HAI Full Report 2009 2010

Cover Page

OREGON

Office for Oregon Health Policy and Research May, 2011

HEALTHCARE ACQUIRED INFECTIONS

2009 - 2010

Cover photo: Staphylococcus aureus

Prepared by: The Office for Oregon Health Policy and Research This report is available on our web site: http://www.oregon.gov/OHPR Jeanene Smith, MD MPH Administrator Sean Kolmer, MPH Deputy Administrator Elyssa Tran, MPA Health System Research and Data Manager Jeanne Negley State Healthcare Acquired Infections Coordinator James Oliver Research Analyst Shawna Kennedy-Walters Research Assistant

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Healthcare Acquired Infections Advisory Committee

Nancy O’Connor, Chair Manager, Infection Prevention, Salem Hospital

K. Bruce Bayley, PhD Regional Director, Clinical Information and Center for Outcomes Research and Education

Eric Chang, MD Physician, Infectious Diseases, Emanuel Hospital/Legacy Health

Paul Cieslak, MD Manager, Acute & Communicable Disease Prevention, Oregon Public Health Division

Lynda Enos Ergonomist/Nursing Practice Consultant, Oregon Nurses Association

Bethany Higgins Administrator, Oregon Patient Safety Commission

Sean Kolmer Deputy Director, Office for Oregon Health Policy and Research

Kathy Loretz Deputy Administrator, Public Employee’s Benefit Board

Stacy Moritz Director, Medicare Quality Services, Acumentra Health

Susan Mullaney Administrator, Kaiser Sunnyside Medical Center and Kaiser Permanente Northwest

Pat Preston Infection Preventionist, Geriatric Infection Control, Inc.

Kecia Rardin Administrator, Norwest ASC, Inc.

Roger Sleven, MD Physician, Westhills Gastroenterology Associates, PC

Eric Thorsen Chief Executive Officer, Columbia Memorial Hospital

Marjorie Underwood Manager, Infection Prevention and Control, Oregon Health and Science University

Dee Dee Vallier Consumer

Diane Waldo Director of Clinical Quality & Clinical Services, Oregon Association of Hospitals and Health Systems

Angel Wynia Department of Human Services, Hospital Policy Analyst, Division of Medical Assistance Programs

Cover photo: Centers for Disease Control and Prevention Title photo: Centers for Disease Control and Prevention

Healthcare Acquired Infection Reporting Program

Background A healthcare acquired infection (HAI) is an infection that occurs during or after treatment for a separate medical condition. Nearly one in every 20 hospitalized patients in the United States each year acquires an HAI.1 In the United States, an estimated 1.7 to 2 million people per year develop an HAI, and nearly 100,000 die.2 The economic burden of HAIs is substantial, estimated at $33 billion per year in US hospitals.3

In response to the importance of HAIs, the Oregon state legislature passed House Bill 2524 in 2007 to create a mandatory HAI Reporting Program in an effort to raise awareness, to promote transparency for healthcare consumers, and to motivate hospitals to prioritize prevention. HB 2524 assigned responsibility for the HAI Reporting Program to the Office for Oregon Health Policy and Research (OHPR), part of the Oregon Health Authority (OHA), and also created a 16 member committee to advise OHPR on the HAI reporting program.

This research brief provides updates on three HAI targets in the state: Central Line Associated Bloodstream

Infections (CLABSIs) are primary bloodstream infections that are associated with the presence of a central line or a tube that is placed into a patient’s large vein, usually in the neck, chest, arm or groin.

Surgical Site Infections (SSIs) are infections that are directly related to an operative procedure. The procedures reported in this update are coronary artery bypass graft and knee prosthesis (replacement).

o Coronary artery bypass graft (CABG) surgery is a treatment for heart disease in which a vein or artery from another part of the body is used to create an alternate path for blood to flow to the heart, bypassing a blocked artery.

o Knee prosthesis (KPRO) procedures include replacement procedures, replacement of all or part of the knee joint with an artificial device, and revisions of existing prostheses.

1Centers for Medicare & Medicaid Services. Hospital-acquired conditions. Baltimore, MD: US Department of Health and Human Services, Centers for Medicare & Medicaid Services; 2010. Available at https://www.cms.gov/hospitalacqcond/06_hospital-acquired_conditions.asp. Accessed February 3, 2011. 2 Klevens, RM, Edwards RJ, Richards CL, Jr, et al. Estimating health care-associated infections and deaths in U.S. Hospitals, 2002. Public Health Rep 2007:122(2):160-166. 3 Scott, R Douglas. The direct medical costs of healthcare-associated infections in US hospitals and the benefits of prevention. March 2009. http://www.cdc. gov/ncidod/dhqp/pdf/Scott_CostPaper.pdf.

Healthcare Acquired Infection Reporting 2009—2010

Photo: Hand washing is one of the most effective ways to prevent the spread of

infection. (Centers for Disease Control and Prevention)

Methods CLABSI and SSI data were collected using the National Healthcare Safety Network (NHSN), a free, secure, internet-based HAI surveillance system developed, administered, and maintained by the Centers for Disease Control and Prevention (CDC). The system integrates patient and healthcare personnel safety surveillance information from facilities across the nation. The Surgical Care Improvement Project (SCIP) process of care measures were collected according to protocols established by the Centers for Medicare and Medicaid Services (CMS). The majority of hospitals (48) reported their data to CMS and OHPR obtained these data from the Hospital Compare web site. Hospital Review Copies of data extracted from NHSN and CMS Hospital Compare were sent to the chief executive officer and to the infection control professional at each hospital. Hospitals were given 15 days to preview and correct their HAI data before publication. This process was vital to assure that the reported data were as accurate as possible. As noted in previous reports, hospitals continued to use the review period to report more infections. During the hospital review period, over half of Oregon hospitals provided 60 corrections to OHPR regarding their HAI data. OHPR confirmed all corrections with hospitals via email. In addition, one hospital reported it performed a specialty surgery that involved replacement of the knee joint as part of a highly specialized oncologic limb salvage procedure. The hospital flagged these procedures in NHSN and OHPR excluded them from the final reporting data set.

