In Iowa in 2010, approximately 3 out of every 100 CABG surgery patients experienced a surgical site infection
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- Benjamin Clarke
- 8 years ago
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1 HAI - 1 Coronary Artery Bypass Graft (CABG) Surgical Site Healthcare-associated Infections A bypass surgery (Coronary Artery Bypass Graft - CABG) is typically done to treat heart attack patients who have experienced injury to their heart due to the heart muscles not receiving enough oxygen-rich blood. This condition is primarily caused by disease in the major heart arteries (coronary arteries) that supply heart muscles with blood. Diseased heart arteries may have fatty deposits and clots which prevent blood from reaching the heart muscles. A bypass surgery takes veins or arteries from another part of the patients' body and uses these vessels to reroute the supply of blood around the blocked arteries ( bypassing the diseased arteries) to the heart muscles. Healthcare workers must take precautions to prevent infections related to this surgery. The measurement of infection outcomes is challenging for many reasons: The tools and metrics used to track infections are evolving at the national level. Thus, there currently exists variability in the reliability of hospitals self-reported measurements of infections. Patients differ in many ways. Some patients have a higher or lower risk of infection compared to another patient. Hospitals that care for substantial numbers of patients at high risk of infection may have higher infection rates than hospitals that do not have substantial numbers of high-risk patients in their care. In addition to patient differences other factors that may impact differences between hospitals infection rates include hospital measurement capacity, referral status, and frequency of high risk procedures. This is a hospital self-reported measure of the rate that CABG surgery patients experienced an infection after their surgery. In Iowa in, approximately 3 out of every 100 CABG surgery patients experienced a surgical site infection. Lower rates for this measure are better. National Comparison Rate * Total CABG Total CABG Iowa Rate Cedar Rapids St. Luke's Hospital Davenport Genesis Medical Center Des Moines Iowa Lutheran Hospital Des Moines Iowa Methodist Medical Center Des Moines Mercy Medical Center Dubuque Mercy Medical Center Fort Dodge Trinity Regional Medical Center Iowa Mercy Iowa Iowa University of Iowa Hospitals & Clinics ,4, Mason Mercy Medical Center - North Iowa Sioux Mercy Medical Center Waterloo Allen Health System : 1 = The number of surgeries is too small (< 25 surgeries) to reliably tell how well a hospital is performing 2 = Hospital did not report complete data 3 = Analysis in Progress 4 = Improvements Planned or in Process 5 = Improvements Implemented * Source of National comparison rates: Edwards JR, Peterson KD, Mu Y, Shailendra B, Allen-Bridson K, Morrell G, Dudeck MA, Pollock DA, Horan TC. National Healthcare Safety Network (NHSN) Report: Data Summary for 2006 Through 2008, Issued December. American Journal of Infection Control, ; 37(10):
2 HAI - 2 Colon Surgical Site Healthcare-associated Infections Colon surgery is typically done to treat patients who have problems with the lower part of the intestine that extends to the anus. Healthcare workers must take precautions to prevent infections related to this surgery. The measurement of infection outcomes is challenging for many reasons: The tools and metrics used to track infections are evolving at the national level. Thus, there currently exists variability in the reliability of hospitals self-reported measurements of infections. Patients differ in many ways. Some patients have a higher or lower risk of infection compared to another patient. Hospitals that care for substantial numbers of patients at high risk of infection may have higher infection rates than hospitals that do not have substantial numbers of high-risk patients in their care. In addition to patient differences other factors that may impact differences between hospitals infection rates include hospital measurement capacity, referral status, and frequency of high risk procedures. This is a hospital self-reported measure of the rate that colon surgery patients experienced an infection after their surgery. In Iowa in, approximately 5 out of every 100 colon surgery patients experienced a surgical site infection. Lower rates for this measure are better. National Comparison Rate * Total Colon Total Colon Iowa Rate Albia Monroe County Hospital Algona Kossuth Regional Health Center Ames Mary Greeley Medical Center Anamosa Jones Regional Medical Center 0 0 Atlantic Cass County Memorial Hospital Audubon Audubon County Memorial Hospital Belmond Belmond Medical Center Bettendorf Trinity Bettendorf Bloomfield Davis County Hospital Boone Boone County Hospital Britt Hancock County Memorial Hospital Carroll St. Anthony Regional Hospital Cedar Falls Sartori Memorial Hospital, Inc Cedar Rapids Mercy Medical Center Cedar Rapids St. Luke's Hospital Centerville Mercy Medical Center Chariton Lucas County Health Center Charles Floyd County Medical Center Cherokee Cherokee Regional Medical Center Clarinda Clarinda Regional Health Center Clarion Wright Medical Center Clinton Mercy Medical Center Corning Alegent Health Mercy Hospital Corydon Wayne County Hospital Council