OrgID Hospital Name Hospital System Hospital System & Namepatientcarelink.org/wp-content/uploads/2017/01/HAI-CY2015-Hospita… · 13000 Beth Israel Deaconess Medical Center Beth Israel

OrgID Hospital Name Hospital System Hospital System & Name

14175 Addison Gilbert Hospital Lahey Health Lahey Health - Addison Gilbert Hospital

12685 Anna Jaques Hospital Anna Jaques Hospital

13262 Athol Memorial Hospital Athol Memorial Hospital

10482 Baystate Medical Center Baystate Health Baystate Medical Center

12538 Berkshire Medical Center Berkshire Health Systems Berkshire Health Systems - Berkshire Medical Center

13230 Beth Israel Deaconess Hospital - Milton Beth Israel Deaconess Hospital Beth Israel Deaconess Hospital - Milton

12866

Beth Israel Deaconess Hospital -

Needham Beth Israel Deaconess Hospital Beth Israel Deaconess Hospital - Needham

12643

Beth Israel Deaconess Hospital -

Plymouth Beth Israel Deaconess Hospital Beth Israel Deaconess Hospital - Plymouth

13000 Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Center

11571 Beverly Hospital Lahey Health Lahey Health - Beverly Hospital

12698 Boston Children's Hospital Boston Children's Hospital

12630 Boston Medical Center Boston Medical Center

12596 Brigham and Women's Hospital Brigham and Women's Brigham and Women's Hospital

12468 Brockton Hospital Signature Healthcare Signature Healthcare - Brockton Hospital

13213 Cambridge Hospital Cambridge Health Alliance Cambridge Health Alliance - Cambridge Hospital

12515 Cape Cod Hospital Cape Cod Healthcare Cape Cod Healthcare - Cape Cod Hospital

12601 Carney Hospital Steward Health Care Steward Health Care - Carney Hospital

12578 Charlton Memorial Hospital Southcoast Health Southcoast Health - Charlton Memorial Hospital

12751 Clinton Hospital UMass Memorial Health Care UMass Memorial Health Care - Clinton Hospital

12837 Cooley Dickinson Hospital Cooley Dickinson Hospital

12670 Emerson Hospital Emerson Hospital

13189 Fairview Hospital Berkshire Health Systems Berkshire Health Systems - Fairview Hospital

12516 Falmouth Hosptial Cape Cod Healthcare Cape Cod Healthcare - Falmouth Hosptial

12955 Faulkner Hospital Brigham and Women's Brigham and Women's - Faulkner Hospital

13201 Framingham Union Hospital MetroWest Medical Center MetroWest Medical Center - Framingham Union Hospital

12778 Franklin Medical Center Baystate Health Baystate Franklin Medical Center

12622 Good Samaritan Medical Center Steward Health Care Steward Health Care - Good Samaritan Medical Center

13022 Harrington Memorial Hospital Harrington Memorial Hospital

12700 HealthAlliance Hospital UMass Memorial Health Care UMass Memorial Health Care - HealthAlliance Hospital

12686 Heywood Hospital Heywood Hospital

12600 Holy Family Hospital Steward Health Care Steward Health Care - Holy Family Hospital

13301 Holy Family Hospital at Merrimack Valley Steward Health Care

Steward Health Care - Holy Family Hospital at Merrimack

Valley

12598 Holyoke Medical Center Holyoke Medical Center

12679 Lahey Hospital & Medical Center Lahey Health Lahey Health - Lahey Hospital & Medical Center

12793 Lawrence General Hospital Lawrence General Hospital

12710 Lawrence Memorial Hospital of Medford Hallmark Health System

Hallmark Health System - Lawrence Memorial Hospital of

Medford

13309 Leonard Morse Hospital MetroWest Medical Center MetroWest Medical Center - Leonard Morse Hospital

12674 Lowell General Hospital - Main Campus Lowell General Hospital - Main Campus

12714 Lowell General Hospital - Saints Campus Lowell General Hospital - Saints Campus

12875 Marlborough Hospital UMass Memorial Health Care UMass Memorial Health Care - Marlborough Hospital

12833 Martha's Vineyard Hospital Martha's Vineyard Hospital

13049 Mary Lane Hospital Baystate Health Baystate Mary Lane Hospital

12568 Massachusetts General Hospital Massachusetts General Hospital

13298 Melrose-Wakefield Hospital Hallmark Health System Hallmark Health System - Melrose-Wakefield Hospital

13091 Mercy Medical Center Mercy Medical Center

12752 Milford Regional Medical Center Milford Regional Medical Center

12619 Morton Hospital Steward Health Care Steward Health Care - Morton Hospital

12703 Mount Auburn Hospital Mount Auburn Hospital

13206 Nantucket Cottage Hospital Nantucket Cottage Hospital

OrgID Hospital Name Hospital System Hospital System & Name

13290 Nashoba Valley Medical Center Steward Health Care Steward Health Care - Nashoba Valley Medical Center

12709 New England Baptist Hospital New England Baptist Hospital

12618 Newton-Wellesley Hospital Newton-Wellesley Hospital

12708 Noble Hospital Noble Hospital

12582 Norwood Hospital Steward Health Care Steward Health Care - Norwood Hospital

12588 Saint Anne's Hospital Steward Health Care Steward Health Care - Saint Anne's Hospital

13348 Saint Vincent Hospital Saint Vincent Hospital

13116 Salem Hospital North Shore Medical Center North Shore Medical Center - Salem Hospital

12705 Shriners Hospital for Children - Boston Shriners Hospital for Children - Boston

12808 South Shore Hospital South Shore Hospital

12599 St. Elizabeth's Medical Center Steward Health Care Steward Health Care - St. Elizabeth's Medical Center

12576 St. Luke's Hospital Southcoast Health Southcoast Health - St. Luke's Hospital

13174 Sturdy Memorial Hospital Sturdy Memorial Hospital

12574 Tobey Hospital Southcoast Health Southcoast Health - Tobey Hospital

11558 Tufts Medical Center Tufts Medical Center

11303 UMass Memorial Medical Center UMass Memorial Health Care

UMass Memorial Health Care - UMass Memorial Medical

Center

14360 Union Hospital North Shore Medical Center North Shore Medical Center - Union Hospital

13215 Whidden Hospital Cambridge Health Alliance Cambridge Health Alliance - Whidden Hospital

12654 Winchester Hospital Lahey Health Lahey Health - Winchester Hospital

13381 Wing Hospital Baystate Health Baystate Wing Hospital

The central line utilization ratio measures how often and for how long

acute care patients have a central venous catheter in place. This statistic

is important because fewer central lines mean fewer chances for

infection. A downward trend may indicate that hospitals across the state

have implemented interventions to try to reduce CLABSIs by removing

central lines when not absolutely necessary.

The State CLABSI SIRs chart shows how the state SIR has changed

over time across three ICU types. The SIRs in this chart use predicted

values calculated by multiplying the average rate of infection for a given

location from the 2013 national data by the number of device days, so

they are different from the values found in the table above. As CLABSIs

are prevented, the state SIRs should decrease.

The catheter utilization ratio measures how often and for how long

acute care patients have a urinary catheter in place. This statistic is

important because fewer urinary catheters mean fewer chances for

infection. A downward trend may indicate that hospitals across the state

have implemented interventions to try to reduce CAUTIs by removing

urinary catheters when not absolutely necessary.

The State CAUTI SIRs chart shows how the state SIR have changed over

time across two ICU types. The SIRs in this chart use predicted values

calculated by multiplying the average rate of infection for a given location

from the 2009 national data by the number of device days, so they are

different from the values found in the table above. As CAUTIs are

prevented, the state SIRs should decrease.

These statistics aim to provide a broad sense of patient care capacity and staffing in Massachusetts acute care hospitals. Every hospital in

Massachusetts has Infection Preventionists who work to reduce healthcare-associated infections at their hospital. The Society for Healthcare

Epidemiology of America (SHEA) recommends that there be at least one Infection Preventionist per 125 hospital beds.

Massachusetts Calendar Year 2015 HAI Data SummaryStatewide Hospital Summary

This document is designed to help you better understand the data presented on the Summary Page that follows.

Standardized Infection Ratio (SIR): This measure indicates how the actual number of healthcare-associated infections at a location compares to the

predicted number of infections at that location. If a hospital experiences the same number of infections as predicted, the SIR has a value of 1. If a

hospital experiences more infections, the SIR is greater than 1, and vice versa. A statistical interpretation is included with each SIR to indicate if the

hospital experienced a statistically significant higher or lower number of infections than anticipated. Statistical significance means that the number of

infections observed was unlikely to have occurred by chance alone.

Hospital Survey Statistics

Central Line-Associated Blood Stream Infection (CLABSI)

CLABSI data are reported by ICU type since the risk of infection can vary greatly from one ICU to another depending on the type of patients in the unit

and the type of treatments they receive. In addition to adult and pediatric ICUs, 10 hospitals in the state have neonatal ICUs, or NICUs.

The table included shows CLABSI data by ICU type. Each location strives for zero infections. The data presented in this table is from calendar year

2015 (January 1, 2015 through December 31, 2015). The predicted number of infections is calculated by multiplying the state baseline infection rate

from 2013 and 2014 by the number of device days. The SIR and confidence interval of ICUs with a predicted number of infections less than 0.5 have

been suppressed (not calculable).

Catheter-Associated Urinary Tract Infections (CAUTI)

CAUTI data are reported by ICU type since the risk of infection can vary greatly from one ICU to another depending on the type of patients in the unit

and the type of treatments they receive. CAUTI data are new to this statewide summary. MDPH reporting requirements expanded in November 2014 to

include CAUTI data reports starting in January 2012.

The table included shows CAUTI data by ICU type. Each location strives for zero infections. The data presented in this table is from calendar year

2015 (January 1, 2015 through December 31, 2015). Note that there were significant definition changes for CAUTI in 2015; therefore, comparisons to

2013-2014 data are limited. The predicted number of infections is calculated by multiplying the state baseline infection rate from 2013 and 2014 by the

number of device days. The SIR and confidence interval of ICUs with a predicted number of infections less than 0.5 have been suppressed (not

calculable).