To assure a fair and representative set of data, OHPR applied NHSN minimum reporting thresholds for reporting hospital-level data. The reporting threshold for CLABSIs is a minimum of 50 central line days per reporting period. The reporting threshold for surgical site procedures is a minimum of 20 patients undergoing a surgical procedure per reporting period. Results Oregon’s statewide CLABSI rate in 2009 was one-third lower than the corresponding national rate (Figure 1). The CLABSI rate for 2010 is approximately 60% lower than the national rate and about 40% lower than 2009.

Source for National Comparison Data: Edwards, JR, et al. National Healthcare Safety Network (NHSN) Re-port: Data summary for 2006 through 2008, issued De-cember 2009. Am J Infect Control 2009:37;783-805.

* - 2006 to 2008

Figure 1: Central Line Associated Bloodstream Infections (CLABSI)

1.37

0.77

1.92

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1

1.5

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CLABSI

Infe

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er 1

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s

2009 2010 National*

Results (continued) Oregon’s statewide KPRO SSI rate in 2009 was essentially the same as the corresponding national rate (Figure 2). The KPRO SSI rate for 2010 is about 13% lower than the 2009 rate. Oregon’s statewide CABG SSI rate in 2009 was about 25% lower than the corresponding national rate (Figure 3). The CABG SSI rate for 2010 is about 8% higher than the 2009 rate, but is still 20% lower than the national rate.

Figure 3: Coronary Artery Bypass Graft (CABG) Surgical Site Infections

* - 2006 to 2008

Figure 2: Knee Prosthesis (KPRO) Surgical Site Infections

Source for National Comparison Data: Edwards, JR, et al. National Healthcare Safety Network (NHSN) Report: Data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009:37;783-805.

Photo: Latex, vinyl, or nitrile gloves reduce hand contamination, prevent cross-

contamination, and protect against infections (Centers for Disease Control and Prevention)

0.910.79

0.89

0

0.5

1

1.5

2

2.5

3

KPRO

Per

cent

of

proc

edur

es w

ith

infe

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2009 2010 National*

2.102.27

2.83

0

0.5

1

1.5

2

2.5

3

CABG

Per

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proc

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es w

ith

infe

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2009 2010 National*

The Surgical Care Improvement Project (SCIP) process of care measures reported here are:

SCIP-INF-1: Percent of surgery patients who were given an antibiotic at the right time (within one hour) before surgery to prevent infection.

SCIP-INF-2: Percent of surgery patients who were given the right kind of antibiotic to help prevent infection.

SCIP-INF-3: Percent of surgery patients whose preventative antibiotics were stopped at the right time (within 24 hours after surgery; 48 hours for cardiac patients).

The statewide averages for SCIP measures have improved when comparing the rates for the annual periods ending March 2009 and March 2010. When comparing the most recent annual period ending March 2010 with national averages for the same time, the rates were essentially the same (Figure 4).

Discussion

In comparing 2009 and 2010 data, it appears Oregon hospitals have shown improvement in two targets, CLABSIs and SCIP measures. The statewide CLABSI rate for 2010 is 60% lower than the most recent national rate and 40% lower than the 2009 statewide CLABSI rate. This trend can be attributed to two events. First, OHSU has reduced CLABSIs in both of its adult medical and surgical intensive care units. In 2009, OHSU reported a total of 27 CLABSIs, which represented 31% of the total CLABSIs reported to the state. In 2010, OHSU reported a total of 11 CLABSIs, representing 24% of the total CLABSIs reported to the state. In addition, the number of hospitals reporting zero CLABSIs in medical/surgical ICUs has increased from 23 (52% of reporting hospitals) in 2009 to 28 (61% of reporting hospitals).

Data collection period for Oregon Average is from 4/2008-3/2009 (OR Avg. 3/2009) and 4/2009 –3/2010 (OR Avg. 3/2010). The National Avg. represents the period from 4/2009—3/2010.

Figure 4: Surgical Care Improvement Project (SCIP)

Process of Care Measures

8794

83

94 97 9496 97 94

0

20

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SCIP-INF-1 SCIP-INF-2 SCIP-INF-3

Per

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OR Avg. 3/2009 OR Avg. 3/2010 National Avg. 3/2010

Photo: Clostridium difficile (Centers for Disease Control and Prevention)

The three SCIP measures have shown improvement when comparing the annual periods ending in March 2009 and March 2010. All three measures have shown increases ranging from 3% to 11% and all are similar to national averages. The KPRO SSI rate for 2010 is 13% lower than the 2009 rate and is about 11% lower than the most recent national rate. However, as we have observed that the KPRO SSI rate for 2009 has slightly increased in subsequent reports, we expect the KPRO SSI rate for 2010 will also rise slightly since SSIs can be identified up to one year after the procedure is performed. The number of hospitals reporting zero KPRO SSI decreased from 27 in 2009 (54% of reporting hospitals) to 22 in 2010 (46% of reporting hospitals). While the statewide CABG SSI rate for 2010 is substantially lower than the most recent national rate, it is about 8% higher than the statewide CABG SSI rate for 2009. The number of hospitals reporting zero CABG SSIs increased from 1 in 2009 to 3 in 2010.

Results for this report may differ slightly from the results originally published in the Oregon Healthcare Acquired Infections report in December 2010. Additional CLABSI and SSI cases have been identified since that report was published. The OHA is validating the CLABSI data, and this work has led to identifying a small number of previously unreported CLABSI cases. Additional SSI cases have been identified by hospitals through their routine surveillance. This was an expected outcome as some SSI cases were identified up to nine months after the patient was discharged from the hospital.

Limitations

The data reported here are subject to two important limitations:

1. Data are self-reported by the hospital. 2. Surveillance methods and infection

control resources vary across hospitals, which may affect a hospital’s ability to detect HAI cases. Higher HAI rates may be due to improved case-finding rather than more true HAI cases.