Bluffs Alegent Health Mercy Hospital Council Bluffs Jennie Edmundson Hospital Cresco Regional Health Services of Howard County Creston Greater Regional Medical Center 2 2 Davenport Genesis Medical Center De Witt Genesis Medical Center 0 0 Decorah Winneshiek Medical Center Denison Crawford County Memorial Hospital Des Moines Broadlawns Medical Center Des Moines Iowa Lutheran Hospital Des Moines Iowa Methodist Medical Center Des Moines Mercy Capitol Reported with Des Moines - Mercy Medical Center Hospital Location Closed Des Moines Mercy Medical Center Dubuque Mercy Medical Center Dubuque The Finley Hospital Dyersville Mercy Medical Center 0 0 Elkader Central Community Hospital Emmetsburg Palo Alto County Health System Estherville Avera Holy Family Hospital Fairfield Jefferson County Health Center Fort Dodge Trinity Regional Medical Center
3 Total Colon Total Colon Iowa Rate Fort Madison Fort Madison Community Hospital Greenfield Adair County Memorial Hospital 0 0 Grinnell Grinnell Regional Medical Center Grundy Center Grundy County Memorial Hospital 0 0 Guthrie Center Guthrie County Hospital Guttenberg Guttenberg Municipal Hospital Hamburg George C. Grape Community Hospital 0 0 Hampton Franklin General Hospital 0 0 Harlan Myrtue Medical Center Hawarden Hawarden Community Hospital 0 0 Humboldt Humboldt County Memorial Hospital 0 0 Ida Grove Horn Memorial Hospital Independence Buchanan County Health Center Iowa Mercy Iowa Iowa University of Iowa Hospitals & Clinics ,4, Iowa Falls Ellsworth Municipal Hospital Jefferson Greene County Medical Center Keokuk Keokuk Area Hospital Keosauqua Van Buren County Hospital Knoxville Knoxville Hospital & Clinics Lake Stewart Memorial Community Hospital Le Mars Floyd Valley Hospital Leon Decatur County Hospital Manchester Regional Medical Center Manning Manning Regional Healthcare Center Maquoketa Jackson County Regional Health Center Marengo Marengo Memorial Hospital 0 0 Marshalltown Marshalltown Medical and Surgical Center Mason Mercy Medical Center - North Iowa Missouri Valley Alegent Health Community Memorial Hospital 2 0 Mount Ayr Ringgold County Hospital Mount Pleasant Henry County Health Center Muscatine Trinity Muscatine Nevada Story County Medical Center 0 0 New Hampton Mercy Medical Center 0 0 Newton Skiff Medical Center Oelwein Mercy Hospital of Franciscan Sisters Onawa Burgess Health Center Orange Orange Area Health System Osage Mitchell County Regional Health Center Osceola Clarke County Hospital Oskaloosa Mahaska Health Partnership Ottumwa Ottumwa Regional Health Center Pella Pella Regional Health Center Perry Dallas County Hospital 0 0 Pocahontas Pocahontas Community Hospital 0 0 Primghar Baum Harmon Mercy Hospital Red Oak Montgomery County Memorial Hospital Rock Rapids Sanford Hospital Rock Rapids Rock Valley Hegg Memorial Health Center Sac Loring Hospital 2 2 Sheldon Sanford Sheldon Medical Center Shenandoah Shenandoah Medical Center Sibley Osceola Community Hospital Sigourney Keokuk County Health Center 0 0 Sioux Center Sioux Center Community Hospital & Health Center Sioux Mercy Medical Center Sioux St. Luke's Health System Spencer Spencer Hospital 23 1, Spirit Lake Lakes Regional Healthcare Storm Lake Buena Vista Regional Medical Center Sumner Community Memorial Hospital 0 0 Vinton Virginia Gay Hospital 2 0 Washington Washington County Hospital & Clinics Waterloo Allen Health System Waterloo Covenant Medical Center Waukon Veterans Memorial Hospital 2 1 0
4 Total Colon Total Colon Iowa Rate Waverly Waverly Health Center Webster Van Diest Medical Center West Burlington Great River Medical Center West Des Moines Mercy Medical Center - West Lakes Reported with Des Moines - Mercy Medical Center West Des Moines Methodist West Hospital West Union Palmer Lutheran Health Center Winterset Madison County Healthcare System : 1 = The number of surgeries is too small (< 25 surgeries) to reliably tell how well a hospital is performing 2 = Hospital did not report complete data 3 = Analysis in Progress 4 = Improvements Planned or in Process 5 = Improvements Implemented * Source of National comparison rate: Edwards JR, Peterson KD, Mu Y, Shailendra B, Allen-Bridson K, Morrell G, Dudeck MA, Pollock DA, Horan TC. National Healthcare Safety Network (NHSN) Report: Data Summary for 2006 Through 2008, Issued December. American Journal of Infection Control, ; 37(10):
5 HAI - 3 Hip Surgical Site Healthcare-associated Infections Hip surgery is typically done to treat patients who have problems with one or both hips. Healthcare workers must take precautions to prevent infections related to this surgery. The measurement of infection outcomes is challenging for many reasons: The tools and metrics used to track infections are evolving at the national level. Thus, there currently exists variability in the reliability of hospitals self-reported measurements of infections. Patients differ in many ways. Some patients have a higher or lower risk of infection compared to another patient. Hospitals that care for substantial numbers of patients at high risk of infection may have higher infection rates than hospitals that do not have substantial numbers of high-risk patients in their care. In addition to patient differences other factors that may impact differences between hospitals infection rates include hospital measurement capacity, referral status, and frequency of high risk procedures. This is a hospital self-reported measure