Surgical Site Infection (SSI)
Identifying Attributes
Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Setting-Specific Domain
Infection and Sepsis
Defining Attributes
Definition
Percentage of patients aged 18 years and older who had a surgical site infection (SSI).
Numerator
Number of patients with a surgical site infection.
Denominator
Patients aged 18 years and older who have undergone a surgical procedure.
Exclusions
None
Use of Risk Adjustment
Yes
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Administrative data
Data Collection Methods
Clinician reported data to MIPS
Frequency of Data Collection
Continuous
Frequency of Data Collection in Days
1
Reporting Methods
Hospital Care Compare Website. More detailed data is displayed at data.cms.gov
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Technical Specifications
Link to Measurement Tools
Domain
Infection and Sepsis
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025
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Date Modified 10 June 2026