Photo: Healthcare Worker Influenza Vaccination

(Centers for Disease Control and Prevention)

Photo: Methicillin-resistant staphylococcus aureus

(Centers for Disease Control and Prevention)

Implications for the Future

OHPR is currently collecting additional HAI data for public reporting. In January 2011, hospitals began reporting four additional surgical site infections, including abdominal hysterectomy, colon surgeries, hip replacements, and laminectomies. Hospitals also began reporting two additional process of care measurements for cardiac surgery with controlled postoperative glucose and surgery patients with peri-operative temperature management. OHPR will evaluate HAI reporting in other health care facilities.

Additional data that will be reported includes healthcare worker influenza vaccination rates for hospitals and nursing homes, urinary tract infection rates for nursing homes, and evidence-based elements of patient safety practices used by ambulatory surgical centers.

The Patient Protection and Affordable Care Act includes a hospital value-based purchasing program for HAIs, which includes federal reporting of HAIs for hospitals and adjusting Medicare reimbursement rates based on performance. This has required many Oregon hospitals to expand CLABSI reporting in 2011 and may also require expanded SSI reporting in 2012. many Oregon hospitals to expand CLABSI reporting in 2011 and may also require expanded SSI reporting in 2012.

Hospital HAI Data Sheets

As part of this report, OHPR has prepared individual HAI data sheets for the 59 acute care hospitals in Oregon. These HAI data sheets present summary data and two columns of graphs, with the 2009 data presented on the left side of the page and the 2010 data presented on the right.

For More Information

View the HAI Report at OHPR’s Healthcare Acquired Infection Report web site: http://www.oregon.gov/OHPPR/HAI_Report.shtml. The report includes individual Hospital HAI data sheets and hospitals’ comments on their data.

The Office for Oregon Health Policy and Research (OHPR) conducts impartial, non-partisan policy analysis, research and evaluation, and provides technical assistance to support health reform planning and implementation in Oregon. The office serves in an advisory capacity to Oregon Health Policy Board, the Oregon Health Authority, the Governor and the Legislature.

Healthcare Acquired Infection Reporting Program

During their 15-day review of the hospital-level Healthcare Acquired Infection (HAI) reports, all hospitals were also given the opportunity to provide comments on their reports. Six hospitals provided comments on their HAI data reports, and they are listed in alphabetical order. Bay Area Hospital Good Samaritan Regional Medical Center Oregon Health and Science University (OHSU) Hospital Rogue Valley Medical Center Sky Lakes Medical Center Tuality Healthcare If a hospital is not listed in this section, the hospital did not provide comments on its HAI report for this period. Bay Area Hospital Bay Area Hospital is committed to Patient Safety as our first priority by providing evidence based care to achieve positive outcomes. Engaged medical and hospital staff are dedicated to excellence and continue efforts to prevent and reduce the incidence of healthcare acquired infections at Bay Area Hospital. Prevention of Central Line Associated Bloodstream Infections (CLABSI) A quality improvement healthcare team has implemented evidence-based practices to eliminate central line associated blood stream infections. Bay Area Hospital has sustained 0 infections related to central line associated bloodstream infections for over two years.

Prevention of Surgical Site Infections (SSI) Bay Area Hospital continues to aggressively attack surgical site infections (SSIs). Our SCIP measures have consistently been improving to above 93 percent. The Surgical professionals at Bay Area Hospital have been reviewing specific cases and determining steps to minimize potential infections. The rates reported as infections are not risk adjusted to adequately reflect the patient population served. Focused prevention activities have been implemented in areas of pre-operative and post-operative care, including patient education and revised wound care practices. To date, the knee prosthesis SSI rate has decreased between 2009 and 2010. Our infection prevention program team continues efforts to identify and reduce these infections, utilizing evidence-based, best practices.

Good Samaritan Regional Medical Center Good Samaritan Regional Medical Center ( GSRMC) targeted Oregon State Surgical Site Infections have decreased 75 % to 80% within the last quarter of 2010 and into 2011. GSRMC is participating in several initiatives to reduce the incidence of preventable hospital acquired infections. Initiatives include continued monitoring and implementation of evidenced best practices in the prevention of Surgical Site Infections and Central Line Associated Blood Stream Infections. The following are a few (not inclusive) initiatives we have continued or

Hospital Comments on HAI Data Sheets

Good Samaritan Regional Medical Center (continued) implemented since 09/2010:

Physician and staff focused Infection Prevention education

Patient education on the prevention of Surgical Site Infections

Surgical site dressing care to reflect best practices

Review and implementation of ASHE environmental controls within the OR suites

Appropriate pre-operative antibiotic administration ( timing and dosing)

Appropriate hair removal ( clippers not razors)

Controlled Postoperative Serum Glucose in Cardiac Surgery

Active participation in the Oregon Collaborative on the Prevention of Health Care Associated Infections

Supportive 24/7 hour IV therapy team

Implementation of the Institute of Healthcare Improvement Central Line Bundle

Shift towards the model of Comprehensive Unit-based Safety Programs (CUSP)

Our Surgical Site Infection target is to achieve less than the NHSN Standardized Infection Ratio for all surgeries performed at

GSRMC. Preventable Surgical Site Infections are challenged by non-modifiable patient risk factors such as smoking, morbid obesity, renal failure and diabetes which may contribute to a greater risk for a surgical site infection. Our target is to sustain zero Central Line Associated Blood Stream Infections. Oregon Health Science University Since 2009, OHSU has made substantial progress toward the goal of eliminating preventable central line associated bloodstream infections (CLABSI). Working in collaboration with the Oregon Health Care Prevention Collaborative and the national CUSP/Stop BSI program, OHSU has so far been able to reduce the rate and number of CLABSI by over 50%. In the coming months, continued progress is anticipated in working toward zero CLABSIs.