of the rate that hip surgery patients experienced an infection after their surgery. In Iowa in, approximately 1 out of every 100 hip surgery patients experienced a surgical site infection. Lower rates for this measure are better. National Comparison Rate * Total Hip Total Hip Iowa Rate Albia Monroe County Hospital 0 0 Algona Kossuth Regional Health Center 0 0 Ames Mary Greeley Medical Center Anamosa Jones Regional Medical Center 0 0 Atlantic Cass County Memorial Hospital 0 0 Audubon Audubon County Memorial Hospital Belmond Belmond Medical Center 0 0 Bettendorf Trinity Bettendorf Bloomfield Davis County Hospital Boone Boone County Hospital Britt Hancock County Memorial Hospital 0 0 Carroll St. Anthony Regional Hospital Cedar Falls Sartori Memorial Hospital, Inc Cedar Rapids Mercy Medical Center Cedar Rapids St. Luke's Hospital Centerville Mercy Medical Center Chariton Lucas County Health Center 0 0 Charles Floyd County Medical Center Cherokee Cherokee Regional Medical Center 0 0 Clarinda Clarinda Regional Health Center 0 0 Clarion Wright Medical Center Clinton Mercy Medical Center Corning Alegent Health Mercy Hospital 0 0 Corydon Wayne County Hospital Council Bluffs Alegent Health Mercy Hospital Council Bluffs Jennie Edmundson Hospital Cresco Regional Health Services of Howard County 0 0 Creston Greater Regional Medical Center 2 2 Davenport Genesis Medical Center De Witt Genesis Medical Center 0 0 Decorah Winneshiek Medical Center Denison Crawford County Memorial Hospital 0 0 Des Moines Broadlawns Medical Center Des Moines Iowa Lutheran Hospital Des Moines Iowa Methodist Medical Center Des Moines Mercy Capitol 0 Hospital Location Closed Des Moines Mercy Medical Center Dubuque Mercy Medical Center Dubuque The Finley Hospital Dyersville Mercy Medical Center 0 0 Elkader Central Community Hospital 0 0 Emmetsburg Palo Alto County Health System 0 0 Estherville Avera Holy Family Hospital Fairfield Jefferson County Health Center Fort Dodge Trinity Regional Medical Center
6 Total Hip Total Hip Iowa Rate Fort Madison Fort Madison Community Hospital Greenfield Adair County Memorial Hospital 0 0 Grinnell Grinnell Regional Medical Center Grundy Center Grundy County Memorial Hospital Guthrie Center Guthrie County Hospital Guttenberg Guttenberg Municipal Hospital 0 0 Hamburg George C. Grape Community Hospital 0 0 Hampton Franklin General Hospital 0 0 Harlan Myrtue Medical Center 0 0 Hawarden Hawarden Community Hospital 0 0 Humboldt Humboldt County Memorial Hospital 0 0 Ida Grove Horn Memorial Hospital 0 0 Independence Buchanan County Health Center 0 0 Iowa Mercy Iowa Iowa University of Iowa Hospitals & Clinics ,4, Iowa Falls Ellsworth Municipal Hospital 0 0 Jefferson Greene County Medical Center Keokuk Keokuk Area Hospital Keosauqua Van Buren County Hospital 0 0 Knoxville Knoxville Hospital & Clinics 0 0 Lake Stewart Memorial Community Hospital 0 0 Le Mars Floyd Valley Hospital Leon Decatur County Hospital 0 0 Manchester Regional Medical Center Manning Manning Regional Healthcare Center 0 0 Maquoketa Jackson County Regional Health Center 0 0 Marengo Marengo Memorial Hospital 0 0 Marshalltown Marshalltown Medical and Surgical Center Mason Mercy Medical Center - North Iowa Missouri Valley Alegent Health Community Memorial Hospital 0 0 Mount Ayr Ringgold County Hospital Mount Pleasant Henry County Health Center Muscatine Trinity Muscatine Nevada Story County Medical Center New Hampton Mercy Medical Center Newton Skiff Medical Center Oelwein Mercy Hospital of Franciscan Sisters 0 0 Onawa Burgess Health Center Orange Orange Area Health System 0 0 Osage Mitchell County Regional Health Center 0 0 Osceola Clarke County Hospital 0 0 Oskaloosa Mahaska Health Partnership Ottumwa Ottumwa Regional Health Center Pella Pella Regional Health Center Perry Dallas County Hospital 0 0 Pocahontas Pocahontas Community Hospital 0 0 Primghar Baum Harmon Mercy Hospital 0 0 Red Oak Montgomery County Memorial Hospital 0 0 Rock Rapids Sanford Hospital Rock Rapids 0 0 Rock Valley Hegg Memorial Health Center 0 0 Sac Loring Hospital 0 0 Sheldon Sanford Sheldon Medical Center 0 0 Shenandoah Shenandoah Medical Center 0 0 Sibley Osceola Community Hospital 0 0 Sigourney Keokuk County Health Center 0 0 Sioux Center Sioux Center Community Hospital & Health Center 0 0 Sioux Mercy Medical Center Sioux St. Luke's Health System Spencer Spencer Hospital Spirit Lake Lakes Regional Healthcare Storm Lake Buena Vista Regional Medical Center Sumner Community Memorial Hospital 0 0 Vinton Virginia Gay Hospital 0 0 Washington Washington County Hospital & Clinics 0 0 Waterloo Allen Health System Waterloo Covenant Medical Center Waukon Veterans Memorial Hospital
7 Total Hip Total Hip Iowa Rate Waverly Waverly Health Center Webster Van Diest Medical Center West Burlington Great River Medical Center West Des Moines Mercy Medical Center - West Lakes Reported with Des Moines - Mercy Medical Center West Des Moines Methodist West Hospital Reported with Des Moines - Iowa Methodist Medical Center West Union Palmer Lutheran Health Center 0 0 Winterset Madison County Healthcare System 0 0 : 1 = The number of surgeries is too small (< 25 surgeries) to reliably tell how well a hospital is performing 2 = Hospital did not report complete data 3 = Analysis in Progress 4 = Improvements Planned or in Process 5 = Improvements Implemented * Source of National comparison rates: Edwards JR, Peterson KD, Mu Y, Shailendra B, Allen-Bridson K, Morrell G, Dudeck MA, Pollock DA, Horan TC. National Healthcare Safety Network (NHSN) Report: Data Summary for 2006 Through 2008, Issued December. American Journal of Infection Control, ; 37(10):
