Skip to main content

CDC, NHSN Healthcare Facility Onset, Antibiotic Treated Clostridiodes Difficile Infection Outcome Measure

CBE ID
3688
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2027
E&M Cycle Comments

Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Fall 2022 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Fall 2022 “Intent to Submit.” Battelle took over the E&M work for the Fall 2022 cycle after developers and/or stewards submitted their full measure information to NQF, which for CBE #3688, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2024-02/3688.zip

Battelle took over the E&M work beginning with the public comment period to close the E&M committees for the post-comment meeting, convening the CSAC to render a final endorsement decision, and executing the appeals period.

 

1.3 Measure Description
Standardized infection ratio (SIR) based on fully electronic capture of healthcare facility-onset, antibiotic-Treated Clostridioides difficile Infection (HT-CDI) events among inpatients in the facility
        • 1.5 Measure Type
        • 1.14 Numerator

          Total number of observed incident healthcare facility-onset, antibiotic-treated CDI (HTCDI) events among all inpatients in the facility.

        • 1.15 Denominator

          Total number of expected incident HT-CDI events based on predictive models using facility-level and patient-level factors.

        • OLD 1.12 MAT output not attached
          Attached
          1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Patient Safety Fall 2022
          Initial Endorsement
          Last Updated
        • Steward
          Centers for Disease Control and Prevention
          Steward Organization POC Email
          Measure Developer Secondary Point Of Contact

          United States

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