Substantial improvements have also been made in eliminating infections among patients undergoing prosthetic knee replacement surgery at OHSU. Despite an increase in total number of these procedures done, no infections were recorded in 2010.

Success achieved in preventing infections other areas was not realized among coronary bypass graft (CABG) surgeries in 2010. Although the increase in rate between 2009 and 2010 is not statistically significant, it is still concerning. OHSU faces special challenges in eliminating these infections because of the severity and complexity of the illnesses among its cardiac surgery patients.

Oregon Health Science University (continued) The reported data may not adequately account for differences in risk among patients presenting to similar sized hospitals. For example, infections occurred among patients with co-existing conditions that increase risk of infection, such as breast cancer followed by chest radiation, renal transplant on immunosuppression, concurrent aortic valve replacement, and severe cardiomyopathy requiring ventricular assist device. Much work has already been done to implement best practices for the prevention of surgical site infections among cardiac surgery patients, such as standardization of optimized antibiotic prophylaxis, maintenance of body temperature during and after surgery and aggressive control of blood glucose perioperatively. In 2011, OHSU’s work within the HAI prevention collaborative will focus on improving these processes, as well as identifying and implementing additional processes that will help reduce preventable infections among these complex patients.

Rogue Valley Medical Center Rogue Valley Medical Center (RVMC) is dedicated to excellence by working to reduce our preventable HAIs. As a part of the hospital safety initiatives and movement toward a vision of excellent medical care, RVMC leadership has identified an opportunity to decrease surgical site infections by joining the state-wide Oregon Patient Safety Commission HAI Prevention Collaborative. This provides an opportunity to reach beyond our

geographical boundaries to discover and share best practices with others. During 2010, two additional infection prevention nurses have been added to our organization’s Infection Prevention & Control Program. This program is managed by a board certified Infection Control Practitioner (CIC) and the program’s medical director is board-certified in Infectious Diseases as well as having completed the SHEA/CDC Training Course in Healthcare Epidemiology.” Sky Lakes Medical Center Sky Lakes Medical Center conducts surveillance for central line-associated blood stream infections in all inpatient units which is above the requirement to conduct surveillance only in critical care units. For this reason, our data is listed as “not reported due to data quality issues”. For calendar year 2010, there were no central line-associated blood stream infections identified in any inpatient unit. This data was validated in an audit conducted by the State in January 2011. Note from Oregon Health Policy and Research (OHPR): OHPR could not report ICU CLABSI data for Sky Lakes facility as this facility did not collect data in a manner that allowed us to report medical/surgical ICU data, as required by law. The CLABSI validation study, carried out by the State’s Public Health Division, focused on validation of the medical/surgical ICU data for 2009.

Tuality Healthcare Tuality Healthcare is committed to providing evidenced based care. We have implemented many nationally recognized infection prevention measures in our efforts to constantly improve patient care. Central Line Associated Bloodstream Infections (CLABSIs): In 2009 we identified an unusual occurrence of 3 CLABSIs in our ICU. After a thorough review of practices and implementing the use of a new Central Line Checklist, our rate has returned to zero and has remained zero. CABG SSI's: In 2009 we had 2 SSIs. In 2010 we had 1 SSI. We will continue to audit pre-op and post-op practices with surgeons and staff. Knee Prosthesis SSIs: In 2009 we had zero infections. In 2010 we identified 2 SSIs. We continue to aggressively track outcome data and validate compliance with evidenced based practices among surgeons and staff. SCIP Measures: We have implemented several measures to assure compliance with the SCIP core measures pertaining to the prophylactic administration of antibiotics. We demonstrate continuous improvements in our compliance with all three of these SCIP core measures by exceeding 97% so far in 2010.

Adventist Medical Center51 13867

Knee Prosthesis, 2009Surgical Site Infections (SSIs) by Procedure

Central Line Associated Bloodstream Infections (CLABSIs), 2010

Knee Prosthesis, 2010


51Location: PortlandOwnership: Not for ProfitMedical School Affiliation: None

ICU Beds: 16Specialty Care Beds: 0Total Staffed Beds: 223

Infection Control Professional FTE: 1

2010 Admissions: 12,4982010 Patient Days: 45,927

Follow this link to view hospital comments.

13867

0.000.81 0.91 0.92

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hospitalssize (2006-08)

Procedures: 197SSIs: 0

13867

0.75 0.83 0.77

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hospitals (2006-08)

CLABSIs: 1 Central line days: 1332

13867

0.000.70 0.79 0.92

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13867

1.22 1.43 1.371.92

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Oregon Healthcare Acquired Infections Reporting Program, 2011

http://www.oregon.gov/OHA/OHPR/docs/HCAIAC/Reports/April2011_Report/HAI_Brief_Hospital_Comments_2010.pdf

Adventist Medical Center51 13867

Surgical Care Improvement Project (SCIP) Process of Care Measures, 4/2008-3/2009


Coronary Artery Bypass Graft, 2009

No procedures at this hospital



13867

89 92 88

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SCIP-INF-3

SCIP-INF-251

National Top 10%

51 n =275 n =275 n =263

13867

93 95 94

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SCIP-INF-1

SCIP-INF-3

SCIP-INF-251

National Top 10%

51 n =275 n =277 n =272


Ashland Community Hospital2 13917





2Location: AshlandOwnership: Not for ProfitMedical School Affiliation: None


Infection Control Professional FTE: 0.4



13917

0.00

0.97 0.91 0.92

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13917

0.000.51 0.77

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13917

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13917

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Ashland Community Hospital2 13917