8 HAI - 4 Surgical Site Healthcare-associated Infections surgery is typically done to treat female patients who have problems with their uterus. Healthcare workers must take precautions to prevent infections related to this surgery. The measurement of infection outcomes is challenging for many reasons: The tools and metrics used to track infections are evolving at the national level. Thus, there currently exists variability in the reliability of hospitals self-reported measurements of infections. Patients differ in many ways. Some patients have a higher or lower risk of infection compared to another patient. Hospitals that care for substantial numbers of patients at high risk of infection may have higher infection rates than hospitals that do not have substantial numbers of high-risk patients in their care. In addition to patient differences other factors that may impact differences between hospitals infection rates include hospital measurement capacity, referral status, and frequency of high risk procedures. This is a hospital self-reported measure of the rate that hysterectomy surgery patients experienced an infection after their surgery. In Iowa in, approximately 2 out of every 100 hysterectomy surgery patients experienced a surgical site infection. Lower rates for this measure are better. National Comparison Rate * Total Total Iowa Rate Albia Monroe County Hospital Algona Kossuth Regional Health Center Ames Mary Greeley Medical Center Anamosa Jones Regional Medical Center 0 0 Atlantic Cass County Memorial Hospital Audubon Audubon County Memorial Hospital Belmond Belmond Medical Center Bettendorf Trinity Bettendorf Bloomfield Davis County Hospital Boone Boone County Hospital Britt Hancock County Memorial Hospital Carroll St. Anthony Regional Hospital Cedar Falls Sartori Memorial Hospital, Inc. 0 0 Cedar Rapids Mercy Medical Center Cedar Rapids St. Luke's Hospital Centerville Mercy Medical Center Chariton Lucas County Health Center Charles Floyd County Medical Center Cherokee Cherokee Regional Medical Center Clarinda Clarinda Regional Health Center 0 0 Clarion Wright Medical Center Clinton Mercy Medical Center Corning Alegent Health Mercy Hospital Corydon Wayne County Hospital Council Bluffs Alegent Health Mercy Hospital Council Bluffs Jennie Edmundson Hospital Cresco Regional Health Services of Howard County Creston Greater Regional Medical Center 2 2 Davenport Genesis Medical Center De Witt Genesis Medical Center 0 0 Decorah Winneshiek Medical Center Denison Crawford County Memorial Hospital Des Moines Broadlawns Medical Center Des Moines Iowa Lutheran Hospital Des Moines Iowa Methodist Medical Center Des Moines Mercy Capitol Reported with Des Moines - Mercy Medical Center Hospital Location Closed Des Moines Mercy Medical Center Dubuque Mercy Medical Center Dubuque The Finley Hospital Dyersville Mercy Medical Center 0 0 Elkader Central Community Hospital Emmetsburg Palo Alto County Health System Estherville Avera Holy Family Hospital Fairfield Jefferson County Health Center Fort Dodge Trinity Regional Medical Center
9 Total Total Iowa Rate Fort Madison Fort Madison Community Hospital Greenfield Adair County Memorial Hospital 0 0 Grinnell Grinnell Regional Medical Center Grundy Center Grundy County Memorial Hospital 0 0 Guthrie Center Guthrie County Hospital 0 0 Guttenberg Guttenberg Municipal Hospital Hamburg George C. Grape Community Hospital 2 0 Hampton Franklin General Hospital Harlan Myrtue Medical Center Hawarden Hawarden Community Hospital 0 0 Humboldt Humboldt County Memorial Hospital 0 0 Ida Grove Horn Memorial Hospital Independence Buchanan County Health Center Iowa Mercy Iowa Iowa University of Iowa Hospitals & Clinics ,4, Iowa Falls Ellsworth Municipal Hospital Jefferson Greene County Medical Center Keokuk Keokuk Area Hospital Keosauqua Van Buren County Hospital Knoxville Knoxville Hospital & Clinics Lake Stewart Memorial Community Hospital Le Mars Floyd Valley Hospital Leon Decatur County Hospital Manchester Regional Medical Center Manning Manning Regional Healthcare Center Maquoketa Jackson County Regional Health Center Marengo Marengo Memorial Hospital 0 0 Marshalltown Marshalltown Medical and Surgical Center Mason Mercy Medical Center - North Iowa Missouri Valley Alegent Health Community Memorial Hospital 0 0 Mount Ayr Ringgold County Hospital Mount Pleasant Henry County Health Center Muscatine Trinity Muscatine Nevada Story County Medical Center 0 0 New Hampton Mercy Medical Center 0 0 Newton Skiff Medical Center Oelwein Mercy Hospital of Franciscan Sisters Onawa Burgess Health Center Orange Orange Area Health System Osage Mitchell County Regional Health Center 0 0 Osceola Clarke County Hospital Oskaloosa Mahaska Health Partnership Ottumwa Ottumwa Regional Health Center Pella Pella Regional Health Center Perry Dallas County Hospital 0 0 Pocahontas Pocahontas Community Hospital 0 0 Primghar Baum Harmon Mercy Hospital Red Oak Montgomery County Memorial Hospital Rock Rapids Sanford Hospital Rock Rapids Rock Valley Hegg Memorial Health Center Sac Loring Hospital 2 2 Sheldon Sanford Sheldon Medical Center Shenandoah Shenandoah Medical Center Sibley Osceola Community Hospital Sigourney Keokuk County Health Center 0 0 Sioux Center Sioux Center Community Hospital & Health Center Sioux Mercy Medical Center Sioux St. Luke's Health System Spencer Spencer Hospital Spirit Lake Lakes Regional Healthcare Storm Lake Buena Vista Regional Medical Center Sumner Community Memorial Hospital 0 0 Vinton Virginia Gay Hospital 0 0 Washington Washington County Hospital & Clinics Waterloo Allen Health System Waterloo Covenant Medical Center Waukon Veterans Memorial Hospital 1 1 0
