HAI Annual Report
The HAI Annual Report summarizes the performance of Virginia’s acute care hospitals on HAIs and healthcare worker influenza (flu) vaccination. The report enables readers to:
View hospital-specific HAI performance
Understand Virginia’s HAI performance as a whole
Compare national & hospital-level HAI performance
HAI Annual Reports
2017 Virginia HAI Annual Report
2016 Virginia HAI Annual Report
2015 Virginia HAI Annual Reports
On March 21, 2005, the Virginia General Assembly approved House Bill 1570 that amended the Code of Virginia (by adding §32.1-35.1) to make information on selected nosocomial (i.e., healthcare-associated) infections reportable to VDH through NHSN. The Code further directed the Board of Health to develop regulations that specify the infections to be reported and the patient populations to be included. After significant consultation with stakeholders to determine the kind of data that would be both reliable and useful, the Regulations for Disease Reporting and Control were amended to add a section (12VAC5-90-370) related to HAIs. In Virginia, central line-associated bloodstream infection data from hospital adult intensive (critical) care units have been shared with VDH since July 2008.
On September 25, 2015, the HAI reporting regulations were amended to expand the amount of HAI data that are shared with VDH. The regulations aligned reporting to the state health department with what hospitals are already reporting to NHSN for the purposes of complying with CMS reporting requirements. See Table 1 for measures that are part of the state reporting requirements for acute care hospitals. Note that the table lists the current reporting requirements. VDH reporting requirements will expand as CMS reporting requirements expand.
Table 1. HAI Reporting Requirements for Acute Care Hospitals in Virginia
CMS Reporting Program | HAI Event | Applicable Units | Reporting Start Date |
---|---|---|---|
Hospital Inpatient Quality Reporting (IQR) Program | Central line-associated bloodstream infections (CLABSI) | Adult, pediatric, and neonatal intensive care units | July 2008 (VDH); January 2011 (CMS) |
IQR Program | CLABSI | Adult and pediatric medical, surgical, and medical/surgical inpatient wards | January 2015 |
IQR Program | Catheter-associated urinary tract infections (CAUTI) | Adult and pediatric intensive care units | January 2012 |
IQR Program | CAUTI | Adult and pediatric medical, surgical, and medical/surgical inpatient wards | January 2015 |
IQR Program | Surgical site infections (SSIs) following colon procedures | Inpatient procedures | January 2012 |
IQR Program | SSIs following abdominal hysterectomy procedures | Inpatient procedures | January 2012 |
IQR Program | Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia laboratory-identified events | Facility wide inpatients (FacWideIN) including ED, 24-hour observation | January 2013 |
IQR Program | Clostridioides difficile (C. difficile) laboratory-identified events | Facility wide inpatients (FacWideIN) including ED, 24-hour observation | January 2013 |
IQR Program | Healthcare personnel influenza vaccination | All inpatient healthcare personnel | January 2013 |
- HAI Annual Report – summary of Virginia’s HAI surveillance data
- Surveillance Tools for Enrolled Acute Care Hospitals (CDC) – NHSN protocols and resources specific to acute care hospitals
- CMS Requirements for Reporting via NHSN (CDC) – current or proposed CMS requirements including particular HAI event data and reporting specifications
- CMS Reporting Resources for Acute Care Hospitals (CDC) – operational guidance and monthly checklists for reporting for acute care hospitals
- CMS Hospital Compare – public information about the quality of care at Medicare-certified hospitals; use to find hospitals and compare the quality of care between different facilities
- Virginia Regulatory Town Hall – source of information about proposed changes to Virginia’s regulations; includes online forums where the public can make comments on proposed regulations
- 2017 Virginia Healthcare-Associated Infections Report for a Healthcare Provider Audience
- 2017 Virginia Healthcare-Associated Infections Report for a Healthcare Consumer Audience
- 2016 Virginia Healthcare-Associated Infections Report for a Healthcare Provider Audience
- 2016 Virginia Healthcare-Associated Infections Report for a Healthcare Consumer Audience
- 2015 Virginia Healthcare-Associated Infections Report for a Healthcare Provider Audience
- 2015 Virginia Healthcare-Associated Infections Report for a Healthcare Consumer Audience
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