13917

65

99 94

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SCIP-INF-3

SCIP-INF-22

National Top 10%

2 n =127 n =125 n =126

13917

8898

92

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SCIP-INF-1

SCIP-INF-3

SCIP-INF-22

National Top 10%

2 n =116 n =116 n =111


Bay Area Hospital3 13654





3Location: Coos BayOwnership: Not for ProfitMedical School Affiliation: Limited





13654

3.18

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13654

0.000.51 0.77

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13654

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13654

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Bay Area Hospital3 13654







13654

8895 93

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SCIP-INF-3

SCIP-INF-23

National Top 10%

3 n =450 n =455 n =445

13654

93 94 95

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SCIP-INF-3

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National Top 10%

3 n =412 n =406 n =395


Blue Mountain Hospital4 13763

Surgical Site Infections (SSIs) by Procedure


Knee Prosthesis, 2009 Knee Prosthesis, 2010

No procedures at this hospitalNo procedures at this hospital

Too few observations for reporting purposesToo few observations for reporting purposes


4Location: John DayOwnership: Not for ProfitMedical School Affiliation: Limited



2010 Admissions: 3752010 Patient Days: 1,127




Blue Mountain Hospital4 13763





Too few observations for reporting purposes





Columbia Memorial Hospital8 14061






8Location: AstoriaOwnership: Not for ProfitMedical School Affiliation: None





14061

0.00

1.550.91 0.92

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CLABSI

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14061

0.00

2.49

0.77

1.92

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CLABSI

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hospitals (2006-08)


14061

0.00

0.92 0.79 0.92

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7

8

KPRO

Perc

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Columbia Memorial Hospital8 14061







14061

92 94

78

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Pct o

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SCIP-INF-1

SCIP-INF-3

SCIP-INF-28

National Top 10%

8 n =52 n =52 n =51

14061

44

9386

0

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SCIP-INF-1

SCIP-INF-3

SCIP-INF-28

National Top 10%

8 n =86 n =86 n =85


Coquille Valley Hospital9 13834




Too few observations for reporting purposes Too few observations for reporting purposes




9Location: CoquilleOwnership: Not for ProfitMedical School Affiliation: None







Coquille Valley Hospital9 13834










Cottage Grove Community Hospital10 88888



This hospital was exempt from reporting central line associated bloodstream infections in 2009.


This hospital is exempt from reporting central line associated bloodstream infections in 2010.


No procedures at this hospital No procedures at this hospital

10Location: Cottage GroveOwnership: Not for ProfitMedical School Affiliation: None







Cottage Grove Community Hospital10 88888





This hospital was exempt from SCIP reporting in 2009.

This hospital is exempt from SCIP reporting in 2010.




Curry General Hospital11 14964








11Location: Gold BeachOwnership: Not for ProfitMedical School Affiliation: None







Curry General Hospital11 14964







14964

8879

88

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-211

National Top 10%

11 n =33 n =33 n =33

14964

86 89 91

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-211

National Top 10%

11 n =215 n =215 n =197


Good Samaritan Regional Medical Center (Corvallis)17 13783





17Location: CorvallisOwnership: Not for ProfitMedical School Affiliation: Limited





13783

1.16 0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13783

0.42 0.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13783

1.540.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13783

0.451.29 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Good Samaritan Regional Medical Center (Corvallis)17 13783





13783

1.94

3.00

2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s

Hospital State NationalSimilar



13783

91 9484

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-217

National Top 10%

17 n =723 n =732 n =706

13783

4.76

3.32

2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




13783

94 9892

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-217

National Top 10%

17 n =716 n =741 n =693


Good Shepherd Medical Center19 13191





19Location: HermistonOwnership: Not for ProfitMedical School Affiliation: None





13191

3.23

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13191

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13191

0.76 0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13191

0.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Good Shepherd Medical Center19 13191







13191

80

94

58

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-219

National Top 10%

19 n =163 n =158 n =154

13191

8795

57

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-219

National Top 10%

19 n =195 n =195 n =192


Grande Ronde Hospital20 14338





20Location: La GrandeOwnership: Not for ProfitMedical School Affiliation: None





14338

0.00

1.550.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




14338

0.00

2.49

0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


14338

0.00

0.92 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




14338

0.000.75

1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Grande Ronde Hospital20 14338







1433898

78

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-220

National Top 10%

1433897

83

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-220

National Top 10%

20 n =63 n =74Data notreported

20 n =59 n =64Data notreported


Harney District Hospital21 14223








21Location: BurnsOwnership: Not for ProfitMedical School Affiliation: None







Harney District Hospital21 14223










Kaiser Sunnyside Medical Center77 10400





77Location: ClackamasOwnership: Not for ProfitMedical School Affiliation: Limited





10400

0.53 0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




10400

0.52 0.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


10400

1.430.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




10400

0.951.43 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Kaiser Sunnyside Medical Center77 10400





10400

1.521.99 2.10

2.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




10400

9398

92

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-277

National Top 10%

77 n =380 n =378 n =361

10400

4.09

2.13 2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




10400

9499 99

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-277

National Top 10%

77 n =474 n =480 n =458


Lake District Hospital27 99999








27Location: LakeviewOwnership: GovernmentMedical School Affiliation: None



2010 Admissions: 5692010 Patient Days: 796




Lake District Hospital27 99999










Legacy Emanuel Hospital14 10598





14Location: PortlandOwnership: Not for ProfitMedical School Affiliation: Major teaching





10598

2.56

0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




10598

1.69

0.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


10598

0.000.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




10598

1.981.43 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Legacy Emanuel Hospital14 10598





10598

3.70

1.99 2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




10598

8899

91

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-214

National Top 10%

14 n =280 n =285 n =268

10598

0.00

2.13 2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




10598

9199 94

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-214

National Top 10%

14 n =276 n =284 n =270


Legacy Good Samaritan Hospital and Medical Center18 10597





18Location: PortlandOwnership: Not for ProfitMedical School Affiliation: Graduate





10597

0.70 0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




10597

0.73 0.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


10597

0.63 0.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




10597

0.20

1.43 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Legacy Good Samaritan Hospital and Medical Center18 10597