10 Total Total Iowa Rate Waverly Waverly Health Center Webster Van Diest Medical Center West Burlington Great River Medical Center West Des Moines Mercy Medical Center - West Lakes Reported with Des Moines - Mercy Medical Center West Des Moines Methodist West Hospital West Union Palmer Lutheran Health Center 0 0 Winterset Madison County Healthcare System 2 0 : 1 = The number of surgeries is too small (< 25 surgeries) to reliably tell how well a hospital is performing 2 = Hospital did not report complete data 3 = Analysis in Progress 4 = Improvements Planned or in Process 5 = Improvements Implemented * Source of National comparison rate: Edwards JR, Peterson KD, Mu Y, Shailendra B, Allen-Bridson K, Morrell G, Dudeck MA, Pollock DA, Horan TC. National Healthcare Safety Network (NHSN) Report: Data Summary for 2006 Through 2008, Issued December. American Journal of Infection Control, ; 37(10):
11 HAI 5 - Central Line-associated Bloodstream Healthcare-associated Infections A central line (an intravenous [IV] catheter placed into a large vein) is inserted for many purposes - delivering nutrition, medicine, and assessing how well the heart or lungs are working. Because a central line catheter is inserted through the skin, into a vein, and delivers fluids directly into the bloodstream, it is easy for bacteria to enter the bloodstream and cause infections. Healthcare workers must take precautions to prevent such infections. The measurement of infection outcomes is challenging for many reasons: The tools and metrics used to track infections are evolving at the national level. Thus, there currently exists variability in the reliability of hospitals self-reported measurements of infections. Patients differ in many ways. Some patients have a higher or lower risk of infection compared to another patient. Hospitals that care for substantial numbers of patients at high risk of infection may have higher infection rates than hospitals that do not have substantial numbers of high-risk patients in their care. In addition to patient differences other factors that may impact differences between hospitals infection rates include hospital measurement capacity, referral status, and frequency of high risk procedures. This is a hospital self-reported measure of the rate at which patients hospitalized in a medical, surgical, or combined medical/surgical Intensive Care Unit (ICU) with a central line catheter experienced a central line-associated bloodstream infection (CLABSI). In Iowa in, there was approximately 1 infection per 1,000 days a cental line catheter was utilized in medical, surgical, or combined medical/surgical ICU patients. Lower rates for this measure are better. National Comparison Rate - per 1,000 Catheter * Iowa Rate per 1,000 Catheter National Rate per 1,000 Catheter ** Total Catheter per 1,000 Catheter Total Catheter per 1,000 Catheter Albia Monroe County Hospital 0 0 Algona Kossuth Regional Health Center 0 0 Ames Mary Greeley Medical Center Anamosa Jones Regional Medical Center 0 0 Atlantic Cass County Memorial Hospital Audubon Audubon County Memorial Hospital 0 0 Belmond Belmond Medical Center 0 0 Bettendorf Trinity Bettendorf Bloomfield Davis County Hospital 0 0 Boone Boone County Hospital 0 0 Britt Hancock County Memorial Hospital 0 0 Carroll St. Anthony Regional Hospital Cedar Falls Sartori Memorial Hospital, Inc Cedar Rapids Mercy Medical Center Cedar Rapids St. Luke's Hospital Centerville Mercy Medical Center 0 0 Chariton Lucas County Health Center 0 0 Charles Floyd County Medical Center 0 0 Cherokee Cherokee Regional Medical Center 0 0 Clarinda Clarinda Regional Health Center 0 0 Clarion Wright Medical Center 0 0 Clinton Mercy Medical Center Corning Alegent Health Mercy Hospital 0 0 Corydon Wayne County Hospital 0 0 Council Bluffs Alegent Health Mercy Hospital Council Bluffs Jennie Edmundson Hospital Cresco Regional Health Services of Howard County 0 0 Creston Greater Regional Medical Center 0 0 Davenport Genesis Medical Center De Witt Genesis Medical Center 0 0 Decorah Winneshiek Medical Center 0 0 Denison Crawford County Memorial Hospital 0 0 Des Moines Broadlawns Medical Center Des Moines Iowa Lutheran Hospital Des Moines Iowa Methodist Medical Center Des Moines Mercy Capitol Reported with Des Moines - Mercy Medical Center Hospital Location Closed Des Moines Mercy Medical Center Dubuque Mercy Medical Center Dubuque The Finley Hospital Dyersville Mercy Medical Center 0 0 Elkader Central Community Hospital 0 0 Emmetsburg Palo Alto County Health System 0 0 Estherville Avera Holy Family Hospital 0 0