Surgical Site Infection (SSI)

The risk for SSI varies by procedure type as well as individual patient and hospital factors. The CDC uses a formula that takes into account important

risk factors to determine the predicted number of infections used to calculate the SIR. All deep incisional primary and organ/space infections are

included in this report. In previous years, procedures with implants were observed for infection a full year after the procedure. These procedures

included CABG, HPRO, and KPRO procedures. Beginning in 2013, the surveillance period was changed to 90 days for deep incisional and organ/space

SSI for these three procedure types. Abdominal and vaginal hysterectomies continued to be observed for 30 days after procedure, as in previous years.

Colon procedures (COLO) also observed for 30 days are new to this report. Data reporting for colon procedures began in the year 2012; therefore, you

will not see COLO data for 2011.

The table entitled State CDI and MRSA SIRs for 2015 Calendar Year contain data from calendar year 2015 (January 1, 2015 through December 31,

2015). Each hospital strives for zero infections. A statistical interpretation of Same or Lower means that the number of infections was comparable or

better than expected, while an interpretation of Higher means that the number of infections was worse than the expected.

The chart included depicts SIR statistical variations from the predicted number of LabID Events (CDI and MRSA) for years 2013 through 2015. It is

meant to be used as a quick assessment of significant variation of infection rates over time. This chart does not capture change in infection rates that

were not statistically significant.

The chart included depicts SSI statistical interpretations for 2011 through 2015. It is meant to be used as a quick assessment of significant variation of

infection rates over time. This chart does not capture change in infection rates that were not statistically significant.

Facility Wide LabID Events

The LabID event section includes overall inpatient facility-wide (FacWideIn) Clostridium difficile infection (CDI) and MRSA bacteremia surveillance

LabID event data reported from acute care facilities. Due to variability of hospital-onset incidence in these data over time, risk modeling was performed

at the facility level and calendar year quarter level using negative binomial regression models. LabID events are new to the data summary and are

provided as proxy surveillance measures of healthcare acquisition, exposure burden, and infection burden, based on laboratory and limited admission

data and should be evaluated as such. When interpreting pediatric CDI data, asymptomatic colonization in children less than one year of age may

confound pediatric CDI rates. LabID events are new to the data summary. Reporting requirements were implemented in November 2014 for January

2013 data to date.

The table entitled State SSI SIRs by Procedure Type contains data for 2015 available for each procedure currently under surveillance. Each hospital

strives for zero infections. A statistical interpretation of Same or Lower means that the number of infections was comparable or better than expected,

while an interpretation of Higher means that the number of infections was worse than the expected.

Number of Hospitals

Medical School Affiliation

Average Number of Beds

Average Number of ICU Beds

Average Number of Admissions

Average Number of Patient Days

Beds per Infection Preventionist

Number of

ICUsInfections Line Days Rate

Predicted

InfectionsSIR Interpretation

2 6 1,474 4.07 3.69 1.63 Same

9 14 15,394 0.91 13.85 1.01 Same

11 15 23,288 0.64 16.30 0.92 Same

18 36 35,589 1.01 34.58 1.04 Same

53 34 56,082 0.61 44.70 0.76 Same

2 2 4,173 0.48 3.34 0.60 Same

8 30 17,610 1.70 18.78 1.60 Higher

14 25 33,711 0.74 32.83 0.76 Same

3 2 4,561 0.44 5.47 0.37 Same

10 37 16,945 2.18 18.81 1.97 Higher

Number of

ICUsInfections

Catheter

DaysRate

Predicted


2 3 1,156 2.60 4.97 0.60 Same

9 26 15,813 1.64 30.04 0.87 Same

11 12 24,728 0.49 39.56 0.30 Lower

18 67 44,090 1.52 88.34 0.76 Lower

54 99 81,582 1.21 51.97 1.91 Higher

2 31 6,502 4.77 28.61 1.08 Same

8 3 7,434 0.40 0.34

14 98 42,778 2.29 111.22 0.88 Same

3 40 7,258 5.51 24.68 1.62 Higher

State Catheter Utilization Ratios State CAUTI SIRs Compared to National Average

Pediatric Not calculable

Surgical 0.71 - 1.06

Trauma 1.17 - 2.18

Medical 0.59 - 0.95

Medical/Surgical 1.55 - 2.30

Neurosurgical 0.74 - 1.51

Burn 0.15 - 1.64

Cardiac 0.57 - 1.25

Cardiothoracic 0.16 - 0.51

State Central Line Utilization Ratios State CLABSI SIRs Compared to National Average

Catheter-Associated Urinary Tract Infection

CAUTI Rates by ICU Type for 2015, Compared to State Data from 2013-2014

ICU Type Confidence Interval

Surgical 0.50 - 1.10

Trauma 0.06 - 1.20

Neonatal 1.40 - 2.68

Medical/Surgical 0.53 - 1.05

Neurosurgical 0.1 - 1.97

Pediatric 1.09 - 2.25

Cardiac 0.57 - 1.65

Cardiothoracic 0.53 - 1.48

Medical 0.74 - 1.42

Central Line-Associated Blood Stream Infection

CLABSI Rates by ICU Type for 2015, Compared to State Data from 2013-2014


Burn 0.66 - 3.38

14,758 45,156 154,193

67.4 72.2 135.4

6 15 90

3,329 10,638 31,218

18% 50% 85%

65 187 547

<100 Beds 100-299 beds 300+ beds

22 34 13

Massachusetts Calendar Year 2015 HAI Data SummaryStatewide Hospital Summary

Release Date: August 2016

2015 Hospital Survey Statistics

Small Hospital Medium Hospital Large Hospital

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Neonatal

Pediatric

0.0

0.5

1.0

1.5

2.0

2.5

2011 2012 2013 2014 2015

SIR

Adult

Pediatric

Neonatal

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Adult

Pediatric

Hospitals

ReportingInfections Procedures

Predicted


(CABG) 14 31 3,970 49.89 0.62 Lower

(KPRO) 59 57 16222 87.82 0.65 Lower

(HPRO) 59 64 12804 96.75 0.66 Lower

(HYST) 55 43 5115 40.1 1.07 Same

(VHYS) 53 11 1640 8.78 1.25 Same

(COLO) 63 223 6848 204.13 1.09 Same

Hospitals

ReportingEvents Patient Days

Predicted

EventsSIR Interpretation

(CDI) 68 2,771 3,393,447 2,832 0.98 Same

(MRSA) 68 180 3,694,486 239 0.75 Lower

Clostridium difficile 0.94 - 1.01

Methicillin-resistant

Staphylococcus 0.65 - 0.87

Statistically Significant Variation from Predicted Number of LabID Events, 2013-2015

Statistically Significant Variation from Predicted Number of Surgical Site Infections, 2011-2015


State CDI and MRSA SIRs for 2015 Calendar Year

Event Confidence Interval

Abdominal Hysterectomy 0.78 - 1.43

Vaginal Hysterectomy 0.65 - 2.17

Colon 0.95 - 1.24

Coronary Artery Bypass 0.43 - 0.87

Knee Prosthesis 0.49 - 0.83

Hip Prosthesis 0.51 - 0.83

Surgical Site Infection

State SSI SIRs by Procedure Type for 2015 Calendar Year

Procedure Confidence Interval

MRSA

Statistically Higher than Predicted

Statistically the Same as Predicted

Statistically Lower than Predicted




CDI

CABG CABG KPRO KPRO HPRO HYST VHYS VHYS COLO

Hospital Survey Statistics Influenza Vaccination

These statistics aim to provide a broad sense of a hospital’s patient

care capacity and staffing. When reviewing these data, keep in mind

that a single infection at a smaller hospital may have a greater impact on

infection rates than at a larger hospital. Every hospital in Massachusetts

has Infection Preventionists who work to reduce healthcare-associated

infections at their hospital. The Society for Healthcare Epidemiology of

America (SHEA) recommends that there be at least one Infection

Preventionist per 125 beds at a hospital.

For the 2015-2016 influenza season, MA hospitals were required by

MDPH and the Centers for Medicare and Medicaid Services (CMS) to

report detailed vaccination data on their healthcare personnel (HCP) via

the NHSN. The percent of HCP by vaccination status for the hospital

are presented in comparison to the state median. Massachusetts

expected that a 90% influenza vaccination rate would be reached for

acute care hospital employees. Vaccination rates include those

vaccinated both within and outside of the hospital.

The central line utilization ratio measures how often and for how long

acute care patients have a central venous catheter in place. This statistic

is important because fewer central lines mean fewer chances for

infection. A downward trend may indicate that a hospital has

implemented an intervention to reduce CLABSIs by removing central

lines when not absolutely necessary. An upward trend does not

necessarily indicate a change that is within the hospital’s control. The

state line represents central line utilization among comparable adult ICUs

in the state.

The Hospital and State CLABSI SIRs chart shows how the hospital SIR

and the state SIR have changed over time across all ICU types. The state

line represents the SIR among comparable ICU types in the state. The

SIRs in this chart use predicted values calculated by multiplying the

average rate of infection for a given location from the 2013 national data

by the number of device days, so they are different from the values found

in the table above. As CLABSIs are prevented, the SIR for a hospital

should decrease.

The catheter utilization ratio measures how often and for how long

acute care patients have a urinary catheter in place. This statistic is

important because fewer urinary catheters mean fewer chances for

infection. A downward trend may indicate that a hospital has

implemented an intervention to try to reduce CAUTIs by removing urinary

catheters when not absolutely necessary. An upward trend does not

necessarily indicate a change that is within the hospital’s control.

The Hospital and State CAUTI SIRs chart shows how the hospital SIR

and the state SIR have changed over time across all ICU types. The state

line represents the SIR among comparable ICU types in the state. The

SIRs in this chart use predicted values calculated by multiplying the

average rate of infection for a given location from the 2009 national data

by the number of device days, so they are different from the values found

in the table above. As CAUTIs are prevented, the SIR for a hospital

should decrease.

Massachusetts Calendar Year 2015 HAI Data SummaryHospital-Specific Summaries

This document is designed to help you better understand the data presented on the Summary Pages that follow.