10597

2.86

1.99 2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




10597

8897 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-218

National Top 10%

18 n =426 n =427 n =393

10597

2.01 2.13 2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




1059796 99 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-218

National Top 10%

18 n =462 n =469 n =448


Legacy Meridian Park Hospital36 13821





36Location: TualatinOwnership: Not for ProfitMedical School Affiliation: None





13821

2.18

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13821

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13821

0.80 0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13821

2.82

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Legacy Meridian Park Hospital36 13821







13821

9196

88

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-236

National Top 10%

36 n =241 n =242 n =231

13821

9198 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-236

National Top 10%

36 n =261 n =263 n =256


Legacy Mt. Hood Medical Center40 14002





40Location: GreshamOwnership: Not for ProfitMedical School Affiliation: None





14002

1.09 0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




14002

0.960.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


14002

1.15 0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




14002

1.721.29 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Legacy Mt. Hood Medical Center40 14002







14002

8697 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-240

National Top 10%

40 n =181 n =181 n =172

14002

84

99 97

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-240

National Top 10%

40 n =187 n =186 n =181


Lower Umpqua Hospital29 13414








29Location: ReedsportOwnership: GovernmentMedical School Affiliation: Limited







Lower Umpqua Hospital29 13414








13414

72

94 89

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-229

National Top 10%

29 n =36 n =36 n =36


McKenzie-Willamette Medical Center31 13488





31Location: SpringfieldOwnership: For profitMedical School Affiliation: None





13488

0.430.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13488

1.100.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13488

1.260.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13488

4.09

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




McKenzie-Willamette Medical Center31 13488





13488

6.67

3.00

2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




13488

9196

89

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-231

National Top 10%

31 n =501 n =516 n =489

13488

1.25

3.32

2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




1348899 98 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-231

National Top 10%

31 n =519 n =525 n =503


Mercy Medical Center35 14483





35Location: RoseburgOwnership: Not for ProfitMedical School Affiliation: None





14483

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




14483

1.36

0.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


14483

0.00

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




14483

0.621.29 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Mercy Medical Center35 14483







14483

90

66

80

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-235

National Top 10%

35 n =429 n =427 n =419

1448398 97 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-235

National Top 10%

35 n =394 n =391 n =383


Mid-Columbia Medical Center38 14173





38Location: The DallesOwnership: Not for ProfitMedical School Affiliation: Limited





14173

5.36

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




14173

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


14173

1.470.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




14173

0.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Mid-Columbia Medical Center38 14173







1417398 99 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-238

National Top 10%

38 n =161 n =160 n =154

14173100 99 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-238

National Top 10%

38 n =145 n =147 n =140


Mountain View Hospital39 13856











39Location: MadrasOwnership: Not for ProfitMedical School Affiliation: None







Mountain View Hospital39 13856







13856

77

100

85

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-239

National Top 10%

39 n =22 n =20 n =20

13856

88 9296

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-239

National Top 10%

39 n =25 n =25 n =25


OHSU Hospital44 10074





44Location: PortlandOwnership: Not for ProfitMedical School Affiliation: Major teaching





10074

1.460.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




10074

1.360.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


10074

0.000.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




10074

3.26

1.43 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




OHSU Hospital44 10074





10074

3.29

1.99 2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




1007496 99

92

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-244

National Top 10%

44 n =387 n =394 n =378

10074

4.64

2.13 2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




1007496 98 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-244

National Top 10%

44 n =374 n =384 n =365


Peace Harbor Hospital78 10997





78Location: FlorenceOwnership: Not for ProfitMedical School Affiliation: None





10997

0.00

1.550.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




10997

0.00

2.49

0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


10997

0.00

0.92 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




10997

6.21

0.751.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Peace Harbor Hospital78 10997







10997

94 98 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-278

National Top 10%

78 n =63 n =63 n =59

1099797 100 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-278

National Top 10%

78 n =67 n =68 n =58


Pioneer Memorial Hospital (Heppner)49 88888








49Location: HeppnerOwnership: GovernmentMedical School Affiliation: Limited







Pioneer Memorial Hospital (Heppner)49 88888










Pioneer Memorial Hospital (Prineville)50 13419





No procedures at this hospitalToo few observations for reporting purposes


50Location: PrinevilleOwnership: Not for ProfitMedical School Affiliation: None





13419

0.00

2.49

0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13419

0.000.75

1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Pioneer Memorial Hospital (Prineville)50 13419








13419

81 81 76

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-250

National Top 10%

50 n =21 n =21 n =21


Providence Hood River Memorial Hospital25 13382






25Location: Hood RiverOwnership: Not for ProfitMedical School Affiliation: None





13382

1.64 1.550.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13382

0.00

0.92 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13382

0.000.75

1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Providence Hood River Memorial Hospital25 13382







1338296 98 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-225

National Top 10%

25 n =186 n =185 n =184

1338296 98 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-225

National Top 10%

25 n =178 n =179 n =173


Providence Medford Medical Center52 13313





52Location: MedfordOwnership: Not for ProfitMedical School Affiliation: None





13313

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13313

1.280.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13313

3.70

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13313

2.77

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Providence Medford Medical Center52 13313





13313

0.00

3.00

2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




13313

88 92 91

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-252

National Top 10%

52 n =178 n =183 n =173

13313

0.00

3.32

2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




13313

92 95 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-252

National Top 10%

52 n =243 n =239 n =224


Providence Milwaukie Hospital54 12445





54Location: MilwaukieOwnership: Not for ProfitMedical School Affiliation: Graduate





12445

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




12445

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


12445

1.03 0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




12445

0.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Providence Milwaukie Hospital54 12445







12445

62

99 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-254

National Top 10%

54 n =174 n =158 n =152

1244596 98 97

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-254

National Top 10%

54 n =193 n =194 n =184


Providence Newberg Medical Center42 11121





42Location: NewbergOwnership: Not for ProfitMedical School Affiliation: None





11121

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




11121

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


11121

0.00

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




11121

3.94

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Providence Newberg Medical Center42 11121







