CDC: Hospital infections mostly down, but two states are outliers

HHS releases 9-point HAI-reduction plan

For the first time, CDC has issued state-by-state breakdowns of central line-associated bloodstream infections (CLABSIs), finding that only hospitals in Arizona and Delaware saw a significant increase in infections.

CDC report: CLABSI rates dropped by 32% in 2010 
The report—which analyzed National Healthcare Safety Network data—found that:

  • CLABSI rates overall declined by 32%;
  • Surgical-site infection (SSI) rates declined by 8%; and
  • Catheter-associated urinary tract infection (UTI) rates dropped by 6%.

CDC's Scott Fridkin attributed the HAI reduction to national and state prevention efforts. According to MedPage Today, more than 20 states now mandate CLABSI and SSI reporting for all acute care hospitals and the number of hospitals reporting CLABSI data increased by 50% from 2009 to 2010.

"While our work must continue so that hospitals become even safer, this is clear evidence that care is improving," said American Hospital Association President and CEO Rich Umbdenstock.

The report found significant variation in states' infection control efforts and results. In response, CDC Director Thomas Frieden called for "a comprehensive approach for tackling infections in the nation's health care facilities, as patients can seek care from a variety of locations and move between health care facilities."

  • The Journey to Zero , one of the most popular studies in the Advisory Board's history, offers nine best practices to curb preventable infections.

HHS releases action plan to further reduce HAIs
HHS this week updated its action plan to reduce HAI rates.

The plan calls for another 50% reduction in CLABSIs and 25% reduction in UTIs and SSIs. It also aims for 100% adherence to central line insertion best practices, a 30% reduction in Clostridium difficile infections, and a 50% reduction in Methicillin-resistant Staphylococcus aureus infections.

According to Modern Healthcare, the action plan emphasizes the importance of health IT to effectively monitor HAIs.

The plan states, "Advances in IT, harmonization of disparate data standards, incentive programs designed to promote the meaningful use of electronic health records and capabilities to connect with and integrate multiple types and sources all provide opportunities to enhance national capacity to monitor, measure and prevent the occurrence of HAIs."

The plan will be published in the Federal Register next week and be available for public comment (Beasley, Reuters, 4/19; McKinney, Modern Physician, 4/19 [subscription required]; Walsh, MedPage Today, 4/19; CQ HealthBeat, 4/19 [subscription required]; McKinney, Modern Healthcare, 4/19 [subscription required]; AHA News, 4/19).

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