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 purpose of the report is to enable readers to view hospital-specific HAI performance, understand Virginia’s HAI performance as a whole, and to compare a hospital’s HAI performance to that of the rest of the country. The consumer report is intended to educate healthcare consumers and leaders on infections that can occur while receiving healthcare and empower patients with information they can use to advocate for safe healthcare. Overall, HAIs are largely preventable, and healthcare providers and consumers can take steps to prevent infections in hospitals and other healthcare settings.
2017 Executive Summary
2017 Virginia Healthcare-Associated Infections Report for a Healthcare Provider Audience
2017 Virginia Healthcare-Associated Infections Report for a Healthcare Consumer Audience
2016 Virginia HAI Report
- 2016 Executive Summary
- 2016 Virginia Healthcare-Associated Infections Report for a Healthcare Provider Audience
- 2016 Virginia Healthcare-Associated Infections Report for a Healthcare Consumer Audience
2015 Virginia HAI Report
- 2015 Virginia Healthcare-Associated Infections Report for a Healthcare Provider Audience
- 2015 Virginia Healthcare-Associated Infections Report for a Healthcare Consumer Audience
- 2015 Webinar slides with speaker notes
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 the Virginia Department of Health (VDH), through the NHSN, a Centers for Disease Control and Prevention (CDC) surveillance system. The Code required that infection data be released to the public upon request and 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 healthcare-associated infections (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 the NHSN for the purposes of complying with the CMS Hospital Inpatient Quality Reporting Program. 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