Linda Greene, director of infection prevention at Rochester General Hospital in New York and a member of the board of the Association for Professionals in Infection Control, also says more hospitals are being more proactive, getting cultures on more patients upon admission so they can avoid getting blame for infections the patients brought with them.
"People are understandably worried about [the] preciseness of this documentation of whether something was coded as present on admission or not," she says.
The spreadsheet, which will eventually be transferred to an easier-to -decipher forma, allows users to compare individual hospitals with national averages for each category:
• Falls and hospital trauma—10,564 or .564 per 1,000 eligible discharges
• Vascular catheter-associated infections—6,868 or .367 per 1,000 eligible discharges
• Catheter-associated urinary tract infections—5,928 or .316 per 1,000 eligible discharges
• Stage III or IV pressure ulcers—2,521 or .135 per 1,000 eligible discharges
Eventually, the numbers, which reflect discharges between Oct. 1, 2008 and July 1, 2010, will be available with other quality measures posted on Hospital Compare. Until then, the spreadsheet can be downloaded here.