Nursing home adoption of the National Healthcare Safety Network Long-term Care Facility Component
Nursing home adoption of the National Healthcare Safety Network Long-term Care Facility Component
复制标题
DOI：
10.1016/j.ajic.2018.06.018
复制
发表时间：
2019-01-01
影响因子：
4.9
通讯作者：
Stone, Patricia W.
中科院分区：
文献类型：
--
作者：
Dick, Andrew W.;Bell, Jeneita M.;Stone, Patricia W.
背景：卫生保健相关的感染构成了一个重要的问题，在疗养院（NH）。国家医疗保健安全网络（NHSN）的长期护理设施组件于2012年启动，从那时起，NHSN的注册一直被视为国家优先事项。我们的目标是了解与全国其他NHs.Methods相比，向NHSN报告的NHs的特征：为了实现这一目标，我们使用与NHSN注册和报告数据相关的认证和调查提供者增强报告（CASPER）数据，通过NHSN注册状态和报告一致性量化了NHs的特征。在我们样本中的16，081名NHS中，截至2015年底，有262名（或1.6%的NHS）参加了NHSN;这些早期采用的设施更有可能是营利性的，并且有更高比例的医疗保险居民。到2016年底，注册人数增加了5倍以上，达到1，956家机构（占NHS的12.2%）。在我们的分析中，那些后来采用NH的人的特征比早期采用者更类似于全国性的NH。具体而言，床位大小和医院为基础的设施有关的早期和晚期通过NHSN.Conclusions：NHSN已注册的类型已经发生了很大的变化，因为该计划开始。增加的入学人数可能是由于医疗保险和医疗补助中心（CMS）资助的“C。艰难梭菌感染（CDI）报告和减少项目”，激励质量创新网络-质量改进组织（QIN-QIO）支持NH招募和参与NHSN。需要进一步了解设施登记和保持向NHSN报告的能力，以及这与NH中的感染预防人员和基础设施以及NH居民中的感染率之间的关系。(C)2018感染控制和流行病学专业人员协会，Inc.爱思唯尔公司出版All rights reserved.
Background: Health care-associated infections pose a significant problem in nursing homes (NHs). The Longterm Care Facility Component of the National Healthcare Safety Network (NHSN) was launched in 2012, and since then, enrollment of NHs into NHSN has been deemed a national priority. Our goal was to understand the characteristics of NHs reporting to the NHSN compared to other NHs across the country.Methods: To meet this goal, we quantified the characteristics of NHs by NHSN enrollment status and reporting consistency using the Certification and Survey Provider Enhanced Reporting (CASPER) data linked to NHSN enrollment and reporting data.Results: Of the 16,081 NHs in our sample, 262 (or 1.6% of NHs) had enrolled in NHSN by the end of 2015; these early adopting facilities were more likely to be for-profit and had a higher percentage of Medicare residents. By the end of 2016, enrollment expanded by more than 5-fold to 1,956 facilities (or 12.2% of NHs). In our analysis, the characteristics of those later adopting NHs were more similar to NHs nationally than the early adopters. Specifically, bed size and hospital-based facilities were related to both early and late adoption of NHSN.Conclusions: The types of NHs that have enrolled in NHSN have changed substantially since the program began. The increased enrollment was likely due to the Centers for Medicare & Medicaid (CMS)-funded "C. difficile Infection (CDI) Reporting and Reduction Project" that incentivized Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) to support NH enrollment and participation in NHSN. Further understanding of a facility's ability to enroll in and maintain reporting to NHSN, and how this relates to infection prevention staffing and infrastructure in NHs and infection rates among NH residents, is needed. (C) 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.