Standardized Infection Ratio (SIR): This measure indicates how the actual number of healthcare-associated infections at a location compares to the

predicted number of infections at that location. If a hospital experiences the exact same number of infections as predicted, the SIR has a value of 1. If a

hospital experiences more infections, the SIR is greater than 1, and vice versa. Statistical significance means that the number of infections observed

was unlikely to have occurred by chance alone. A statistical interpretation of Same or Lower means that the number of infections was comparable or

significantly better than expected, while an interpretation of Higher means that the number of infections was significantly worse than the expected.

Central Line-Associated Blood Stream Infection (CLABSI)

CLABSI data are reported by ICU type. The risk of infection can vary greatly from one ICU to another depending on the type of patients in the unit

and the type of treatments received. In addition to adult and pediatric ICUs, 10 hospitals in the state have neonatal ICUs (NICUs).

The table included shows CLABSI data by ICU type. Each location strives for zero infections. The data presented in this table is from calendar year

2015 (January 1, 2015 through December 31, 2015). The predicted number of infections is calculated by multiplying the state baseline infection rate

from 2013 and 2014 by the number of device days. The SIR and confidence interval of ICUs with a predicted number of infections less than 0.5 have

been suppressed (not calculable).

Catheter-Associated Urinary Tract Infections (CAUTI)

CAUTI data are reported by ICU type since the risk of infection can vary greatly from one ICU to another depending on the type of patients in the unit

and the type of treatments they receive. CAUTI data are new to this statewide summary. MDPH reporting requirements expanded in November 2014

to include CAUTI data reports starting in January 2012.

The table included shows CAUTI data by ICU type. Each location strives for zero infections. The data presented in this table is from calendar year

2015 (January 1, 2015 through December 31, 2015). Note that there were significant definition changes for CAUTI in 2015; therefore, comparisons to

2013-2014 data are limited. The predicted number of infections is calculated by multiplying the state baseline infection rate from 2013 and 2014 by the

number of device days. The SIR and confidence interval of ICUs with a predicted number of infections less than 0.5 have been suppressed (not

calculable).

The chart included depicts SIR statistical variations from the predicted number of LabID Events (CDI and MRSA) for years 2013 through 2015. It is

meant to be used as a quick assessment of significant variation of infection rates over time. This chart does not capture change in infection rates that

were not statistically significant.

The chart included depicts SSI statistical interpretations for 2011 through 2015. It is meant to be used as a quick assessment of significant variation of

infection rates over time. This chart does not capture change in infection rates that were not statistically significant.

Surgical Site Infection (SSI)

The table entitled Hospital CDI and MRSA SIRs for 2015 Calendar Year contain data from calendar year 2015 (January 1, 2015 through December

31, 2015). Each hospital strives for zero infections. The SIR and confidence interval of procedures with a predicted number of infections less than

0.5 have been suppressed (not calculable).

The table titled Hospital SSI SIRs by Procedure Type contains hospital data for 2015 for each procedure currently under surveillance. Each hospital

strives for zero infections. The SIR and confidence interval of procedures with a predicted number of infections less than 0.5 have been suppressed

(not calculable).

The risk for SSI varies by procedure type as well as individual patient and hospital factors. The CDC uses a formula that takes into account important

risk factors to determine the predicted number of infections used to calculate the SIR. All deep incisional primary and organ/space infections are

included in this report. In previous years, procedures with implants were observed for infection a full year after the procedure. These procedures

included CABG, HPRO, and KPRO procedures. Beginning in 2013, the surveillance period was changed to 90 days for deep incisional and

organ/space SSI for these three procedure types. Abdominal and vaginal hysterectomies continued to be observed for 30 days after procedure, as in

previous years. Colon procedures (COLO), also observed for 30 days, are new to this report. Data reporting for colon procedures began in the year

2012; therefore, you will not see COLO data for 2011.


The LabID event section includes overall inpatient facility-wide (FacWideIn) Clostridium difficile infection (CDI) and MRSA bacteremia surveillance

LabID event data reported from acute care facilities. Due to variability of hospital-onset incidence in these data over time, risk modeling was performed

at the facility level and calendar year quarter level using negative binomial regression models. LabID events are new to the data summary and are

provided as proxy surveillance measures of healthcare acquisition, exposure burden, and infection burden, based on laboratory and limited admission

data and should be evaluated as such. When interpreting pediatric CDI data, asymptomatic colonization in children less than one year of age may

confound pediatric CDI rates. Reporting requirements were implemented in November 2014 for January 2013 data to date.


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds

Number of Admissions

Number of Patient Days


Infections Line Days RatePredicted


1 939 1.06 0.83 1.21 Same

0 1,416 0.00 0.85 0.00 Same

1 2,521 0.40 2.86 0.35 Same

2 286 6.99 0.29

2 1,428 1.40 1.38 1.45 Same

8 2,228 3.59 2.79 2.86 Higher

InfectionsCatheter

DaysRate

Predicted


6 1,156 5.19 5.20 1.15 Same

2 1,327 1.51 3.03 0.66 Same

15 3,998 3.75 19.39 0.77 Same

0 256 0.00 0.63 0.00 Same

8 2,359 3.39 10.01 0.80 Same

Pediatric medical/surgical (0 - 4.75)

Surgical (0.37 - 1.51)

Hospital Catheter Utilization Ratios Hospital & State CAUTI SIRs Compared to National Average

Medical cardiac (0.46 - 2.4)

Surgical cardiothoracic (0.11 - 2.17)

Medical (0.45 - 1.24)

Hospital Central Line Utilization Ratios Hospital & State CLABSI SIRs Compared to National Average




Pediatric medical/surgical Not calculable

Surgical (0.24 - 4.78)

Neonatal (1.33 - 5.43)


Surgical cardiothoracic (0 - 3.53)

Medical (0.01 - 1.72)

128.17




200,032

Massachusetts Calendar Year 2015 HAI Data SummaryBaystate Medical Center - Springfield, MA


2015 Hospital Survey Statistics HCP Influenza Vaccination Coverage

Yes State v. Hospital, 2015-2016 Season

Major teaching

Not-for-profit

769

124

40,897

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status

Medical contraindication

Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

State (Adult)

0.0

1.0

2.0

3.0

4.0

2012 2013 2014 2015

SIR

Hospital

State

Infections ProceduresPredicted


(CABG) 8 417 6.43 1.24 Same

(KPRO) 2 552 3.62 0.55 Same

(HPRO) 0 377 3.57 0.00 Lower

(HYST) 8 438 2.94 2.73 Higher

(VHYS) 5 197 1.42 3.53 Higher

(COLO) 18 348 12.55 1.43 Same

Infections Patient DaysPredicted


(CDI) 99 163,277 161.56 0.61 Lower

(MRSA) 15 184,465 23.78 0.63 Same

*Missing data is either not calculable or not collected during that time period. Please see the "One Page Description Hospital CY2015" for more

information.

Clostridium difficile (0.50 - 0.74)


Staphylococcus aureus(0.36 - 1.01)



Vaginal Hysterectomy (1.29 - 7.82)

Colon Surgery (0.87 - 2.22)



information.


Hospital CDI and MRSA SIRs for 2015 Calendar Year

Knee Prosthesis (0.09 - 1.82)

Hip Prosthesis (0 - 0.83)

Abdominal Hysterectomy (1.26 - 5.17)

Coronary Artery Bypass Graft (0.57 - 2.36)


Hospital SSI SIRs by Procedure Type for 2015 Calendar Year


COLO




CABG CABG KPRO KPRO HPRO HYST VHYS VHYS




CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 2,009 0.00 1.20 0.00 Same

3 7,129 0.42 8.09 0.37 Same

2 472 4.24 0.47

2 3,669 0.55 3.55 0.56 Same

2 1,484 1.35 0.17

4 2,185 1.83 2.76 1.45 Same

InfectionsCatheter

DaysRate

Predicted


3 2,523 1.19 5.77 0.52 Same

14 9,420 1.49 45.68 0.31 Lower

0 400 0.00 0.99 0.00 Same

5 4,602 1.09 19.54 0.26 Lower

19 3,049 6.23 26.17 0.73 Same

Surgical (0.09 - 0.56)

Trauma (0.45 - 1.11)



Medical (0.17 - 0.50)






Surgical (0.09 - 1.86)

Trauma Not calculable

Neonatal (0.46 - 3.49)


Medical (0.09 - 1.00)


129.83




215,032

Massachusetts Calendar Year 2015 HAI Data SummaryUMass Memorial Health Care - UMass Memorial Medical Center - Worcester, MA




Major teaching

Not-for-profit

779

161

38,396

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 85%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 0 302 3.56 0.00 Lower

(KPRO) 1 351 2.22 0.45 Same

(HPRO) 1 290 3.06 0.33 Same

(HYST) 2 235 1.47 1.36 Same

(VHYS) 0 41 0.37

(COLO) 9 312 9.73 0.93 Same



(CDI) 197 193,639 184.33 1.07 Same

(MRSA) 24 216,282 18.72 1.28 Same


information.






Vaginal Hysterectomy Not calculable




information.




Hip Prosthesis (0.01 - 1.61)


Coronary Artery Bypass Graft (0 - 0.84)




COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






2 1,630 1.23 1.44 1.39 Same

0 2,316 0.00 1.38 0.00 Same

3 1,768 1.70 2.01 1.50 Same

0 521 0.00 0.52 0.00 Same

0 919 0.00 0.47

0 1,634 0.00 1.58 0.00 Same

1 2,285 0.44 2.57 0.39 Same

InfectionsCatheter

DaysRate

Predicted


4 1,304 3.07 5.87 0.68 Same

1 2,017 0.50 4.61 0.22 Same

2 1,624 1.23 7.87 0.25 Lower

0 331 0.00 0.82 0.00 Same

5 1,411 3.54 7.68 0.65 Same

6 1,661 3.61 7.05 0.85 SameSurgical (0.34 - 1.77)


Medical (0.04 - 0.83)


Neurosurgical (0.23 - 1.44)


Neonatal (0.02 - 1.92)







Neurosurgical Not calculable

Surgical (0 - 1.89)



Medical (0.38 - 4.07)

127.33




95,279

Massachusetts Calendar Year 2015 HAI Data SummaryTufts Medical Center - Boston, MA




Major teaching

Not-for-profit

382

98

17,572

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 4 239 3.81 1.05 Same

(KPRO) 3 222 1.60 1.88 Same

(HPRO) 1 204 2.25 0.45 Same

(HYST) 4 140 1.45 2.77 Same

(VHYS) 1 17 0.12

(COLO) 11 121 4.59 2.39 Higher



(CDI) 86 81,017 71.99 1.20 Same

(MRSA) 3 90,548 5.05 0.59 SameMethicillin-resistant




information.





information.












COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 1,350 0.74 0.82 1.22 Same

InfectionsCatheter

DaysRate

Predicted


3 2,217 1.35 3.15 0.95 Same




Medical/surgical (0.24 - 2.59)




109.50




75,407

Massachusetts Calendar Year 2015 HAI Data SummaryLahey Health - Beverly Hospital - Beverly, MA



No State v. Hospital, 2015-2016 Season

Nonteaching

Not-for-profit

219

14

19,878

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 88%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 559 2.84 0.00 Same

(HPRO) 1 285 1.82 0.55 Same

(HYST) 1 48 0.37

(VHYS) 1 34 0.12

(COLO) 0 89 3.46 0.00 Lower



(CDI) 51 62,650 36.77 1.39 Higher

(MRSA) 1 71,416 2.94 0.34 Same


information.







Colon Surgery (0 - 0.86)



information.



Knee Prosthesis (0 - 1.05)


Abdominal Hysterectomy Not calculable







CDI MRSA

COLO




HPRO HYST VHYS VHYS KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






2 2,294 0.87 1.39 1.44 Same

InfectionsCatheter

DaysRate

Predicted


1 3,209 0.31 7.28 0.14 Lower








105.00




42,797

Massachusetts Calendar Year 2015 HAI Data SummarySignature Healthcare - Brockton Hospital - Brockton, MA




Graduate teaching

Not-for-profit

210

16

11,217

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 93%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 137 0.84 0.00 Same

(HPRO) 0 118 1.19 0.00 Same

(HYST) 0 48 0.40

(VHYS) 0 4 0.05

(COLO) 2 68 1.76 1.14 Same



(CDI) 31 39,223 29.87 1.04 Same

(MRSA) 1 44,246 1.65 0.61 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






2 1,322 1.51 0.79 2.53 Same

0 1,174 0.00 0.71 0.00 Same

InfectionsCatheter

DaysRate

Predicted


0 2,294 0.00 5.24 0.00 Lower

7 2,417 2.90 5.48 1.28 SameMedical/surgical (0.55 - 2.52)







Medical/surgical (0 - 4.20)


246.00




77,499

Massachusetts Calendar Year 2015 HAI Data SummaryCape Cod Healthcare - Cape Cod Hospital - Hyannis, MA




Nonteaching

Not-for-profit

246

22

20,935

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 87%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 0 136 1.16 0.00 Same

(KPRO) 0 356 1.93 0.00 Same

(HPRO) 2 350 3.09 0.65 Same

(HYST) 1 69 0.47

(VHYS) 0 56 0.15

(COLO) 5 180 6.81 0.74 Same



(CDI) 43 75,545 56.93 0.76 Same





information.





information.












COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,137 0.00 0.69 0.00 Same

InfectionsCatheter

DaysRate

Predicted


4 1,717 2.33 2.44 1.64 Same








237.50




28,945

Massachusetts Calendar Year 2015 HAI Data SummaryCape Cod Healthcare - Falmouth Hospital - Falmouth, MA




Nonteaching

Not-for-profit

95

10

8,916

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 87%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 2 252 1.01 1.97 Same

(HPRO) 0 199 1.03 0.00 Same

(HYST) 1 35 0.24

(VHYS) 0 49 0.14

(COLO) 1 54 1.69 0.59 Same



(CDI) 15 27,731 17.38 0.86 Same

(MRSA) 3 28,945 1.27 2.36 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,794 0.00 1.32 0.00 Same

InfectionsCatheter

DaysRate

Predicted


3 3,096 0.97 7.80 0.39 Same








148.50




66,475

Massachusetts Calendar Year 2015 HAI Data SummaryBerkshire Health Systems - Berkshire Medical Center - Pittsfield, MA




Major teaching

Not-for-profit

297

20

15,218

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 84%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 288 1.61 0.00 Same

(HPRO) 0 281 2.36 0.00 Same

(HYST) 1 33 0.28

(VHYS) 0 19 0.11

(COLO) 1 120 3.14 0.32 Same



(CDI) 43 51,766 48.34 0.89 Same





information.





information.














CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






3 894 3.36 6.43 0.47 Same

8 4,284 1.87 3.78 2.12 Same

5 4,225 1.18 2.53 1.98 Same

6 4,336 1.38 4.92 1.22 Same

1 1,095 0.91 1.10 0.91 Same

2 3,254 0.61 1.68 1.19 Same

5 7,733 0.65 7.49 0.67 Same

2 1,753 1.14 2.12 0.94 Same

InfectionsCatheter

DaysRate

Predicted


3 882 3.40 7.80 0.38 Same

4 3,753 1.07 16.88 0.24 Lower

1 4,160 0.24 9.51 0.11 Lower

2 4,987 0.40 24.18 0.08 Lower

0 687 0.00 1.69 0.00 Same

26 5,091 5.11 27.71 0.94 Same

9 9,467 0.95 40.19 0.22 Lower



Surgical (0.10 - 0.41)




Medical (0.01 - 0.27)




Burn (0.09 - 1.04)

Surgical (0.24 - 1.48)

Neonatal (0.15 - 3.11)


Medical (0.49 - 2.53)

Pediatric medical/surgical (0.04 - 4.48)


Burn (0.11 - 1.26)



107.67




296,000

Massachusetts Calendar Year 2015 HAI Data SummaryMassachusetts General Hospital - Boston, MA




Major teaching

Not-for-profit

969

144

50,000

0

0.2

0.4

0.6

0.8

1

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 83%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 9 448 5.31 1.70 Same

(KPRO) 5 821 4.55 1.10 Same

(HPRO) 3 792 6.44 0.47 Same

(HYST) 5 587 4.30 1.16 Same

(VHYS) 0 100 0.66 0.00 Same

(COLO) 38 647 19.90 1.91 Higher



(CDI) 311 284,456 267.80 1.16 Higher

(MRSA) 19 302,004 27.70 0.69 Same



information.








Vaginal Hysterectomy (0 - 4.54)




information.







COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 714 0.00 0.43

InfectionsCatheter

DaysRate

Predicted


1 943 1.06 1.34 0.75 Same






Medical/surgical Not calculable


74.00




20,684

Massachusetts Calendar Year 2015 HAI Data SummarySouthcoast Health - Tobey Hospital - Wareham, MA




Nonteaching

Not-for-profit

74

10

5,302

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91%

71%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 73 0.32

(HPRO) 0 42 0.23

(HYST) 0 27 0.20

(VHYS) 0 14 0.05

(COLO) 0 23 0.54 0.00 Same



(CDI) 10 19,657 12.61 0.79 Same

(MRSA) 0 20,684 1.02 0.00 Same


information.



Staphylococcus aureus(0 - 2.92)







information.



Knee Prosthesis Not calculable

Hip Prosthesis Not calculable








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






2 3,724 0.54 2.26 0.89 Same

0 1,583 0.00 1.45 0.00 Same

InfectionsCatheter

DaysRate

Predicted


6 2,914 2.06 6.61 0.91 Same

1 1,504 0.66 6.38 0.16 Lower


Surgical (0.00 - 0.77)






Surgical (0 - 2.06)


280.67




91,140

Massachusetts Calendar Year 2015 HAI Data SummarySouthcoast Health - St. Luke's Hospital - New Bedford, MA




Nonteaching

Not-for-profit

421

24

17,852

0

0.2

0.4

0.6

0.8

1

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 89%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 140 0.74 1.35 Same

(HPRO) 3 158 1.30 2.31 Same

(HYST) 0 92 0.66 0.00 Same

(VHYS) 0 53 0.14

(COLO) 2 125 3.66 0.55 Same



(CDI) 61 85,529 67.63 0.90 Same





information.





information.





Abdominal Hysterectomy (0 - 4.55)









CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,317 0.00 1.16 0.00 Same

0 1,535 0.00 0.92 0.00 Same

1 1,737 0.58 0.30

InfectionsCatheter

DaysRate

Predicted


0 1,643 0.00 7.39 0.00 Lower

1 1,515 0.66 3.46 0.29 Same

0 2,098 0.00 4.30 0.00 Lower

Medical cardiac (0 - 0.40)


Medical (0 - 0.69)








Medical Not calculable

218.67




81,238

Massachusetts Calendar Year 2015 HAI Data SummarySouthcoast Health - Charlton Memorial Hospital - Fall River, MA




Nonteaching

Not-for-profit

328

24

15,887

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 88%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 1 229 2.46 0.41 Same

(KPRO) 0 208 0.90 0.00 Same

(HPRO) 0 139 0.97 0.00 Same

(HYST) 0 134 1.05 0.00 Same

(VHYS) 1 63 0.25

(COLO) 2 78 2.27 0.88 Same



(CDI) 49 68,699 53.52 0.92 Same

(MRSA) 3 74,822 3.45 0.87 Same



information.












information.







COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,038 0.00 0.63 0.00 Same

InfectionsCatheter

DaysRate

Predicted


3 1,697 1.77 2.41 1.25 Same








244.00




56,325

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Norwood Hospital - Norwood, MA




Nonteaching

For-profit

244

11

11,548

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 86%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

5.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 133 0.71 1.40 Same

(HPRO) 2 124 1.01 1.99 Same

(HYST) 0 52 0.41

(VHYS) 0 4 0.01

(COLO) 5 88 2.91 1.72 Same



(CDI) 34 34,162 26.14 1.30 Same

(MRSA) 0 35,350 1.57 0.00 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,078 0.00 0.65 0.00 Same

InfectionsCatheter

DaysRate

Predicted


0 1,809 0.00 2.57 0.00 Same








175.00




44,459

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Saint Anne's Hospital - Fall River, MA




Nonteaching

For-profit

175

12

8,967

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 86%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 4 358 1.21 3.31 Higher

(HPRO) 1 192 0.61 1.65 Same

(HYST) 0 9 0.06

(VHYS) 0 31 0.10

(COLO) 1 73 1.44 0.69 Same



(CDI) 44 35,316 26.77 1.64 Higher

(MRSA) 1 36,230 1.74 0.58 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






2 1,575 1.27 1.39 1.44 Same

5 5,401 0.93 3.23 1.55 Same

6 3,964 1.51 4.50 1.33 Same

5 4,807 1.04 4.65 1.08 Same

11 1,867 5.89 2.33 4.72 Higher

InfectionsCatheter

DaysRate

Predicted


2 2,107 0.95 9.48 0.21 Lower

3 5,978 0.50 13.66 0.22 Lower

6 4,551 1.32 22.07 0.27 Lower

20 8,873 2.25 37.67 0.53 Lower


Medical (0.11 - 0.56)

Surgical (0.33 - 0.80)






Surgical (0.39 - 2.38)

Neonatal (2.48 - 8.20)




Medical (0.54 - 2.77)

138.73




239,301

Massachusetts Calendar Year 2015 HAI Data SummaryBrigham and Women's Hospital - Boston, MA




Major teaching

Not-for-profit

763

156

53,542

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 90%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 1 468 5.88 0.17 Lower

(KPRO) 1 567 3.55 0.28 Same

(HPRO) 5 533 5.96 0.84 Same

(HYST) 1 429 3.57 0.28 Same

(VHYS) 1 64 0.36

(COLO) 25 649 21.41 1.17 Same



(CDI) 192 227,054 201.84 0.95 Same

(MRSA) 14 258,767 20.50 0.68 Same



information.












information.







COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 973 0.00 0.59 0.00 Same

InfectionsCatheter

DaysRate

Predicted


0 1,072 0.00 1.52 0.00 Same








110.00




24,355

Massachusetts Calendar Year 2015 HAI Data SummaryHolyoke Medical Center - Holyoke, MA




Nonteaching

Not-for-profit

198

10

5,868

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

5.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 80%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 90 0.43

(HPRO) 1 76 0.49

(HYST) 0 7 0.07

(VHYS) 0 9 0.04

(COLO) 1 50 1.30 0.77 Same



(CDI) 5 20,001 10.10 0.50 Same

(MRSA) 1 21,125 0.88 1.13 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






3 5,853 0.51 4.31 0.70 Same

3 260 11.54 0.33

InfectionsCatheter

DaysRate

Predicted


12 6,234 1.92 15.71 0.76 Same







Neonatal Not calculable


287.00




61,022

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - St. Elizabeth's Medical Center - Brighton, MA




Major teaching

For-profit

287

46

11,216

0

0.2

0.4

0.6

0.8

1

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 86%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 3 405 5.33 0.56 Same

(KPRO) 4 126 0.79 5.06 Higher

(HPRO) 2 83 0.68 2.95 Same

(HYST) 3 216 1.52 1.97 Same

(VHYS) 0 24 0.12

(COLO) 5 131 4.06 1.23 Same



(CDI) 40 47,999 43.01 0.93 Same

(MRSA) 3 53,698 2.94 1.02 Same



information.












information.







COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,254 0.00 0.76 0.00 Same

InfectionsCatheter

DaysRate

Predicted


0 1,893 0.00 4.29 0.00 Lower








195.00




47,163

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Holy Family Hospital - Methuen, MA




Nonteaching

For-profit

195

12

9,997

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 88%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 289 1.22 0.00 Same

(HPRO) 0 189 0.94 0.00 Same

(HYST) 0 41 0.27

(VHYS) 0 31 0.11

(COLO) 0 90 2.28 0.00 Same



(CDI) 24 36,566 25.46 0.94 Same

(MRSA) 2 40,132 1.59 1.26 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 883 1.13 0.54 1.87 Same

InfectionsCatheter

DaysRate

Predicted


0 1,227 0.00 2.78 0.00 Same








93.00




26,404

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Carney Hospital - Boston, MA




Graduate teaching

For-profit

93

8

4,869

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 89%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 46 0.20

(HPRO) 0 33 0.17

(HYST) 0 24 0.14

(VHYS) 0 4 0.03

(COLO) 2 47 0.94 2.14 Same



(CDI) 14 16,036 12.38 1.13 Same

(MRSA) 2 16,036 0.61 3.29 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 809 0.00 0.49

InfectionsCatheter

DaysRate

Predicted


3 1,291 2.32 1.83 1.64 Same








125.00




74,760

Massachusetts Calendar Year 2015 HAI Data SummaryNewton-Wellesley Hospital - Newton, MA




Nonteaching

Not-for-profit

250

12

20,149

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 87%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 413 2.32 0.00 Same

(HPRO) 5 656 4.65 1.08 Same

(HYST) 0 108 0.75 0.00 Same

(VHYS) 0 44 0.15

(COLO) 1 135 3.77 0.27 Same



(CDI) 31 62,635 44.77 0.69 Lower

(MRSA) 3 70,199 3.72 0.81 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






2 710 2.82 0.43

InfectionsCatheter

DaysRate

Predicted


2 1,103 1.81 1.57 1.28 Same








133.00




24,190

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Morton Hospital - Taunton, MA




Nonteaching

For-profit

133

12

5,775

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 90%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 3 141 0.78 3.87 Same

(HPRO) 1 60 0.37

(HYST) 0 10 0.09

(VHYS) 0 1 0.01

(COLO) 0 93 2.35 0.00 Same



(CDI) 14 23,054 16.51 0.85 Same

(MRSA) 1 23,054 1.43 0.70 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 1,975 0.51 1.20 0.83 Same

InfectionsCatheter

DaysRate

Predicted


7 3,335 2.10 7.56 0.93 Same








6.68




72,326

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Good Samaritan Medical Center - Brockton, MA




Nonteaching

For-profit

267

18

17,284

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 92%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 251 1.08 0.00 Same

(HPRO) 1 159 0.99 1.01 Same

(HYST) 0 68 0.43

(VHYS) 0 115 0.28

(COLO) 3 169 5.34 0.56 Same



(CDI) 45 51,634 40.40 1.11 Same

(MRSA) 1 55,636 2.53 0.40 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 2,012 0.50 1.77 0.56 Same

8 3,129 2.56 3.55 2.25 Higher

0 102 0.00 0.10

1 2,784 0.36 2.69 0.37 Same

0 1,299 0.00 0.15

1 840 1.19 1.14 0.88 Same

InfectionsCatheter

DaysRate

Predicted


3 1,492 2.01 6.71 0.45 Same

12 3,005 3.99 14.57 0.82 Same

0 68 0.00 0.17

9 2,608 3.45 11.07 0.81 Same

10 1,686 5.93 14.47 0.69 Same

Surgical (0.39 - 1.49)

Trauma (0.35 - 1.23)



Medical (0.44 - 1.4)






Surgical (0.01 - 1.83)


Neonatal (0.04 - 4.34)


Medical (1.04 - 4.27)


120.50




138,554

Massachusetts Calendar Year 2015 HAI Data SummaryBoston Medical Center - Boston, MA




Major teaching

Not-for-profit

482

86

35,737

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 93%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Pediatric

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 0 101 1.26 0.00 Same

(KPRO) 0 72 0.44

(HPRO) 0 83 0.74 0.00 Same

(HYST) 2 206 2.26 0.88 Same

(VHYS) 0 45 0.40

(COLO) 5 139 4.67 1.07 Same



(CDI) 118 126,600 114.27 1.03 Same

(MRSA) 8 137,666 12.68 0.63 Same


information.










information.










COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,263 0.00 0.77 0.00 Same

InfectionsCatheter

DaysRate

Predicted


1 1,940 0.52 2.75 0.36 Same

44,054

Massachusetts Calendar Year 2015 HAI Data SummaryBeth Israel Deaconess Hospital - Plymouth - Plymouth, MA




Graduate teaching

Not-for-profit

155

13

9,457

77.50











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 155 0.75 0.00 Same

(HPRO) 1 174 1.14 0.88 Same

(HYST) 0 29 0.23

(VHYS) 0 15 0.08

(COLO) 0 86 1.94 0.00 Same



(CDI) 37 35,441 31.67 1.17 Same

(MRSA) 1 38,721 1.57 0.64 Same












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 736 0.00 0.45

InfectionsCatheter

DaysRate

Predicted


1 1,573 0.64 2.23 0.45 Same

50,103

Massachusetts Calendar Year 2015 HAI Data SummaryLahey Health - Winchester Hospital - Winchester, MA




Graduate teaching

Not-for-profit

189

10

12,968

94.50











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 380 1.84 0.00 Same

(HPRO) 0 216 1.19 0.00 Same

(HYST) 1 48 0.30

(VHYS) 0 10 0.07

(COLO) 6 137 2.90 2.07 Same



(CDI) 26 47,837 37.90 0.69 Lower

(MRSA) 1 56,174 2.32 0.43 Same












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 1,098 0.91 0.67 1.50 Same

InfectionsCatheter

DaysRate

Predicted


2 1,385 1.44 1.97 1.02 Same








177.00




40,069

Massachusetts Calendar Year 2015 HAI Data SummaryEmerson Hospital - Concord, MA




Nonteaching

Not-for-profit

177

14

6,496

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 93%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 230 1.04 0.00 Same

(HPRO) 0 157 1.03 0.00 Same

(HYST) 0 13 0.08

(VHYS) 0 18 0.05

(COLO) 1 51 1.24 0.80 Same



(CDI) 13 26,828 22.62 0.58 Lower

(MRSA) 0 31,225 1.51 0.00 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






3 3,138 0.96 1.91 1.58 Same

InfectionsCatheter

DaysRate

Predicted


1 3,254 0.31 4.62 0.22 Same








117.08




94,252

Massachusetts Calendar Year 2015 HAI Data SummaryLowell General Hospital - Main Campus - Lowell, MA




Nonteaching

Not-for-profit

281

22

22,353

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 99%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 4 582 3.11 1.28 Same

(HPRO) 1 271 2.12 0.47 Same

(HYST) 0 22 0.16

(VHYS) 0 20 0.05

(COLO) 0 121 3.55 0.00 Lower



(CDI) 25 67,793 39.26 0.64 Lower

(MRSA) 2 77,248 3.30 0.61 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,084 0.00 0.96 0.00 Same

1 1,318 0.76 0.79 1.27 Same

5 4,679 1.07 5.31 0.94 Same

6 4,179 1.44 4.04 1.48 Same

InfectionsCatheter

DaysRate

Predicted


1 1,344 0.74 6.05 0.17 Lower

0 1,397 0.00 3.19 0.00 Lower

8 5,200 1.54 25.21 0.32 Lower

10 4,384 2.28 18.61 0.54 Lower

Medical (0.14 - 0.60)

Surgical (0.27 - 0.95)



Surgical (0.60 - 3.08)








Medical (0.34 - 2.08)

172.50




111,075

Massachusetts Calendar Year 2015 HAI Data SummaryLahey Health - Lahey Hospital & Medical Center - Burlington, MA




Major teaching

Not-for-profit

345

54

22,925

0

0.2

0.4

0.6

0.8

1

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 94%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 0 311 3.91 0.00 Lower

(KPRO) 0 494 3.14 0.00 Lower

(HPRO) 2 475 4.52 0.44 Same

(HYST) 3 178 2.24 1.34 Same

(VHYS) 0 44 0.29

(COLO) 7 417 13.82 0.51 Same



(CDI) 103 111,075 103.96 0.99 Same

(MRSA) 4 111,075 6.08 0.66 Same


information.










information.










COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 434 0.00 0.26

InfectionsCatheter

DaysRate

Predicted


1 909 1.10 1.29 0.78 Same








111.00




26,420

Massachusetts Calendar Year 2015 HAI Data SummaryAnna Jaques Hospital - Newburyport, MA




Nonteaching

Not-for-profit

111

8

6,898

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 2 148 0.59 3.38 Same

(HPRO) 2 106 0.58 3.46 Same

(HYST) 0 13 0.09

(VHYS) 0 27 0.10

(COLO) 3 53 1.32 2.28 Same



(CDI) 16 31,963 23.26 0.69 Same

(MRSA) 0 35,191 1.37 0.00 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 278 0.00 0.05

InfectionsCatheter

DaysRate

Predicted


1 958 1.04 1.96 0.51 Same




Medical (0.02 - 2.51)




134.00




28,604

Massachusetts Calendar Year 2015 HAI Data SummaryHeywood Hospital - Gardner, MA




Nonteaching

Not-for-profit

134

6

618

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

2.0

4.0

6.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 93%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 80 0.45

(HPRO) 0 81 0.59 0.00 Same

(HYST) 0 11 0.07

(VHYS) 0 45 0.15

(COLO) 0 32 0.64 0.00 Same



(CDI) 9 25,707 11.37 0.79 Same

(MRSA) 1 28,074 1.07 0.94 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds





InfectionsSIR

14 7,713 1.82 9.60 1.46

7 5,946 1.18 5.97 1.17

4 1,475 2.71 1.47 2.72

5 3,411 1.47 3.96 1.26

InfectionsCatheter

DaysRate

Predicted

InfectionsSIR

1 2,243 0.45 3.85 0.26

2 3,064 0.65 7.55 0.27

0 385 0.00 1.32 0.00



Pediatric cardiothoracic (0.01 - 1.28)


Pediatric medical (0 - 2.27)


Neonatal (0.46 - 2.80)



Pediatric cardiothoracic (0.83 - 2.38)


Pediatric medical (0.86 - 6.56)

79.60




124,926

Massachusetts Calendar Year 2015 HAI Data SummaryBoston Children's Hospital - Boston, MA




Major teaching

Not-for-profit

398

95

23,587

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Neonatal

Pediatric

0.0

0.5

1.0

1.5

2.0

2.5

2011 2012 2013 2014 2015

SIR

91% 96%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.1

0.2

0.3

2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Pediatric

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR


InfectionsSIR

(COLO) 1 21 0.78 1.28


InfectionsSIR

(CDI) 108 116,979 105.16 1.03

(MRSA) 8 124,467 6.55 1.22



information.











information.






2015

COLO




CDI MRSA

Interpretation

Same

Same

Same

Same

Interpretation

Same

Lower

Same


Hospital & State CAUTI SIRs Compared to National Average

Hospital & State CLABSI SIRs Compared to National Average




Massachusetts Calendar Year 2015 HAI Data SummaryBoston Children's Hospital - Boston, MA

HCP Influenza Vaccination Coverage

State v. Hospital, 2015-2016 Season

Hospital

State

Unknown status


Declined vaccine

Vaccine coverage

Hospital

State

Interpretation

Same

Interpretation

Same

Same



information.





information.




Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 934 1.07 0.57 1.76 Same

InfectionsCatheter

DaysRate

Predicted


6 2,448 2.45 3.48 1.73 Same








143.00




32,160

Massachusetts Calendar Year 2015 HAI Data SummaryUMass Memorial Health Care - HealthAlliance Hospital - Leominster, MA




Graduate teaching

Not-for-profit

143

10

7,302

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 79%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 2 151 0.72 2.78 Same

(HPRO) 1 105 0.84 1.20 Same

(HYST) 0 50 0.38

(VHYS) 0 1 0.00

(COLO) 3 56 1.18 2.55 Same



(CDI) 31 29,847 23.25 1.33 Same

(MRSA) 2 32,077 1.39 1.44 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,334 0.00 1.51 0.00 Same

1 1,821 0.55 1.76 0.57 Same

InfectionsCatheter

DaysRate

Predicted


3 1,593 1.88 7.72 0.39 Same

2 1,693 1.18 7.19 0.28 LowerSurgical (0.04 - 0.91)





Medical (0.09 - 1.05)

Medical (0 - 1.97)

Surgical (0.02 - 2.79)


81.60




64,123

Massachusetts Calendar Year 2015 HAI Data SummaryMount Auburn Hospital - Cambridge, MA




Major teaching

Not-for-profit

204

20

20,025

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 92%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 1 142 1.93 0.52 Same

(KPRO) 0 203 1.27 0.00 Same

(HPRO) 1 178 1.90 0.53 Same

(HYST) 1 131 1.21 0.83 Same

(VHYS) 0 35 0.28

(COLO) 2 90 3.03 0.66 Same



(CDI) 58 56,687 48.01 1.21 Same





information.





information.












COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






3 580 5.17 4.17 0.72 Same

InfectionsCatheter

DaysRate

Predicted


0 274 0.00 2.42 0.00 Same




Burn (0 - 1.23)


Burn (0.18 - 1.95)


30.00




3,087

Massachusetts Calendar Year 2015 HAI Data SummaryShriners Hospital for Children - Boston - Boston, MA




Graduate teaching

Not-for-profit

30

6

1,091

0

0.5

1

1.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 90%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2012 2013 2014 2015

SIR

Hospital

State



(CDI) 0 2,638 1.26 0.00 Same

(MRSA) 1 2,638 0.09


information.

Clostridium difficile (0 - 2.37)


Staphylococcus aureusNot calculable








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 172 0.00 0.10

InfectionsCatheter

DaysRate

Predicted


0 448 0.00 0.64 0.00 Same








82.00




16,953

Massachusetts Calendar Year 2015 HAI Data SummaryNoble Hospital - Westfield, MA




Nonteaching

Not-for-profit

82

6

3,053

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 89%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 52 0.34

(HPRO) 0 28 0.32

(COLO) 0 14 0.37



(CDI) 2 7,310 4.71 0.43 Same

(MRSA) 0 7,310 0.32



information.









Colon Surgery Not calculable



information.







CDI MRSA

COLO




HPRO KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 718 0.00 0.44

InfectionsCatheter

DaysRate

Predicted


3 1,100 2.73 1.56 1.92 Same








118.00




24,282

Massachusetts Calendar Year 2015 HAI Data SummaryNew England Baptist Hospital - Boston, MA




Graduate teaching

Not-for-profit

118

10

8,139

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 90%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 7 3,421 18.88 0.37 Lower

(HPRO) 3 2691 15.70 0.19 Lower

(COLO) 0 2 0.07



(CDI) 8 32,557 21.52 0.37 Lower

(MRSA) 0 32,557 1.27 0.00 Same



information.












information.







CDI MRSA

COLO




HPRO KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 420 0.00 0.25

InfectionsCatheter

DaysRate

Predicted


0 637 0.00 0.90 0.00 Same








98.00




18,952

Massachusetts Calendar Year 2015 HAI Data SummaryHallmark Health System - Lawrence Memorial Hospital of Medford - Medford, MA




Nonteaching

Not-for-profit

98

10

2,899

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 21 0.12

(HPRO) 0 9 0.06

(COLO) 1 21 0.55 1.82 Same



(CDI) 12 10,645 5.82 2.06 Higher

(MRSA) 1 10,645 0.52 1.93 Same



information.












information.







CDI MRSA

COLO




HPRO KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 1,128 0.89 0.68 1.46 Same

InfectionsCatheter

DaysRate

Predicted


2 1,037 1.93 1.47 1.36 Same








125.00




25,850

Massachusetts Calendar Year 2015 HAI Data SummaryLowell General Hospital - Saints Campus - Lowell, MA




Nonteaching

Not-for-profit

75

10

5,195

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 98%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2012 2013 2014 2015

SIR

Hospital

State



(HYST) 0 2 0.02

(COLO) 0 24 0.61 0.00 Same



(CDI) 5 20,586 9.89 0.51 Same

(MRSA) 1 20,586 0.97 1.03 Same


information.










information.









CDI MRSA

COLO




HPRO HYST KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






(CDI) 0 3,914 1.60 0.00 Same

(MRSA) 0 5,556 0.20


information.





