Clostridioides Difficile Infection
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Number of observed hospital onset Clostrioides difficile infections (CDI) compared to expected events.
Numerator
Total number of observed hospital-onset CDI Laboratory Identified (LabID) events among all inpatients in the facility.
Denominator
Total number of expected hospital-onset CDI LabID events determined through the facility's number of inpatient days, bed size, affiliation with a medical school, microbiological test used to identify C. difficile, and community onset CDI admission prevalence rate.
Exclusions
Numerator: well baby-nurseries and NICUs.
Use of Risk Adjustment
Risk Adjustments
Risk-adjusted with Reliability-Adjusted Rankings (ARM).
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Data submitted via the Centre of Disease Control and Prevention's National Healthcare Safety Network (NHSN). Which is a secure, Internet-based surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Prevention. Some U.S. states use NHSN as a means for healthcare facilities to submit data on healthcare-associated infections (HAIs) and other healthcare measures mandated through their specific state legislation.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Disease Control and Prevention's National Healthcare Safety Network (NHSN).
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Centers for Medicare & Medicaid Services (CMS), United States. Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Measures Information. Accessed August 3, 2023. Available from: www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/irf-quality-reporting/irf-quality-reporting-program-measures-information-.
Centers for Medicare & Medicaid Services (CMS), United States. Inpatient Rehabilitation Facility Quality Reporting Program Measure Calculations and Reporting User’s Manual. Accessed August 3, 2023. Available from: www.cms.gov/files/document/irf-quality-measure-calculations-and-reporting-users-manual-v40.pdf.
Centers for Medicare & Medicaid Services (CMS), United States. Inpatient rehabilitation facilities - The Measures. Accessed August 3, 2023. Available from: data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities/measures.
Centers for Disease Control and Prevention (CDC), United States. National Healthcare Safety Network (NHSN) Multidrug-Resistant Organism & Clostridioides difficile Infection (MDRO/CDI) Module. Accessed August 3, 2023. Available from: www.cdc.gov/nhsn/pdfs/pscmanual/12pscmdro_cdadcurrent.pdf.
Technical Specifications
Inpatient Rehabilitation Facility - Quality Reporting Program: www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/irf-quality-reporting/irf-quality-reporting-program-measures-information-
Technical specifications: www.cms.gov/files/document/irf-quality-measure-calculations-and-reporting-users-manual-v40.pdf
Measures: data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities/measures
Centers for Disease Control and Prevention technical specifications: www.cdc.gov/nhsn/pdfs/pscmanual/12pscmdro_cdadcurrent.pdf