North Carolina Center for
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NC Hospital Performance Report

Measurement

NC Hospital Quality Report

www.NCHospitalQuality.org

The NC Quality Center with the help of state leaders in hospital quality, have developed a transparent, hospital-specific performance report for NC. The Quality Center's objectives for hospital performance reporting is to:

- assist hospitals in continuously improving their performance,

- provide North Carolinians standardized, accurate, reliable and understandable information on health care quality, and

- trend hospital-specific and statewide performance. These objectives support the Center's Mission and Vision to deliver the best healthcare.

Surveillance of HAIs in North Carolina webinar
presented by the NC Quality Center with NC Division of Public Health - March 30, 2011
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NC System for Hospital Infections Measurement
The NC Quality Center has developed the NC System for Hospital Infections Measurement (NCSHIM) to assist NC hospitals in the elimination of preventable hospital-acquired infections. NCSHIM is a confidential database of infection-related measures. Hospitals can enter data in to SHIM or allow access to aggregated data (not patient-level) that has been submitted to the Centers for Disease Control.

Hospitals voluntarily report these measures:

1. Ventilator Process Measures
2. Central Line Insertion Process Measures
3. Central Line Maintenance Measures
4. Central Line-Associated Bloodstream Infections per 1,000 central line days
5. Central Line Utilization per patient days
6. Catheter-Associated Urinary Tract Infections per 1,000 catheter days
7. Catheter Utilization per patient days
8. Urinary Catheter Insertion and Continuance Criteria

The objectives of the NC System for Hospital Infections Measurement (NCSHIM) are:

• To estimate compliance rates to evidence based processes of care to prevent ventilator-associated pneumonia and central-line bloodstream infections.
• To use national measurement specifications that allows for the comparison of NC infection rates to the nation and other states.
• To identify opportunities for the NC Quality Center and its partners to assist hospitals.
• To provide information on best practices and to stimulate quality improvement.
• To prepare hospitals for potential public reporting of infection rates.

The collection efforts of NCSHIM are not validated and are therefore not a means for public reporting of rates. For inquiries about provider-specific infection rates please consult with your physician. For more information please contact qds@ncha.org.