Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) Annual Survey

Identifying Attributes

Care Settings
Rural and Remote Care
Country
United States of America
Publishing Organisation
Medicare Beneficiary Quality Improvement Project
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Service Delivery

Defining Attributes

Definition
Numerator

Number of facilities with improved antibiotic use (based on Q43, 44,

Denominator

Number in the population based on administrative data from the facility

Exclusions
Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Hospital tracking in records of the following core

elements of antibiotic stewardship:

• Leadership

• Accountability

• Drug Expertise

• Action

• Tracking

• Reporting

• Education

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

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

Reporting Frequency
Annually
Reporting Frequency in Days
365
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

Survey www.cdc.gov/nhsn/forms/57.103pshospsurvblank.pdf (Antibiotic Stewardship Practices questions)

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
No
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
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025