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Healthcare-Associated Infections (HAIs)

Facts & Figures

The CDC estimates that 5 percent of all hospital admissions result in infections that patients acquire during their stay while receiving treatment for other conditions, culminating in 1.7 million infections and 99,000 deaths each year as well as $28–$33 billion in excess costs. A recent article by Anderson and colleagues estimated that HAIs in North Carolina cost $124-$348 million each year in direct expenditures.

North Carolina's current surveillance and prevention efforts focus on central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), abdominal hysterectomy and colon surgical site infections (SSIs), laboratory-identified Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia, and laboratory-identified Clostridium difficile (C. diff). The first hospital-specific estimates of select HAI infections in short-term acute care hospitals were published in January 2013.

HAIs are reported to DPH via the U.S. Centers for Disease Control & Prevention (CDC) National Healthcare Safety Network (NHSN) External link in accordance with the U.S. Centers for Medicare & Medicaid Services (CMS) inpatient prospective payment system rules. The current CMS-IPPS rules are available on the CMS-IPPS website at www.cms.gov/Center/Provider-Type/Hospital-Center.html External link (Scroll down to the "Payment" section under "Important Links").

Reports

The N.C. HAI Prevention Program issues year-to-date statistical updates on a quarterly basis.

HAI Annual Reports: These year-end summaries from the N.C. Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety (SHARPPS) Program provide state-level and hospital-specific data from North Carolina short-term acute care hospitals. These reports provide data on CLABSI, CAUTI, SSI, MRSA, and Clostridium difficile (C. diff) as well as an overview of program activities and accomplishments.

HAI Quarterly Reports: These reports, issued quarterly from the N.C. Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety (SHARPPS) Program provide facility-specific data from North Carolina short-term acute care hospitals, long-term acute care hospitals, specialty hospitals and inpatient rehabilitation facilities. These reports include data on CLABSI, CAUTI, SSI, MRSA, and Clostridium difficile (C. diff).

  • 2016 Reports
    • January through June 2016 (full report) - Issued October 2016 (PDF, 13MB)
    • January through June 2016 (Reports by Facility)
    • January through March 2016 (full report) - Issued July 2016 (PDF, 12MB)
    • January through March 2016 (Reports by Facility)
  • 2015 Reports
    • January through December 2015 (full report) - Issued July 2016 (PDF, 15MB)
    • January through December 2015 (Reports by Facility)
  • 2014 Reports
  • 2013 Reports
  • 2012 Reports

Program Overview: This initial report describes North Carolina's overall efforts and plan to monitor and prevent HAIs, including which HAIs are monitored and how HAI data are collected and reported.

For national HAI data, visit the CDC web site: National Healthcare Safety Network (NHSN) Reports & Data External link

For information on N.C.'s specific HAI prevention goals through 2015, please see the HAI Prevention Plan.

For Additional Information