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Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network (NHSN), Facility-wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure

CBE ID
1717
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2025
1.3 Measure Description

Standardized infection ratio (SIR) and Adjusted Ranking Metric (ARM) of hospital-onset CDI Laboratory-identified events (LabID events) among all inpatients in the facility, excluding well-baby nurseries and neonatal intensive care units (NICUs).

        • 1.14 Numerator

          Total number of observed hospital-onset incident CDI LabID events among all inpatients in the facility, excluding NICU, Special Care Nursery, babies in LDRP, well-baby nurseries, or well-baby clinics.

        • 1.15 Denominator

          Total number of predicted hospital-onset CDI LabID events, calculated using the facility´s number of inpatient days, facility type, CDI event reporting from Emergency Department and 24 hour observation units, bed size, ICU bed size, affiliation with medical school, microbiological test method used to identify C. difficile, and community-onset CDI admission prevalence rate.

        • Exclusions

          Data from patients who are not assigned to an inpatient bed are excluded from the denominator counts, including outpatient clinics, 24-hour observation units, and emergency department visits. Inpatient rehab locations and inpatient psychiatric locations that have their own Centers for Medicare and Medicaid Services (CMS) Certification Number (CCN) are excluded. Additionally, data from NICU, SCN, babies in LDRP, well-baby nurseries, or well-baby clinics are excluded from the denominator count.

        • OLD 1.12 MAT output not attached
          Attached
        • Most Recent Endorsement Activity
          Endorsed Patient Safety Fall Cycle 2018
          Initial Endorsement
          Last Updated
        • Steward
          Centers for Disease Control and Prevention
          Steward Organization POC Email
          Steward Organization Copyright

          all CDC documents are public record therefore there is no copyright.

              • Risk Adjustment
                Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off