip Prosthesis 0 1 197 0.5 0 310 0 1 371 0.2 2 391 0.5 3 414 0.7 2 395 0.5 1 405 0.2
1 2 258 0.7 2 246 0.8 2 255 0.7 3 299 1 7 301 2.3 6 331 1.8 4 382 1
2,3 4 126 3.1 4 85 4.7 2 82 2.4 3 89 3.3 3 111 2.7 4 97 4.1 7 114 6.1
Legend
INF - Count of surgical site infections during the calendar year.
CNT - Count of surgical procedures performed within a given risk index.
PCT - Ratio of infections to procedures performed, expressed as a percent per 100 surgeries (i.e. INF/CNT x 100).

Head-of-Bed (HOB) Care Measure for Patients on Ventilator
(The goal is for 100% of qualifying patients to have elevated HOB, Hospitals Only)
  2006 2007 2008 2009 2010 2011 2012
ICU HOB CNT PCT HOB CNT PCT HOB CNT PCT HOB CNT PCT HOB CNT PCT HOB CNT PCT HOB CNT PCT
Coronary - - - - - - 237 253 93.6 248 263 94.2 249 264 94.3 308 315 97.7 308 319 96.5
Medical - - - - - - 512 539 94.9 528 544 97 525 541 97 547 560 97.6 529 535 98.8
Medical/Surgical - - - - - - - - - - - - - - - - - - - - -
Surgical - - - - - - 631 649 97.2 592 607 97.5 586 619 94.6 563 590 95.4 566 579 97.7
Other - - - - - - 1106 1147 96.4 1149 1198 95.9 1016 1085 93.6 1163 1214 95.7 1082 1134 95.4
Legend
HOB - Count of all adult ventilator patients with HOB of 30 degrees or more where not contra-indicated.
CNT - Total count for all adult ventilator patients where head elevation was not contra-indicated.
PCT - Ratio of HOB patients to total count, expressed as a percent of that total (HOB/CNT).



Comments by Facility: In comparing the 2009 BJH surgical site infection rates, stratified by risk index, to NHSN, all rates are below NHSN benchmarks except HIP Risk Index 2,3 and CABG Risk Index 1.