Discharges with healthcare-associated bloodstream infection per 1,000 discharges for newborns and outborns with birth weight of 500 grams or more but less than 1,500 grams; with gestational age between 24 and 30 weeks; or with birth weight of 1,500 grams or more and death, an operating room procedure, mechanical ventilation, or transferring from another hospital within two days of birth. Excludes discharges with a length of stay less than 3 days and discharges with a principal diagnosis of sepsis, or bacteremia, or newborn bacteremia.
Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with either: • any secondary ICD-10-CM diagnosis codes for newborn sepsis (BSI5DX*), or • any secondary ICD-10-CM diagnosis codes for newborn septicemia or bacteremia codes requiring a separate organism code (BSI2DX*) and any secondary ICD-10-CM diagnosis codes for staphylococcal or Gram-negative bacterial infection (BSI3DX*)
Denominator
1.15 Denominator
All newborns and outborns (Appendix I) with either: • a birth weight of 500 to 1,499 grams (Birth Weight Categories 2, 3, 4 and 5) (Appendix L) • any-listed ICD-10-CM diagnosis codes for gestational age between 24 and 30 weeks; (GESTCAT*) • a birth weight greater than or equal to 1,500 grams (Birth Weight Category 6, 7, or 8) and death (DISP=20) • a birth weight greater than or equal to 1,500 grams (Birth Weight Category 6, 7, or 8) and any-listed ICD-10-PCS procedure codes for operating room procedure (Appendix A) • a birth weight greater than or equal to 1,500 grams (Birth Weight Category 6, 7, or 8) and any-listed ICD-10-PCS procedure codes for mechanical ventilation (MECHVCD*) • a birth weight greater than or equal to 1,500 grams (Birth Weight Category 6, 7, or 8) and transferring from another health care facility within two days of birth (ATYPE = 4 and POINTOFORIGINUB04 = 6)
Exclusions
Exclusions
Exclude cases: • with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) for sepsis or bacteremia (BSI4DX*), among patients otherwise qualifying for numerator. • with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission†) for staphylococcal or Gram-negative bacterial infection (BSI3DX*), among patients otherwise qualifying for numerator. • with birth weight less than 500 grams (Birth Weight Category 1) (Appendix L) • with length of stay less than 3 days • with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)
Measure Record
Most Recent Endorsement Activity
Measure Retired and Endorsement Removed Perinatal and Women's Health Fall Cycle 2020
Initial Endorsement
Last Updated
Removal Date
Point of Contact
Steward Organization
Agency for Healthcare Research and Quality
Steward POC email
Maushami.Desoto@ahrq.hhs.gov
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The AHRQ QI software is publicly available. We have no copyright disclaimers.
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