11121

92100 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-242

National Top 10%

42 n =138 n =135 n =132

11121100 100 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-242

National Top 10%

42 n =111 n =111 n =101


Providence Portland Medical Center53 13724





53Location: PortlandOwnership: Not for ProfitMedical School Affiliation: Limited





13724

0.160.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13724

0.240.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13724

0.160.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13724

1.52 1.43 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Providence Portland Medical Center53 13724





13724

2.31 1.99 2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




13724

8999 94

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-253

National Top 10%

53 n =437 n =432 n =400

13724

0.00

2.13 2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




13724

9299 97

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-253

National Top 10%

53 n =551 n =571 n =527


Providence Seaside Hospital55 13303








55Location: SeasideOwnership: Not for ProfitMedical School Affiliation: None







Providence Seaside Hospital55 13303










Providence St. Vincent Medical Center67 10095





67Location: PortlandOwnership: Not for ProfitMedical School Affiliation: Graduate





10095

0.74 0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




10095

0.440.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


10095

1.140.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




10095

0.901.43 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Providence St. Vincent Medical Center67 10095





10095

1.631.99 2.10

2.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




10095

83

99 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-267

National Top 10%

67 n =432 n =418 n =408

10095

1.422.13 2.27

2.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




10095

95 99 99

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-267

National Top 10%

67 n =579 n =587 n =564


Providence Willamette Falls Medical Center74 13738





74Location: Oregon CityOwnership: Not for ProfitMedical School Affiliation: None





13738

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13738

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13738

0.00

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13738

0.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Providence Willamette Falls Medical Center74 13738







13738

81

99

67

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-274

National Top 10%

74 n =326 n =327 n =323

13738

8897

88

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-274

National Top 10%

74 n =302 n =304 n =300


Rogue Valley Medical Center56 14144





56Location: MedfordOwnership: Not for ProfitMedical School Affiliation: None





14144

2.34

0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




14144

0.440.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


14144

1.170.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




14144

0.821.43 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Rogue Valley Medical Center56 14144





14144

1.231.99 2.10

2.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




14144

95 98 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-256

National Top 10%

56 n =503 n =511 n =485

14144

2.04 2.13 2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




1414499 100 99

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-256

National Top 10%

56 n =1023 n =1040 n =991


Sacred Heart Medical Center at RiverBend95 12648





95Location: SpringfieldOwnership: Not for ProfitMedical School Affiliation: None





12648

0.85 0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




12648

1.17 0.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


12648

1.04 0.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




12648

1.791.43 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Sacred Heart Medical Center at RiverBend95 12648





12648

3.03

1.99 2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




1264898 99 94

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-295

National Top 10%

95 n =361 n =361 n =349

12648

2.792.13 2.27

2.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




1264897 98 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-295

National Top 10%

95 n =506 n =515 n =486


Sacred Heart Medical Center at University57 88888








57Location: EugeneOwnership: Not for ProfitMedical School Affiliation: None







Sacred Heart Medical Center at University57 88888










Salem Hospital58 13910





58Location: SalemOwnership: Not for ProfitMedical School Affiliation: None





13910

0.92 0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13910

0.000.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13910

0.42 0.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13910

0.31

1.43 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Salem Hospital58 13910





13910

0.29

1.99 2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




13910

94 97 97

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-258

National Top 10%

58 n =508 n =508 n =458

13910

0.92

2.13 2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




1391097 98 97

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-258

National Top 10%

58 n =610 n =611 n =578


Samaritan Albany General Hospital1 13787





1Location: AlbanyOwnership: Not for ProfitMedical School Affiliation: Limited





13787

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13787

1.190.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13787

2.11

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13787

0.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Samaritan Albany General Hospital1 13787







13787

9398 97

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-21

National Top 10%

1 n =321 n =322 n =317

1378796 98 98

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-21

National Top 10%

1 n =320 n =321 n =315


Samaritan Lebanon Community Hospital28 13720




Knee Prosthesis, 2010Knee Prosthesis, 2009


28Location: LebanonOwnership: Not for ProfitMedical School Affiliation: Limited





13720

0.00

2.49

0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13720

0.000.75

1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Samaritan Lebanon Community Hospital28 13720







13720

93 95 93

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-228

National Top 10%

28 n =57 n =57 n =54

13720100

95

82

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-228

National Top 10%

28 n =40 n =40 n =40


Samaritan North Lincoln Hospital43 13780







43Location: Lincoln CityOwnership: Not for ProfitMedical School Affiliation: Limited





13780

6.06

1.550.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13780

0.00

0.92 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s






Samaritan North Lincoln Hospital43 13780







13780

87 88 91

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-243

National Top 10%

43 n =23 n =24 n =22

13780100

9296

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-243

National Top 10%

43 n =51 n =51 n =45


Samaritan Pacific Communities Hospital45 13722





Knee Prosthesis, 2010Knee Prosthesis, 2009

45Location: NewportOwnership: Not for ProfitMedical School Affiliation: Limited





13722

0.00

2.49

0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13722

0.000.75

1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Samaritan Pacific Communities Hospital45 13722







13722

9096 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-245

National Top 10%

45 n =50 n =52 n =50

13722

61

94100

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-245

National Top 10%

45 n =41 n =34 n =33


Santiam Memorial Hospital59 14224









59Location: StaytonOwnership: Not for ProfitMedical School Affiliation: None







Santiam Memorial Hospital59 14224







14224

73 72 72

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-259

National Top 10%

59 n =30 n =29 n =29

1422497 97

76

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-259

National Top 10%

59 n =33 n =33 n =33


Shriner's Hospital for Children83 13984








83Location: PortlandOwnership: Not for ProfitMedical School Affiliation: Limited







Shriner's Hospital for Children83 13984










Silverton Hospital60 13685






60Location: SilvertonOwnership: Not for ProfitMedical School Affiliation: None





13685

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13685

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13685

1.330.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s






Silverton Hospital60 13685







13685

78

57

99

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-260

National Top 10%

60 n =235 n =212 n =206

13685

91 9099

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-260

National Top 10%

60 n =264 n =255 n =248


Sky Lakes Medical Center37 14288





Not reported due to data quality issues. Not reported due to data quality issues.