41.00




9,354

Massachusetts Calendar Year 2015 HAI Data SummaryUMass Memorial Health Care - Clinton Hospital - Clinton, MA




Nonteaching

Not-for-profit

41

0

1,043 91% 81%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital




CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 814 0.00 0.60 0.00 Same

InfectionsCatheter

DaysRate

Predicted


1 1,689 0.59 4.26 0.24 Same






Medical/surgical (0 - 5)


75.63




28,048

Massachusetts Calendar Year 2015 HAI Data SummaryMilford Regional Medical Center - Milford, MA




Major teaching

Not-for-profit

121

10

7,965

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 87%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 97 0.62 0.00 Same

(HPRO) 1 97 0.80 1.25 Same

(HYST) 0 89 0.58 0.00 Same

(VHYS) 0 12 0.10

(COLO) 2 73 1.61 1.24 Same



(CDI) 35 29,794 22.29 1.57 Higher

(MRSA) 0 30,945 2.02 0.00 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 222 0.00 0.13

InfectionsCatheter

DaysRate

Predicted


0 723 0.00 1.03 0.00 Same








112.50




20,442

Massachusetts Calendar Year 2015 HAI Data SummaryBaystate Franklin Medical Center - Greenfield, MA




Nonteaching

Not-for-profit

90

6

5,103

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 82%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 49 0.20

(HPRO) 0 34 0.19

(HYST) 0 26 0.19

(VHYS) 0 31 0.12

(COLO) 0 34 0.91 0.00 Same



(CDI) 11 19,127 11.02 1.00 Same

(MRSA) 0 20,442 0.73 0.00 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 1,142 0.88 0.69 1.44 Same

InfectionsCatheter

DaysRate

Predicted


4 2,564 1.56 3.64 1.10 Same








94.50




50,994

Massachusetts Calendar Year 2015 HAI Data SummaryLawrence General Hospital - Lawrence, MA




Nonteaching

Not-for-profit

189

19

15,535

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 93%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 56 0.28

(HPRO) 0 53 0.39

(HYST) 1 34 0.24

(VHYS) 0 13 0.05

(COLO) 1 53 1.39 0.72 Same



(CDI) 58 46,124 33.27 1.74 Higher

(MRSA) 3 49,547 2.42 1.24 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,079 0.00 0.95 0.00 Same

0 1,410 0.00 0.86 0.00 Same

1 1,361 0.73 1.25 0.80 Same

1 462 2.16 0.47

InfectionsCatheter

DaysRate

Predicted


0 1,373 0.00 6.18 0.00 Lower

0 1,810 0.00 2.57 0.00 Same

5 1,836 2.72 7.79 0.64 SameSurgical (0.23 - 1.42)



Neonatal Not calculable








Surgical (0.04 - 3.94)

217.00




112,918

Massachusetts Calendar Year 2015 HAI Data SummarySouth Shore Hospital - South Weymouth, MA




Graduate teaching

Not-for-profit

434

54

27,255

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Neonatal

State (Adult)

0.0

1.0

2.0

3.0

4.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 83%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 339 2.11 0.00 Same

(HPRO) 3 318 2.58 1.16 Same

(HYST) 3 341 2.68 1.12 Same

(VHYS) 1 27 0.17

(COLO) 7 180 5.75 1.22 Same



(CDI) 62 112,018 94.29 0.66 Lower

(MRSA) 5 127,410 7.15 0.70 Same



information.












information.






COLO




HPRO HYST VHYS VHYS




CDI MRSA

KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






(KPRO) 0 29 0.11

(HPRO) 0 26 0.10

(HYST) 0 2 0.01

(VHYS) 0 1 0.00


information.







21.00



5,712

Massachusetts Calendar Year 2015 HAI Data SummaryMartha's Vineyard Hospital - Oak Bluffs, MA




Nonteaching

Not-for-profit

21

3

1,318 91% 85%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 614 0.00 0.37

InfectionsCatheter

DaysRate

Predicted


1 819 1.22 1.16 0.86 Same








70.00




31,538

Massachusetts Calendar Year 2015 HAI Data SummaryCooley Dickinson Hospital - Northampton, MA




Nonteaching

Not-for-profit

140

11

9,151

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 238 1.00 1.00 Same

(HPRO) 1 144 0.91 1.10 Same

(HYST) 0 59 0.51 0.00 Same

(VHYS) 0 12 0.03

(COLO) 2 66 1.73 1.16 Same



(CDI) 21 24,072 18.37 1.14 Same

(MRSA) 0 25,599 1.22 0.00 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 415 0.00 0.25

InfectionsCatheter

DaysRate

Predicted


2 985 2.03 1.40 1.43 Same








58.00




7,800

Massachusetts Calendar Year 2015 HAI Data SummaryBeth Israel Deaconess Hospital - Needham - Needham, MA




Nonteaching

Not-for-profit

58

7

4,152

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 98%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 34 0.17

(HPRO) 0 52 0.40

(COLO) 0 20 0.53 0.00 Same



(CDI) 8 11,692 7.86 1.02 Same

(MRSA) 1 11,692 0.47



information.












information.







CDI MRSA

COLO




HPRO KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 451 0.00 0.33

InfectionsCatheter

DaysRate

Predicted


1 1,049 0.95 2.64 0.38 Same








79.00




19,263

Massachusetts Calendar Year 2015 HAI Data SummaryUMass Memorial Health Care - Marlborough Hospital - Marlborough, MA




Major teaching

Not-for-profit

79

10

5,017

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 96%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 83 0.45

(HPRO) 0 50 0.34

(COLO) 0 10 0.18



(CDI) 12 19,272 15.03 0.80 Same

(MRSA) 0 19,272 1.05 0.00 Same



information.












information.







CDI MRSA

COLO




HPRO KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 538 1.86 0.40

InfectionsCatheter

DaysRate

Predicted


0 1,061 0.00 2.67 0.00 Same








138.00




36,660

Massachusetts Calendar Year 2015 HAI Data SummaryBrigham and Women's - Faulkner Hospital - Boston, MA




Major teaching

Not-for-profit

138

12

10,723

0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 96%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 444 1.87 0.53 Same

(HPRO) 1 192 0.98 1.02 Same

(HYST) 0 40 0.33

(VHYS) 0 12 0.09

(COLO) 1 38 0.86 1.17 Same



(CDI) 28 31,252 27.08 1.03 Same

(MRSA) 1 31,252 1.73 0.58 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 1,474 0.00 1.30 0.00 Same

2 3,060 0.65 1.83 1.09 Same

2 3,378 0.59 3.83 0.52 Same

1 2,119 0.47 1.56 0.64 Same

2 2,712 0.74 2.63 0.76 Same

0 1,778 0.00 0.20

1 1,654 0.60 1.91 0.52 Same

InfectionsCatheter

DaysRate

Predicted


6 1,641 3.66 7.38 0.81 Same

1 2,973 0.34 6.79 0.15 Lower

4 3,922 1.02 19.02 0.21 Lower

1 2,203 0.45 5.55 0.18 Lower

23 3,791 6.07 16.09 1.43 Same

11 2,523 4.36 21.66 0.51 LowerTrauma (0.26 - 0.88)


Medical (0.06 - 0.50)


Surgical (0.92 - 2.11)


Neonatal (0.02 - 2.58)







Surgical (0.12 - 2.51)




Medical (0.08 - 1.72)

147.20




226,733

Massachusetts Calendar Year 2015 HAI Data SummaryBeth Israel Deaconess Medical Center - Boston, MA




Major teaching

Not-for-profit

736

124

44,952

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 94%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 4 551 6.49 0.62 Same

(KPRO) 5 414 2.63 1.90 Same

(HPRO) 4 377 4.11 0.97 Same

(HYST) 1 429 3.18 0.31 Same

(VHYS) 0 78 0.54 0.00 Same

(COLO) 19 506 13.84 1.37 Same



(CDI) 162 188,087 172.15 0.94 Same





information.





information.












COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 259 0.00 0.16

InfectionsCatheter

DaysRate

Predicted


1 436 2.29 0.62 1.62 Same








114.00




4,219

Massachusetts Calendar Year 2015 HAI Data SummaryHarrington Memorial Hospital - Southbridge, MA




0

Not-for-profit

114

6

1,037

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 88%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 72 0.36

(HPRO) 0 44 0.25

(HYST) 0 5 0.04

(VHYS) 0 5 0.02

(COLO) 0 31 0.60 0.00 Same



(CDI) 6 17,362 13.08 0.46 Lower

(MRSA) 3 18,052 0.65 4.64 Higher


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






(KPRO) 0 25 0.13

(HPRO) 0 10 0.06

(HYST) 0 12 0.11

(VHYS) 0 4 0.02

(COLO) 0 5 0.19



(CDI) 1 1,890 1.39 0.72 Same

(MRSA) 0 2,632 0.12


information.










information.






25.00




2,632

Massachusetts Calendar Year 2015 HAI Data SummaryBaystate Mary Lane Hospital - Ware, MA




Nonteaching

Not-for-profit

25

4

968 91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital




CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






5 691 7.24 0.42

InfectionsCatheter

DaysRate

Predicted


7 767 9.13 1.09 6.43 Higher








251.00




46,198

Massachusetts Calendar Year 2015 HAI Data SummaryMercy Medical Center - Springfield, MA




0

Not-for-profit

251

16

11,656

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

2.0

4.0

6.0

8.0

10.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 92%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

2.0

4.0

6.0

8.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 2 162 0.97 2.06 Same

(HPRO) 2 128 1.42 1.41 Same

(HYST) 1 66 0.48

(VHYS) 0 16 0.10

(COLO) 14 162 4.63 3.02 Higher



(CDI) 25 43,054 27.03 0.93 Same

(MRSA) 4 46,198 2.35 1.70 Same


information.










information.












CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 686 0.00 0.41

3 2,431 1.23 1.79 1.68 Same

InfectionsCatheter

DaysRate

Predicted


0 544 0.00 1.24 0.00 Same

2 2,609 0.77 6.57 0.30 SameMedical/surgical (0.05 - 1.00)






Surgical cardiothoracic Not calculable



67.75




73,260

Massachusetts Calendar Year 2015 HAI Data SummaryNorth Shore Medical Center - Salem Hospital - Salem, MA




Major teaching

Not-for-profit

271

40

14,490

0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 0 119 1.35 0.00 Same

(KPRO) 1 226 1.27 0.79 Same

(HPRO) 2 209 1.88 1.07 Same

(HYST) 1 68 0.56 1.78 Same

(VHYS) 0 62 0.51 0.00 Same

(COLO) 3 157 4.75 0.63 Same



(CDI) 73 59,021 65.94 1.11 Same





information.





information.












COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 1,194 0.84 0.20

InfectionsCatheter

DaysRate

Predicted


0 2,466 0.00 5.05 0.00 Lower

33,651

Massachusetts Calendar Year 2015 HAI Data SummarySturdy Memorial Hospital - Attleboro, MA




Nonteaching

Not-for-profit

128

14

8,391

128.00









Medical (0 - 0.59)


0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 94%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 154 0.71 1.42 Same

(HPRO) 1 94 0.58 1.72 Same

(HYST) 0 136 0.83 0.00 Same

(VHYS) 1 35 0.12

(COLO) 1 63 1.56 0.64 Same



(CDI) 24 31,436 22.16 1.08 Same

(MRSA) 1 33,651 1.54 0.65 Same












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 657 1.52 0.40

InfectionsCatheter

DaysRate

Predicted


5 1,836 2.72 2.61 1.92 Same








147.00




25,406

Massachusetts Calendar Year 2015 HAI Data SummaryMetroWest Medical Center - Framingham Union Hospital - Framingham, MA




Graduate teaching

For-profit

147

14

6,762

0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(HYST) 0 39 0.35

(VHYS) 0 2 0.01

(COLO) 1 70 1.68 0.59 Same



(CDI) 20 25,843 22.43 0.89 Same

(MRSA) 4 28,680 1.41 2.83 Same



information.












information.







CDI MRSA

COLO




VHYS VHYS HYST


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 25 0.00 0.02

InfectionsCatheter

DaysRate

Predicted


0 115 0.00 0.16

3,543

Massachusetts Calendar Year 2015 HAI Data SummaryBerkshire Health Systems - Fairview Hospital - Great Barrington, MA




Nonteaching

Not-for-profit

25

4

829

25.00











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 90%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 22 0.11

(HPRO) 0 7 0.03

(HYST) 0 3 0.02

(VHYS) 0 3 0.01

(COLO) 0 6 0.14



(CDI) 0 3,425 1.85 0.00 Same

(MRSA) 0 3,425 0.12












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






(CDI) 1 2,167 0.00

(MRSA) 0 2,343 0.08

2,803

Massachusetts Calendar Year 2015 HAI Data SummaryNantucket Cottage Hospital - Nantucket, MA




Nonteaching

Not-for-profit

19

0

936

19.00





information.

Clostridium difficile Not calculable




91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital




CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 439 2.28 0.27

InfectionsCatheter

DaysRate

Predicted


2 719 2.78 1.02 1.96 Same

32,483

Massachusetts Calendar Year 2015 HAI Data SummaryCambridge Health Alliance - Cambridge Hospital - Cambridge, MA




Graduate teaching

Not-for-profit

145

6

8,066

145.00











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 96%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 1 60 0.32

(HPRO) 3 44 0.39

(HYST) 0 34 0.36

(VHYS) 0 14 0.14

(COLO) 1 25 0.75 1.34 Same



(CDI) 19 28,829 22.33 0.85 Same

(MRSA) 1 31,177 1.47 0.68 Same












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 532 0.00 0.32

InfectionsCatheter

DaysRate

Predicted


1 936 1.07 1.33 0.75 Same

27,049

Massachusetts Calendar Year 2015 HAI Data SummaryCambridge Health Alliance - Whidden Hospital - Everett, MA




Graduate teaching

Not-for-profit

94

6

5,634

94.00











0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 96%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2012 2013 2014 2015

SIR

Hospital

State



(COLO) 0 15 0.39



(CDI) 13 25,538 17.67 0.74 Same

(MRSA) 0 25,538 1.13 0.00 Same








information.








information.




CDI MRSA




2011

2013

2014

COLO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 389 2.57 0.24

InfectionsCatheter

DaysRate

Predicted


0 604 0.00 0.86 0.00 Same

23,922

Massachusetts Calendar Year 2015 HAI Data SummaryBeth Israel Deaconess Hospital - Milton - Milton, MA




Nonteaching

Not-for-profit

88

8

4,884

110.00











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 305 1.28 0.00 Same

(HPRO) 0 200 0.97 0.00 Same

(HYST) 0 17 0.16

(VHYS) 0 2 0.01

(COLO) 2 100 2.46 0.81 Same



(CDI) 36 23,902 17.26 2.09 Higher

(MRSA) 0 23,902 1.36 0.00 Same












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






(COLO) 0 1 0.03



(CDI) 1 3,427 1.51 0.66 Same

(MRSA) 0 3,427 0.17

3,427

Massachusetts Calendar Year 2015 HAI Data SummaryAthol Memorial Hospital - Athol, MA




Nonteaching

Not-for-profit

25

0

711

50.00








information.








information.

91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital




2015

CDI MRSA




#REF!

COLO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 96 0.00 0.06

InfectionsCatheter

DaysRate

Predicted


0 321 0.00 0.73 0.00 Same

10,957

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Nashoba Valley Medical Center - Ayer, MA




Nonteaching

For-profit

73

6

1,983

73.00











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 87%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 32 0.20

(HPRO) 0 34 0.25

(HYST) 0 4 0.05

(COLO) 0 18 0.48



(CDI) 8 5,274 4.03 1.98 Same

(MRSA) 0 5,271 0.37











information.








information.




CDI MRSA




HPRO HYST KPRO COLO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 925 1.08 0.56 1.78 Same

InfectionsCatheter

DaysRate

Predicted


0 1,410 0.00 2.00 0.00 Same

44,742

Massachusetts Calendar Year 2015 HAI Data SummaryHallmark Health System - Melrose-Wakefield Hospital - Melrose, MA




Nonteaching

Not-for-profit

198

12

8,769

198.00











0

0.2

0.4

0.6

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 146 0.70 0.00 Same

(HPRO) 1 112 0.71 1.41 Same

(HYST) 0 58 0.39

(VHYS) 0 28 0.07

(COLO) 6 96 2.79 2.15 Same



(CDI) 31 36,540 21.96 1.41 Same

(MRSA) 1 40,327 1.49 0.67 Same












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 423 0.00 0.26

InfectionsCatheter

DaysRate

Predicted


0 931 0.00 1.32 0.00 Same

17,962

Massachusetts Calendar Year 2015 HAI Data SummarySteward Health Care - Holy Family Hospital at Merrimack Valley - Haverhill, MA




Nonteaching

For-profit

83

6

3,214

83.00











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 82%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(CDI) 7 9,733 7.01 1.00 Same

(MRSA) 0 9,733 0.43





information.








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 188 0.00 0.11

InfectionsCatheter

DaysRate

Predicted


1 927 1.08 1.32 0.76 Same

29,295

Massachusetts Calendar Year 2015 HAI Data SummaryMetroWest Medical Center - Leonard Morse Hospital - Natick, MA




Graduate teaching

For-profit

152

10

2,332

152.00











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 97%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 122 0.62 0.00 Same

(HPRO) 5 112 0.90 5.53 Higher

(HYST) 0 2 0.03

(VHYS) 0 1 0.00

(COLO) 0 17 0.36



(CDI) 5 13,826 12.61 0.40 Lower

(MRSA) 0 13,826 0.65 0.00 Same












information.




information.








CDI MRSA

COLO






Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






1 3,294 0.30 2.42 0.41 Same

InfectionsCatheter

DaysRate

Predicted


1 4,699 0.21 11.84 0.08 Lower

72,282

Massachusetts Calendar Year 2015 HAI Data SummarySaint Vincent Hospital - Worcester, MA




Major teaching

For-profit

304

24

17,236

152.00











0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 94%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(CABG) 0 102 1.01 0.00 Same

(KPRO) 1 500 3.40 0.29 Same

(HPRO) 0 463 4.16 0.00 Lower

(HYST) 2 95 0.77 2.60 Same

(VHYS) 0 44 0.38

(COLO) 0 130 3.41 0.00 Lower



(CDI) 64 81,162 81.30 0.79 Lower

(MRSA) 7 87,386 5.79 1.21 Same













information.




information.





COLO








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 345 0.00 0.21

InfectionsCatheter

DaysRate

Predicted


0 551 0.00 1.25 0.00 Same

16,294

Massachusetts Calendar Year 2015 HAI Data SummaryBaystate Wing Hospital - Palmer, MA




Nonteaching

Not-for-profit

74

6

2,839

74.00











0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 6 0.03

(HPRO) 0 8 0.05

(COLO) 2 14 0.44



(CDI) 4 8,105 4.48 0.89 Same

(MRSA) 1 10,718 0.42










information.



information.









CDI MRSA

COLO




HPRO KPRO


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 142 0.00 0.02

InfectionsCatheter

DaysRate

Predicted


0 268 0.00 0.55 0.00 Same

12,651

Massachusetts Calendar Year 2015 HAI Data SummaryLahey Health - Addison Gilbert Hospital - Gloucester, MA




Nonteaching

Not-for-profit

79

8

3,279

39.50









Medical (0 - 5.45)


0

0.1

0.2

0.3

0.4

0.5

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 89%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(CDI) 7 12,527 7.10 0.99 Same

(MRSA) 0 12,527 0.49





information.








CDI MRSA


Hospital Type

Profit Status

Number of Beds

Number of ICU Beds






0 862 0.00 0.63 0.00 Same

InfectionsCatheter

DaysRate

Predicted


0 913 0.00 2.30 0.00 Same

27,951

Massachusetts Calendar Year 2015 HAI Data SummaryNorth Shore Medical Center - Union Hospital - Lynn, MA




Major teaching

Not-for-profit

147

12

4,494

147.00











0

0.2

0.4

0.6

0.8

2011 2012 2013 2014 2015

Uti

liza

tio

n R

ati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2011 2012 2013 2014 2015

SIR

Hospital

State

91% 95%

50%

60%

70%

80%

90%

100%Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0

0.2

0.4

0.6

0.8

1

2012 2013 2014 2015

Uti

lizati

on

Rati

o

Adult

State (Adult)

0.0

0.5

1.0

1.5

2012 2013 2014 2015

SIR

Hospital

State



(KPRO) 0 245 1.12 0.00 Same

(HPRO) 0 82 0.43

(HYST) 0 3 0.03

(VHYS) 0 4 0.02

(COLO) 0 4 0.09



(CDI) 19 16,895 17.64 1.08 Same

(MRSA) 1 16,895 1.16 0.87 Same












information.




information.








CDI MRSA

COLO





Documents

OrgID Hospital Name Hospital System Hospital System & Namepatientcarelink.org/wp-content/uploads/2017/01/HAI-CY2015-Hospita… · 13000 Beth Israel Deaconess Medical Center Beth Israel