North Carolina Center for
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NC Hospital Performance Report

Measurement

NC Hospital Quality Report
The NC Center for Hospital Quality and Patient Safety, 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:

1. assist hospitals in continuously improving their performance,
2. provide North Carolinians standardized, accurate, reliable and understandable information on health care quality, and
3. trend hospital-specific and statewide performance. These objectives support the Center's Mission to foster a culture of quality and safety within NC hospitals.

The report is located at www.NCHospitalQuality.org

NC System for Hospital Infections Measurement
The North Carolina Center for Hospital Quality and Patient Safety ("NC Quality Center") has developed the NC System for Hospital Infections Measurement (NCSHIM) to assist NC hospitals in the elimination of preventable HAIs. The NC Infection Reporting Workgroup consisting of two hospital quality improvement leaders, infection control experts from Duke Infection Control Outreach Network and the Statewide Program for Infection Control and Epidemiology (SPICE), one hospital public relations director, two members of the NC Quality Center and the NC State Epidemiologist gave guidance for NC SHIM.

Hospitals voluntarily report these measures by ICU or ward:

1. Ventilator Process Measures / Bundle Compliance
2. Central Line Insertion Process Measures / Bundle Compliance
3. Central Line-Associated Bloodstream Infections per 1,000 central line days
4. Central Line Utilization per patient days
5. Catheter-Associated Urinary Tract Infections per 1,000 catheter days
6. Catheter Utilization per patient days
7. 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, therefore, not a means for public reporting of rates. For inquiries about provide-specific infection rates (hospitals and/or surgeons) please consult with your physician. For more information please contact qds@ncha.org.