37Location: Klamath FallsOwnership: Not for ProfitMedical School Affiliation: None





14288

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




14288

0.00

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s






Sky Lakes Medical Center37 14288







14288

9499 94

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-237

National Top 10%

37 n =365 n =366 n =356

14288

94 96 91

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-237

National Top 10%

37 n =369 n =368 n =362


Southern Coos Hospital and Health Center61 14013









61Location: BandonOwnership: GovernmentMedical School Affiliation: None







Southern Coos Hospital and Health Center61 14013










St. Alphonsus Medical Center - Baker65 15534







65Location: Baker CityOwnership: Not for ProfitMedical School Affiliation: None





15534

2.86

1.550.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




15534

0.00

0.92 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s






St. Alphonsus Medical Center - Baker65 15534







15534

93 94 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-265

National Top 10%

65 n =97 n =98 n =97

15534100 100 100

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-265

National Top 10%

65 n =80 n =80 n =80


St. Alphonsus Medical Center - Ontario24 13871







No data reported due to noncompliance

24Location: OntarioOwnership: Not for ProfitMedical School Affiliation: None





13871

0.78 0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13871

0.00

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s






St. Alphonsus Medical Center - Ontario24 13871







13871

75 7973

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-224

National Top 10%

24 n =133 n =131 n =131

13871

8984

71

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-224

National Top 10%

24 n =266 n =265 n =265


St. Anthony Hospital63 13618





63Location: PendletonOwnership: Not for ProfitMedical School Affiliation: None





13618

0.00

1.550.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13618

0.00

2.49

0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13618

0.00

0.92 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13618

0.000.75

1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




St. Anthony Hospital63 13618







Data not reported by this hospital13618

99 100 99

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-263

National Top 10%

63 n =116 n =116 n =116


St. Charles Medical Center (Bend)64 13402





64Location: BendOwnership: Not for ProfitMedical School Affiliation: Graduate





13402

0.49 0.81 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13402

1.16 0.83 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13402

0.51 0.70 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13402

0.991.43 1.37

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




St. Charles Medical Center (Bend)64 13402





13402

3.05

1.99 2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




13402

91 95 90

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-264

National Top 10%

64 n =891 n =875 n =818

13402

1.482.13 2.27

2.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




13402

9297

86

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-264

National Top 10%

64 n =890 n =878 n =850


St. Charles Medical Center (Redmond)7 13418





7Location: RedmondOwnership: Not for ProfitMedical School Affiliation: None





13418

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13418

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13418

0.00

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13418

0.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




St. Charles Medical Center (Redmond)7 13418







1341897 98

84

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-27

National Top 10%

7 n =157 n =157 n =146

13418

94 9584

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-27

National Top 10%

7 n =171 n =174 n =165


Three Rivers Community Hospital and Health Center26 11409





26Location: Grants PassOwnership: Not for ProfitMedical School Affiliation: Limited





11409

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




11409

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


11409

0.360.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




11409

1.43 1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Three Rivers Community Hospital and Health Center26 11409







11409

80

95 90

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-226

National Top 10%

26 n =250 n =241 n =237

1140996 97 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-226

National Top 10%

26 n =255 n =258 n =251


Tillamook County General Hospital68 13383






68Location: TillamookOwnership: Not for ProfitMedical School Affiliation: None





13383

0.00

1.550.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13383

0.00

2.49

0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13383

0.000.75

1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Tillamook County General Hospital68 13383







13383

94 91 92

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-268

National Top 10%

68 n =64 n =65 n =62

1338396 92

96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-268

National Top 10%

68 n =52 n =53 n =51


Tuality Healthcare69 13786





69Location: HillsboroOwnership: Not for ProfitMedical School Affiliation: None





13786

0.00

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13786

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13786

0.93 0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13786

3.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Tuality Healthcare69 13786





13786

4.44

3.00

2.102.83

0

1

2

3

4

5

6

7

8

CBGB

Perc

ent o

f pro

cedu

res

with

SSI

s




13786

9199

93

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-269

National Top 10%

69 n =414 n =419 n =412

13786

3.33 3.32

2.272.83

0

1

2

3

4

5

6

7

8

CABG

Perc

ent o

f pro

cedu

res

with

SSI

s




1379698 99 96

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-269

National Top 10%

69 n =395 n =396 n =394


Wallowa Memorial Hospital73 13796








73Location: EnterpriseOwnership: GovernmentMedical School Affiliation: None







Wallowa Memorial Hospital73 13796










West Valley Community Hospital72 14087








72Location: DallasOwnership: Not for ProfitMedical School Affiliation: None







West Valley Community Hospital72 14087










Willamette Valley Medical Center32 13930





32Location: McMinnvilleOwnership: For profitMedical School Affiliation: Limited





13930

3.61

0.97 0.91 0.92

0

1

2

3

4

5

6

7

8

CLABSI

Perc

ent o

f pro

cedu

res

with

SSI

s




13930

0.000.51 0.77

1.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)


13930

0.00

0.89 0.79 0.92

0

1

2

3

4

5

6

7

8

KPRO

Perc

ent o

f pro

cedu

res

with

SSI

s




13930

0.00

1.29 1.371.92

0

1

2

3

4

5

6

7

8

CLABSI

Rate

per

100

0 ce

ntra

l lin

e da

ys


hospitals (2006-08)




Willamette Valley Medical Center32 13930







1393098 94 95

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-232

National Top 10%

32 n =198 n =204 n =190

1393097 96 97

0

20

40

60

80

100

Rate

Pct o

f pro

cedu

res

mee

ting

stan

dard

SCIP-INF-1

SCIP-INF-3

SCIP-INF-232

National Top 10%

32 n =229 n =230 n =220


HAI Full Report 2009 2010

Documents

Transcript of HAI Full Report 2009 2010