Methicillin-Resistant Staphylococcus Aureus (MRSA) Bacteraemia
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Setting-Specific Domain
Defining Attributes
Definition
Standardised infection ratio (SIR) and Adjusted Ranking Metric (ARM) of hospital-onset unique blood source MRSA Laboratory-identified events (LabID events) among all inpatients in the facility.
Numerator
Total number of observed hospital-onset unique blood source MRSA LabID events among all inpatients in the facility per National Healthcare Safety Network (NHSN) protocols.
Denominator
Total number of predicted hospital-onset unique blood source MRSA LabID events, calculated from a negative binomial regression model and risk adjusted for facility's number of inpatient days, inpatient community-onset MRSA prevalence rate, average length of patient stay in the hospital, medical school affiliation, facility type, number of critical care beds in the hospital, and outpatient community-onset MRSA prevalence rate from emergency departments and observation units.
Exclusions
Data from patients who are not assigned to an inpatient bed in an applicable location are excluded from the denominator counts. Denominator counts exclude data from inpatient rehabilitation units and inpatient psychiatric units with different CMS Certification Numbers (CCN) from the acute care facility.
Use of Risk Adjustment
Risk Adjustments
See denominator for risk adjustment details.
Stratifications
By hospital and state.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Hospital information submitted to the National Healthcare Safety Network (NHSN)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
HAC Reduction Program data is displayed at data.cms.gov