SIR 2015 Rebaseline Rebaseline refers to the process

SIR 2015 Rebaseline • “Rebaseline” refers to the process of updating NHSN’s original HAI baselines to continue driving the progress of preventing HAIs. • The 2015 rebaseline updates both the source of aggregate data and the risk adjustment methodology used to create the baselines. o Risk adjustment refers to the processes used to account for the differences in risk that may impact the number of infections reported by a hospital, such as type of patient care location, bed size of the hospital or patient age. o When the data are risk-adjusted, it makes it possible to more meaningfully compare hospital performance. • Previously calculated SIRs had different baseline years for each infection type and facility type.

Before 2015 Rebaseline

Risk Adjustment and SIRs NHSN Rebaseline Webinar, Part 1, October 5, 2016

Using Models for Device-Associated Infections NHSN Rebaseline Webinar, Part 1, October 5, 2016

Factors Included in the Model: Acute Care Hospitals (ACHs) NHSN Rebaseline Webinar, Part 1, October 5, 2016

Factors in Model – SSI Complex 30 -day (ACH) NHSN Rebaseline Webinar, Part 1, October 5, 2016

SSI Risk Adjustment Example NHSN Rebaseline Webinar, Part 1, October 5, 2016

NHSN Rebaseline Webinar, Part 1, October 5, 2016

NHSN Rebaseline Webinar, Part 1, October 5, 2016

Factors in Model: Inpatient Rehab Facilities (IRFs) NHSN Rebaseline Webinar, Part 1, October 5, 2016

Will my SIRs change? NHSN Rebaseline Webinar, Part 1, October 5, 2016

Example 1 NHSN Rebaseline Webinar, Part 1, October 5, 2016

Example 2 NHSN Rebaseline Webinar, Part 1, October 5, 2016

CMS Implications of New Baseline NHSN Rebaseline Webinar, Part 1, October 5, 2016

Rebaselined SIRs Shared with CMS NHSN Rebaseline Webinar, Part 1, October 5, 2016

SIR Changes to Numerator & Denominator NHSN Rebaseline Webinar, Part 1, October 5, 2016

Questions ?

Contact Information Cathy Gray, MSN, RN, CIC By-Laws Chair, Utah APIC Chapter 132 50 North Medical Drive Salt Lake City, UT 84132 cathy. gray@hsc. utah. edu Direct Line 801 -585 -2791