12 Total Catheter per 1,000 Catheter Total Catheter per 1,000 Catheter Iowa Rate per 1,000 Catheter National Rate per 1,000 Catheter ** 1.57 Fairfield Jefferson County Health Center 0 0 Fort Dodge Trinity Regional Medical Center Fort Madison Fort Madison Community Hospital Greenfield Adair County Memorial Hospital 0 0 Grinnell Grinnell Regional Medical Center Grundy Center Grundy County Memorial Hospital 0 0 Guthrie Center Guthrie County Hospital 0 0 Guttenberg Guttenberg Municipal Hospital 0 0 Hamburg George C. Grape Community Hospital 0 0 Hampton Franklin General Hospital 0 0 Harlan Myrtue Medical Center 0 0 Hawarden Hawarden Community Hospital 0 0 Humboldt Humboldt County Memorial Hospital 0 0 Ida Grove Horn Memorial Hospital 0 0 Independence Buchanan County Health Center 0 0 Iowa Mercy Iowa Iowa University of Iowa Hospitals & Clinics ,4, Iowa Falls Ellsworth Municipal Hospital 0 0 Jefferson Greene County Medical Center 0 0 Keokuk Keokuk Area Hospital 2 2 Keosauqua Van Buren County Hospital 0 0 Knoxville Knoxville Hospital & Clinics 0 0 Lake Stewart Memorial Community Hospital 0 0 Le Mars Floyd Valley Hospital 0 0 Leon Decatur County Hospital 0 0 Manchester Regional Medical Center Manning Manning Regional Healthcare Center 0 0 Maquoketa Jackson County Regional Health Center 0 0 Marengo Marengo Memorial Hospital 0 0 Marshalltown Marshalltown Medical and Surgical Center Mason Mercy Medical Center - North Iowa Missouri Valley Alegent Health Community Memorial Hospital 0 0 Mount Ayr Ringgold County Hospital Mount Pleasant Henry County Health Center 0 0 Muscatine Trinity Muscatine Nevada Story County Medical Center 0 0 New Hampton Mercy Medical Center 0 0 Newton Skiff Medical Center Oelwein Mercy Hospital of Franciscan Sisters Onawa Burgess Health Center Orange Orange Area Health System 2 2 Osage Mitchell County Regional Health Center 0 0 Osceola Clarke County Hospital 0 0 Oskaloosa Mahaska Health Partnership 0 0 Ottumwa Ottumwa Regional Health Center Pella Pella Regional Health Center 2 2 Perry Dallas County Hospital 0 0 Pocahontas Pocahontas Community Hospital 0 0 Primghar Baum Harmon Mercy Hospital 0 0 Red Oak Montgomery County Memorial Hospital 0 0 Rock Rapids Sanford Hospital Rock Rapids 0 0 Rock Valley Hegg Memorial Health Center 0 0 Sac Loring Hospital 0 0 Sheldon Sanford Sheldon Medical Center 0 0 Shenandoah Shenandoah Medical Center 0 0 Sibley Osceola Community Hospital 0 0 Sigourney Keokuk County Health Center 0 0 Sioux Center Sioux Center Community Hospital & Health Center 0 0 Sioux Mercy Medical Center Sioux St. Luke's Health System Spencer Spencer Hospital Spirit Lake Lakes Regional Healthcare 2 2 Storm Lake Buena Vista Regional Medical Center Sumner Community Memorial Hospital 0 0 Vinton Virginia Gay Hospital 0 0 Washington Washington County Hospital & Clinics 0 0 Waterloo Allen Health System Waterloo Covenant Medical Center
13 Total Catheter per 1,000 Catheter Total Catheter per 1,000 Catheter Iowa Rate per 1,000 Catheter National Rate per 1,000 Catheter ** 1.57 Waukon Veterans Memorial Hospital 0 0 Waverly Waverly Health Center 2 2 Webster Van Diest Medical Center 0 0 West Burlington Great River Medical Center West Des Moines Mercy Medical Center - West Lakes Reported with Des Moines - Mercy Medical Center West Des Moines Methodist West Hospital 0 2 West Union Palmer Lutheran Health Center 0 0 Winterset Madison County Healthcare System 0 0 : 1 = The number of catheter days is too small (< 50 days) to reliably tell how well a hospital is performing 2 = Hospital did not report complete data or did not capture number of catheter days 3 = Analysis in Progress 4 = Improvements Planned or in Process 5 = Improvements Implemented Sources of National comparison rates: * Edwards JR, Peterson KD, Mu Y, Shailendra B, Allen-Bridson K, Morrell GC, Dudeck MA, Pollock DA, Horan TC. National Healthcare Safety Network (NHSN) Report: Data Summary for 2006 Through 2008, Issued December. American Journal of Infection Control, ; 37(10): ** Dudeck MA, Horan TC, Peterson KD, Bridson KA, Morrell GC, Pollock DA, Edwards JR. National Healthcare Safety Network (NHSN) Report, Data Summary for, Device-associated Module. Centers for Disease Control and Prevention. Retrieved June 22, 2011, from
14 HAI 6 - Health Care Worker Immunization Rate Influenza (flu) is an infection of the lungs and airways with one of many flu viruses. The flu virus is easily spread from person to person. Some types of flu illnesses can be prevented by getting a flu shot (or inhaled flu mist ) containing flu medicine (vaccine). If a healthcare worker is not allergic to the flu medicine, have other illnesses or other reasons that prevent them from getting the flu medicine, it is recommended that healthcare workers get a flu vaccination every year to protect themselves, coworkers, patients and their families from the flu. This is a hospital self-reported measure of the rate of seasonal flu vaccination among hospital staff that are hospital-paid employees. In Iowa during the flu season, approximately 92 out of every 100 healthcare workers were immunized with the seasonal flu vaccine. Higher rates for this measure are better. Hospitals shaded in green ( ) had a high flu vaccination rate among their healthcare workers. Previous Flu Seasons Flu Season Flu Season Flu Season Flu Season Flu Season - Flu Season Iowa Rate 67.9% 76.0% 78.7% 90.9% National Comparison Rates * 33.5% 41.8% 44.4% 49.0% Total Employees Flu Season Rate 91.9% Relative Performance Iowa Rate Albia Monroe County Hospital % Algona Kossuth Regional Health Center % Ames Mary Greeley Medical Center % Anamosa Jones Regional Medical Center % Atlantic Cass County Memorial Hospital % Audubon Audubon County Memorial Hospital % Belmond Belmond Medical Center % Bettendorf Trinity Bettendorf % Bloomfield Davis County Hospital % Boone Boone County Hospital % Britt Hancock County Memorial Hospital % Carroll St. Anthony Regional Hospital % Cedar Falls Sartori Memorial Hospital, Inc % Cedar Rapids Mercy Medical Center % Cedar Rapids St. Luke's Hospital % Centerville Mercy Medical Center % Chariton Lucas County Health Center % Charles Floyd County Medical Center % Cherokee Cherokee Regional Medical Center % Clarinda Clarinda Regional Health Center % Clarion Wright Medical Center % Clinton Mercy Medical Center % Corning Alegent Health Mercy Hospital % Corydon Wayne County Hospital 2 Council Bluffs Alegent Health Mercy Hospital % Council Bluffs Jennie Edmundson Hospital % Cresco Regional Health Services of Howard County % Creston Greater Regional Medical Center % Davenport Genesis Medical Center % De Witt Genesis Medical Center % Decorah Winneshiek Medical Center % Denison Crawford County Memorial Hospital % Des Moines Broadlawns Medical Center % 4 Des Moines Iowa Lutheran Hospital % Des Moines Iowa Methodist Medical Center % Des Moines Mercy Medical Center % Dubuque Mercy Medical Center % Dubuque The Finley Hospital % Dyersville Mercy Medical Center % Elkader Central Community Hospital % Emmetsburg Palo Alto County Health System % Estherville Avera Holy Family Hospital % Fairfield Jefferson County Health Center % Fort Dodge Trinity Regional Medical Center % Fort Madison Fort Madison Community Hospital % Greenfield Adair County Memorial Hospital % Grinnell Grinnell Regional Medical Center % Grundy Center Grundy County Memorial Hospital % Guthrie Center Guthrie County Hospital % Guttenberg Guttenberg Municipal Hospital % Hamburg George C. Grape Community Hospital 2 Hampton Franklin General Hospital % Harlan Myrtue Medical Center % Hawarden Hawarden Community Hospital 2 Humboldt Humboldt County Memorial Hospital % Ida Grove Horn Memorial Hospital % Independence Buchanan County Health Center % Iowa Mercy Iowa % Iowa University of Iowa Hospitals & Clinics % Iowa Falls Ellsworth Municipal Hospital % Jefferson Greene County Medical Center % Keokuk Keokuk Area Hospital % Keosauqua Van Buren County Hospital % Knoxville Knoxville Hospital & Clinics %
15 Total Employees Flu Season Rate 91.9% Relative Performance Iowa Rate Lake Stewart Memorial Community Hospital % Le Mars Floyd Valley Hospital % Leon Decatur County Hospital % Manchester Regional Medical Center % Manning Manning Regional Healthcare Center % Maquoketa Jackson County Regional Health Center % Marengo Marengo Memorial Hospital % Marshalltown Marshalltown Medical and Surgical Center % Mason Mercy Medical Center - North Iowa % Missouri Valley Alegent Health Community Memorial Hospital % Mount Ayr Ringgold County Hospital % Mount Pleasant Henry County Health Center % Muscatine Trinity Muscatine % Nevada Story County Medical Center % New Hampton Mercy Medical Center % Newton Skiff Medical Center % Oelwein Mercy Hospital of Franciscan Sisters % Onawa Burgess Health Center % Orange Orange Area Health System % Osage Mitchell County Regional Health Center % Osceola Clarke County Hospital % Oskaloosa Mahaska Health Partnership % Ottumwa Ottumwa Regional Health Center % Pella Pella Regional Health Center % Perry Dallas County Hospital % Pocahontas Pocahontas Community Hospital % Primghar Baum Harmon Mercy Hospital % Red Oak Montgomery County Memorial Hospital % Rock Rapids Sanford Hospital Rock Rapids % Rock Valley Hegg Memorial Health Center % Sac Loring Hospital % Sheldon Sanford Sheldon Medical Center % Shenandoah Shenandoah Medical Center % Sibley Osceola Community Hospital % Sigourney Keokuk County Health Center % Sioux Center Sioux Center Community Hospital & Health Center % Sioux St. Luke's Health System % Sioux Mercy Medical Center % Spencer Spencer Hospital % Spirit Lake Lakes Regional Healthcare % Storm Lake Buena Vista Regional Medical Center % Sumner Community Memorial Hospital % Vinton Virginia Gay Hospital % Washington Washington County Hospital & Clinics % Waterloo Allen Health System % Waterloo Covenant Medical Center % Waukon Veterans Memorial Hospital % Waverly Waverly Health Center % Webster Van Diest Medical Center % West Burlington Great River Medical Center % West Des Moines Mercy Medical Center - West Lakes % West Des Moines Methodist West Hospital 2 West Union Palmer Lutheran Health Center % Winterset Madison County Healthcare System % Performance Equal to or Better Than 95% Vaccination Rate Goal Performance Between 95% Goal and Iowa Bottom 10th Percentile Performance in Iowa Bottom 10th Percentile : 1 = Immunization rates potentially affected by flu vaccine shortage(s). 2 = Hospital did not report complete data 3 = Analysis in Progress 4 = Improvements Planned 5 = Improvements Implemented Measures for the - flu season did not include immunization rates for the H1N1 flu type. * Note: National comparison rates as published by the Centers for Disease Control and Prevention (CDC): CDC. Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP), Mortality and Morbidity Weekly Report, July 13, 2007; 56 (No. RR-6):1-54. CDC. Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP), Mortality and Morbidity Weekly Report, August 8, 2008; 57 (No. RR-7):1-60. CDC. Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP),. Mortality and Morbidity Weekly Report, July 31, ; 58 (No. RR-8):1-52. CDC. Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP),. Mortality and Morbidity Weekly Report, August 6, ; 59 (No. RR-8):1-66.
