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Public Disclosure of Healthcare-Associated Infections: The Role of the Society for Healthcare Epidemiology of America

Published online by Cambridge University Press:  21 June 2016

Edward S. Wong
Affiliation:
McGuire Veterans Affairs Medical Center and theMedical College of Virginia, Richmond, Virginia
Mark E. Rupp
Affiliation:
University of Nebraska Medical Center, Omaha, Nebraska
Leonard Mermel
Affiliation:
Brown Medical School, Providence, Rhode Island
Trish M. Perl
Affiliation:
Johns Hopkins Medical Institute, Baltimore, Maryland
Suzanne Bradley
Affiliation:
Veterans Affairs Ann Arbor and theUniversity of Michigan Healthcare Systems, Ann Arbor, Michigan
Keith M. Ramsey
Affiliation:
University of South Alabama, Mobile, Alabama
Belinda Ostrowsky
Affiliation:
Westchester County Department of Health, New Rochelle, New York
August J. Valenti
Affiliation:
Maine Medical Center, Portland, Maine
John A. Jernigan
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia
Andreas Voss
Affiliation:
Canisius-Wilhelmina Hospital, Nijmegen, the Netherlands
Michael L. Tapper
Affiliation:
Lenox Hill Hospital, New York, New York

Extract

Prior to 2004, only two states, Pennsylvania and Illinois, had enacted legislation requiring healthcare facilities to collect nosocomial or healthcare-associated infection (HAI) data intended for public disclosure. In 2004, two additional states, Missouri and Florida, passed disclosure laws. Currently, several other states are considering similar legislation. In California, Senate Bill 1487 requiring hospitals to collect HAI data and report them to the Office of Statewide Health Planning was passed by the legislature, but was not signed into law by Governor Schwarzenegger, effectively vetoing it. The impetus for these laws is complex. Support comes from consumer advocates, who argue that the public has the right to be informed, and from others who view HAI as preventable and hope that public disclosure would provide an incentive to healthcare providers and institutions to improve their care.

Type
SHEA Position Paper
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2005

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References

1.Tucker, JH, Rogers, J. New federal regulations, professional standards review organization, JCAH and criteria development. Medical Record News 1975;46:2537.Google Scholar
2.Ente, BH. The Joint Commission's agenda for change. Current Concepts in Hospital Pharmacy Management 1989;11:614.Google Scholar
3.Joint Commission on Accreditation of Healthcare Organizations. 2004 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2004.Google Scholar
4.The Quality Indicator Study Group. SHEA position paper: an approach to the evaluation of quality of the outcome of care in hospitalized patients, with a focus on nosocomial infection indicators. Infect Control Hosp Epidemiol 1995;16:308316.CrossRefGoogle Scholar
5.Romano, PS, Can, BK, Schembri, ME, Rainwater, JA. Can administrative data be used to compare postoperative complication rates across hospitals? Med Care 2002;40:856867.CrossRefGoogle ScholarPubMed
6.Wright, AB, Huskins, WC, Dokholyan, RS, Goldmann, DA, Platt, R. Administrative databases provide inaccurate data for surveillance of long-term central venous catheter-associated infections. Infect Control Hosp Epidemiol 2003;24:946949.CrossRefGoogle ScholarPubMed
7.Sands, KE, Yokoe, DS, Hooper, DC, et al.Detection of postoperative surgical-site infections: comparison of health plan-based surveillance with hospital-based programs. Infect Control Hosp Epidemiol 2003;24:741743.Google Scholar
8.Localio, AR, Hamory, BH, Sharp, TJ, et al.Comparing hospital mortality in adult patients with pneumonia: a case study of statistical methods in a managed care program. Ann Intern Med 1995;122:125132.CrossRefGoogle Scholar
9.Report from the CDC. Nosocomial infection rates for interhospital comparisons: limitations and possible solutions. Infect Control Hosp Epidemiol 1991;12:609621.CrossRefGoogle Scholar
10.Culver, DH, Horan, TC, Gaynes, RP, et al.Surgical wound infection rates by wound class, operative procedure, and patient risk index. Am J Med 1991;91(suppl 3B):152157.Google Scholar
11.Hospital Infection Control Practices Advisory Committee. HICPAC Guidance on Public Reporting of Healthcare-Associated Infections (HAIs), September 10,2004 [draft]. Atlanta, GA Centers for Disease Control and Prevention; 2004. Available at www.cdc.gov/ncidod/hip/HICPAC/meeting.htm.Google Scholar
12.Center for Medicare & Medicaid Services. National Voluntary Hospital Reporting Initiative. Baltimore, MD: Center for Medicare & Medicaid Services; 2004. Available at www.cms.hhs.gov.Google Scholar
13.Centers for Medicare & Medicaid Services. Surgical Infection Prevention Project. Baltimore, MD: Centers for Medicare & Medicaid Services; 2002. Available at www.medqic.org.Google Scholar
14.Association for Professionals in Infection Control and Epidemiology. Conference on “Healthcare-Associated Infections: Realizing the Benefits of Mandatory Public Reporting.” Washington, DC: Association for Professionals in Infection Control and Epidemiology; 2004. Available at www.apic.org/Content/NavigationMenu/Advocacy/Legislative/State/MandatoryReporting/mand_rep_program.htm.Google Scholar