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IHP 604 Healthcare Quality and Improvement - Southern New Hampshire University

Question: Create an Excel file with bar graphs comparing 2016 infection rates (CLABSI, CAUTI, and SSI) against the national hospital benchmark values

Soluiton:

Central line associated bloodstream infections (CLABSI)

Procedures

CLABSI

National Benchmark Hospital Rates

( 11.45% )

1st quarter (Jan to Mar)

10

10.99

2nd quarter (Apr to June)

7

8.47

3rd quater (July to Sep)

24

11.79

4th quarter (Oct to Dec)

21

10.19

Total

62

41.45

Comparative Rate

17.13%

11.45%

Table 1: Comparative infection rates of CLABSI with National Benchmark Hospital Rates

Comparative infection rates.jpg

Figure 1: Comparative infection rates of CLABSI with National Benchmark Hospital Rates

According to table 1 and figure 1, the comparative picture of the CLABSI rates is identified with the national benchmark hospital rates for the year 2016. According to the graphical analysis, only in quarter 1 from January to March 2016, the occurrence of CLABSI is lower than the National Benchmark Hospital Rates of 10.99. However, for the next three quarters from April to December 2016, the rate of occurrence has gone up as compared to the national average of 11.45% to 17.13%. The CLABSI rates were at a maximum of 24 as compared to the national benchmark of 11.79 in the third quarter of July to September.

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Catheter associated urinary tract infections (CAUTI)

Procedures

CAUTI

National Benchmark Hospital Rates

( 12.34% )

1st quarter (Jan to Mar)

93

60.71

2nd quarter (Apr to June)

106

61.82

3rd quarter (July to Sep)

72

47.63

4th quarter (Oct to Dec)

84

30.85

Total

355

201.02

Comparative Rate

21.79%

12.34%

Table 2: Comparative infection rates of CAUTI with National Benchmark Hospital Rates

Comparative infection rates1.jpg

Figure 2: Comparative infection rates of CAUTI with National Benchmark Hospital Rates

According to table 2 and figure 2, the infection rates of CAUTI are analysed comparatively with the actual rates of the year 2016. The CAUTI infection rates were uniformly higher throughout the year if 2016. However, during the second quarter from April to June the infection rates of CAUTI were highest at 106 as compared to the national benchmark of 61.82. The overall rate of CAUTI infections in 2016 was at 21.79% which was higher than the overall national benchmark of 12.34%.

Surgical site infections (SSI)

Procedures

SSI

National Benchmark Hospital Rates

( 13.76% )

1st quarter (Jan to Mar)

7

7.57

2nd quarter (Apr to June)

5

4.40

3rd quarter (July to Sep)

6

3.99

4th quarter (Oct to Dec)

8

6.33

Total

26

22.29

Comparative Rate

16.05%

13.76%

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Table 3: Comparative infection rates of SSI with National Benchmark Hospital Rates

Comparative infection rates2.jpg

Figure 3: Comparative infection rates of SSI with National Benchmark Hospital Rates

According to table 3 and figure 3, the infection rates of SSI in the year has been compared with the rates of the national benchmark hospital rates. As per the graphical analysis, the occurrence of SSI has been substantially lower in the first quarter from January to March at 7 than the national benchmark hospital rates of 7.57. However, the infection rates have gone up as compared to the national benchmark hospital rates in the next three quarters. On the other hand, the SSI infections were higher at 8 in the last quarter of October to December 2016 as compared to national benchmark hospital rates of 6.33. The national benchmark has not been met in the last three quarters of 2016 as per the SSI infection data.

Comparison of infection rates of 2016 with National Benchmark Hospital Rates

Infections

Actual Rate

National Benchmark Hospital Rate

CLABSI

17.13%

11.45%

CAUTI

21.79%

12.34%

SSI

16.05%

13.76%

Table 4: Comparative analysis

Comparative analysis.jpg

Figure 4: Comparative analysis

According to table 4 and figure 4, the comparative analysis of the SSI, CLABSDI and CAUTI has been performed to obtain and identify whether the national benchmark hospital rates have been adhered to in the year 2016.

Summary response

The value based purchasing or value based reimbursements is highly dependent on the meeting and non meeting of the national benchmark hospital rates (Lloyd et al., 2017). From the above analysis, it may be observed that in most of the cases of CAUTI, SSI and CLABSI the actual infection rates were substantially higher than the national quality benchmarks. The CLABSI was 17.13%, CAUTI at 21.79% and SSI at 16.05% as compared to the national benchmark hospital rates of 11.45%, 12.34% and 13.76% respectively. However, as per the graphical analysis, the actual infection rate of CAUTI was significantly higher as compared to the national benchmark of 12.34% while CLABSI and SSI were not that much higher than their respective national benchmarks. The public healthcare quality improvement is highly dependent on the adherence with the national quality benchmarks

This will significantly affect the value based purchasing or reimbursements as the responsibility of managed care organization have increased for taking care of the patients. On the other hand, the financial risk should be placed on the provider while Patient Centered Medical Homes (PCMH) should be supported with sustainable funding for better patient care (Leonard et al., 2016). While the providers are to be responsible for the cost and quality issues, the patients should be treated to potentially avoid complications (PACs). On following the above mentioned processes, the infection rates may be lowered as per the national quality benchmarks.

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