16 HAI - 7 Methicillin-Resistant Staphylococcus Aureus (MRSA) Surgical Site Healthcare-associated Infections Methicillin-resistant staphylococcus aureus (MRSA) is a type of bacteria that may cause a serious infection that is hard to treat with certain antibiotics. These antibiotics include methicillin and other common antibiotics such as oxacillin, penicillin and amoxicillin. Patients that get a MRSA infection, also known as a staph infection, are more likely to have longer and more expensive hospital stays, and may be likely to die as a result of the infection. Healthcare workers must take precautions to prevent such infections. The measurement of infection outcomes is challenging for many reasons: The tools and metrics used to track infections are evolving at the national level. Thus, there currently exists variability in the reliability of hospitals self-reported measurements of infections. Patients differ in many ways. Some patients have a higher or lower risk of infection compared to another patient. Hospitals that care for substantial numbers of patients at high risk of infection may have higher infection rates than hospitals that do not have substantial numbers of high-risk patients in their care. In addition to patient differences other factors that may impact differences between hospitals infection rates include hospital measurement capacity, referral status, and frequency of high risk procedures. This is a hospital self-reported measure of the rate that CABG (heart bypass surgery), colon, hip, and hysterectomy surgery patients experienced a MRSA infection after their surgery. In Iowa in, there were approximately 3 MRSA surgical site infections for every 1,000 CABG, colon, hip, or hysterectomy surgeries. Lower rates for this measure are better. Total CABG, Colon, Hip, Total CABG, Colon, Hip, Iowa Rate Albia Monroe County Hospital Algona Kossuth Regional Health Center Ames Mary Greeley Medical Center Anamosa Jones Regional Medical Center 0 0 Atlantic Cass County Memorial Hospital Audubon Audubon County Memorial Hospital Belmond Belmond Medical Center Bettendorf Trinity Bettendorf Bloomfield Davis County Hospital Boone Boone County Hospital Britt Hancock County Memorial Hospital Carroll St. Anthony Regional Hospital Cedar Falls Sartori Memorial Hospital, Inc Cedar Rapids Mercy Medical Center Cedar Rapids St. Luke's Hospital Centerville Mercy Medical Center Chariton Lucas County Health Center Charles Floyd County Medical Center Cherokee Cherokee Regional Medical Center Clarinda Clarinda Regional Health Center Clarion Wright Medical Center Clinton Mercy Medical Center Corning Alegent Health Mercy Hospital Corydon Wayne County Hospital Council Bluffs Alegent Health Mercy Hospital Council Bluffs Jennie Edmundson Hospital Cresco Regional Health Services of Howard County Creston Greater Regional Medical Center 2 2 Davenport Genesis Medical Center De Witt Genesis Medical Center 0 0 Decorah Winneshiek Medical Center Denison Crawford County Memorial Hospital Des Moines Broadlawns Medical Center Des Moines Iowa Lutheran Hospital Des Moines Iowa Methodist Medical Center Des Moines Mercy Capitol Reported with Des Moines - Mercy Medical Center Hospital Location Closed Des Moines Mercy Medical Center Dubuque Mercy Medical Center Dubuque The Finley Hospital Dyersville Mercy Medical Center 0 0 Elkader Central Community Hospital Emmetsburg Palo Alto County Health System Estherville Avera Holy Family Hospital Fairfield Jefferson County Health Center Fort Dodge Trinity Regional Medical Center
17 Total CABG, Colon, Hip, Total CABG, Colon, Hip, Iowa Rate Fort Madison Fort Madison Community Hospital Greenfield Adair County Memorial Hospital 0 0 Grinnell Grinnell Regional Medical Center Grundy Center Grundy County Memorial Hospital Guthrie Center Guthrie County Hospital Guttenberg Guttenberg Municipal Hospital Hamburg George C. Grape Community Hospital 2 0 Hampton Franklin General Hospital Harlan Myrtue Medical Center Hawarden Hawarden Community Hospital 0 0 Humboldt Humboldt County Memorial Hospital 0 0 Ida Grove Horn Memorial Hospital Independence Buchanan County Health Center Iowa Mercy Iowa Iowa University of Iowa Hospitals & Clinics ,4, Iowa Falls Ellsworth Municipal Hospital Jefferson Greene County Medical Center Keokuk Keokuk Area Hospital Keosauqua Van Buren County Hospital Knoxville Knoxville Hospital & Clinics Lake Stewart Memorial Community Hospital Le Mars Floyd Valley Hospital Leon Decatur County Hospital Manchester Regional Medical Center Manning Manning Regional Healthcare Center Maquoketa Jackson County Regional Health Center Marengo Marengo Memorial Hospital 0 0 Marshalltown Marshalltown Medical and Surgical Center Mason Mercy Medical Center - North Iowa Missouri Valley Alegent Health Community Memorial Hospital 2 0 Mount Ayr Ringgold County Hospital Mount Pleasant Henry County Health Center Muscatine Trinity Muscatine Nevada Story County Medical Center New Hampton Mercy Medical Center Newton Skiff Medical Center Oelwein Mercy Hospital of Franciscan Sisters Onawa Burgess Health Center Orange Orange Area Health System Osage Mitchell County Regional Health Center Osceola Clarke County Hospital Oskaloosa Mahaska Health Partnership Ottumwa Ottumwa Regional Health Center Pella Pella Regional Health Center Perry Dallas County Hospital 0 0 Pocahontas Pocahontas Community Hospital 0 0 Primghar Baum Harmon Mercy Hospital Red Oak Montgomery County Memorial Hospital Rock Rapids Sanford Hospital Rock Rapids Rock Valley Hegg Memorial Health Center Sac Loring Hospital Sheldon Sanford Sheldon Medical Center Shenandoah Shenandoah Medical Center Sibley Osceola Community Hospital Sigourney Keokuk County Health Center 0 0 Sioux Center Sioux Center Community Hospital & Health Center Sioux Mercy Medical Center Sioux St. Luke's Health System Spencer Spencer Hospital Spirit Lake Lakes Regional Healthcare Storm Lake Buena Vista Regional Medical Center Sumner Community Memorial Hospital 0 0 Vinton Virginia Gay Hospital 2 0 Washington Washington County Hospital & Clinics Waterloo Allen Health System Waterloo Covenant Medical Center Waukon Veterans Memorial Hospital
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