Methicillin-Resistant Staphylococcus Aureus (MRSA) Blood Laboratory Identified Events (Bloodstream Infections)

Identifying Attributes

Care Settings
Rural and Remote Care
Country
United States of America
Publishing Organisation
Health Resources and Services Administration, Medicare Rural Hospital Flexibility Program: Medicare Beneficiary Quality Improvement Project
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Service Delivery

Defining Attributes

Definition

MRSA Bloodstream Infection Incidence Density Rate

Numerator

Number of MRSA bloodstream infections per patient per month identified more than 3 days after admission

Denominator

(Number of patient days for the facility) x 1000

Exclusions
Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Hospital tracking

Laboratory-identified MDRO or CDI Event form (CDC57.128) and denominator on (CDC 57.127)

www.cdc.gov/nhsn/forms/57.128labideventblank.pdf

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Data reported to: National Healthcare Safety Network (NHSN) Website

Data available on: Care Compare

Flex Monitoring Team Reports

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Stratis Health. MBQIP Measures Fact Sheets August 2023. Accessed March 15th 2024 www.ruralcenter.org/sites/default/files/2023-08/2023%20update%20MBQIP-Measures-Fact-Sheets.pdf

Link to Measurement Tools
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)
Yes
Australian Consortium for Aged Care Endorsed
Yes
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Yes. Data exists, with high coverage.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026