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Hospital-Based Infections Reporting Requirements, 2008

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 Hospital-Based Infections Reporting RequirementNotes
United States26 Yes 
AlabamaNo applicable statuteN/A
AlaskaNo applicable statuteN/A
ArizonaNo applicable statuteN/A
ArkansasYesHealth facilities must collect data on healthcare-associated infection rates; facilities may voluntarily submit quarterly reports to the Department of Health on the health facility's healthcare-associated infection rates.
CaliforniaYesThe Healthcare Associated Infection Advisory Committee shall make recommendations for phasing in the implementation and public reporting of additional process measures and outcome measures by January 1, 2008, and, in doing so, shall consider the measures recommended by the CDC.
ColoradoYesBeginning July 31, 2007, health facilities required to routinely submit its hospital-acquired infection data to the national healthcare safety network in accordance with national healthcare safety network requirements and procedures.
ConnecticutYesBy October 2007 Department of Public Health required to have mandatory reporting system for healthcare associated infections and appropriate standardized measures for the reporting of data related to healthcare associated infections.
DelawareYesHospitals must submit quarterly reports on their hospital-acquired infection rates to the Department of Health and Social Services using the accepted Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network ("NHSN") definitions.
District of ColumbiaNo applicable statuteN/A
FloridaYesHealth care facilities must electronically report data on hospital-acquired infections to Agency for Healthcare Administration, as specified in regulations.
GeorgiaNo applicable statuteN/A
HawaiiNoN/A
IdahoNo applicable statuteN/A
IllinoisYesInfection rates to be reported to state Department of Healthcare and Family Services.
IndianaYesA health care facility, a health care professional, or an individual may file with state patient safety data agency reports relating to hospital-acquired infections.
IowaNo applicable statuteN/A
KansasNo applicable statuteN/A
KentuckyNo applicable statuteN/A
LouisianaNo applicable statuteN/A
MaineNo applicable statuteN/A
MarylandYesHealth care-associated infection information from hospitals to be reported to state
MassachusettsNo applicable statuteN/A
MichiganNo applicable statuteN/A
MinnesotaNo applicable statuteBy January 1, 2009, the Minnesota Hospital Association shall develop a Web-based system for reporting hospital-specific performance on public reporting measures for hospital-acquired infections.
MississippiYesN/A
MissouriYesThe state shall collect data annually on required nosocomial infection incidence rates from hospitals, ambulatory surgical centers, and other facilities; Medical facilities must also report nosocomial infection outbreaks (FN 1)
MontanaNo applicable statuteN/A
NebraskaYesEach hospital licensed in Nebraska shall, at least annually, provide surgeons performing surgery at such hospital a report as to the number and rates of surgical infections in surgical patients of such surgeon; Health care providers must also report to a patient safety organization all unanticipated deaths or major permanent losses of function associated with health care associated nosocomial infection
NevadaYesWithin 14 days of the occurrence, a health care facility must report the date, the time and a brief description of the event to the state health division
New HampshireYesEach hospital shall regularly report to the department the hospital infection data it has collected, including data on central line related bloodstream infections, ventilator associated pneumonia, surgical wound infections, and urinary tract infections
New JerseyYesA health care entity shall maintain for a period of four years all records and source data relating to its infection rate and shall make the records available to the division, the board which licenses or otherwise authorizes the health care professional, the review panel and the Department of Health and Senior Services, as applicable, upon request
New MexicoNo applicable statuteN/A
New YorkYesEach general hospital shall maintain a program capable of identifying and tracking hospital acquired infections for the purpose of public reporting under this section and quality improvement. Each hospital shall regularly report to the department the hospital infection data it has collected. (FN 2)
North CarolinaNo applicable statuteN/A
North DakotaNo applicable statuteN/A
OhioYesHospitals must report volume of infections to director of health.
OklahomaYesFor device-related blood stream infections, hospitals must report to the Hospital Advisory Council.
OregonNo applicable statuteN/A
PennsylvaniaYesProviders must submit to the Health Care Cost Containment Council rates of infection for specified diagnoses and treatments, grouped by severity, for individual providers.
Rhode IslandYesInfection outbreaks (as defined by the department of health via regulation) shall be reported to the department of health division of facilities regulation.
South CarolinaYesHospitals shall submit reports at least every six months on their hospital acquired infection rates to the Department of Health. Reports must be submitted in a format and at a time as provided for by the department. These reports must be made available to the public at each hospital and through the department. The first report must be submitted before February 1, 2008.
South DakotaNo applicable statuteN/A
TennesseeYesEvery facility shall report unusual events, and certain other defined incidents, to the department of health within seven (7) business days from the facility's identification of the event or incident. These events include intravascular catheter related events including necrosis or infection requiring repair. Most facilities must also report infections to the Centers for Disease Control's National Nosocomial Infection Surveillance/National Healthcare Safety Network (NNIS/NHSN) surveillance system.
TexasYesHealth care facilities must report certain enumerated health care-associated infections to the Texas Department of Health. The department shall ensure that the health care-associated infections a health care facility is required to report have the meanings assigned by the federal Centers for Disease Control and Prevention.
UtahNo applicable statuteN/A
VermontYesHealth Care Commissioner shall adopt rules establishing a standard format for community reports, as well as the contents, which shall include measures of hospital-acquired infections that are valid, reliable, and useful, including comparisons to appropriate industry benchmarks.
VirginiaYesAcute care hospitals shall report information about nosocomial infections to the Centers for Disease Control and Prevention's National Healthcare Safety Network. Such hospitals shall release their infection data to the Board of Health. The specific infections to be reported, the hospitals required to report, and patient populations to be included shall be prescribed by Board regulation. (effective July 1, 2008)
WashingtonYesHospitals must collect and report data related to the following health care-associated infections: beginning July 1, 2008, central line-associated bloodstream infection in the intensive care unit; beginning January 1, 2009, ventilator-associated pneumonia; and beginning January 1, 2010, surgical site infection for the following procedures: deep sternal wound for cardiac surgery, including coronary artery bypass graft; total hip and knee replacement surgery; and hysterectomy, abdominal and vaginal. Hospitals must routinely collect and submit the data to the national healthcare safety network of the United States centers for disease control and prevention in accordance with national healthcare safety network definitions, methods, requirements, and procedures.
West VirginiaNo applicable statuteN/A
WisconsinNo applicable statuteN/A
WyomingNo applicable statuteN/A
GuamNo applicable statuteN/A
Puerto RicoNo applicable statuteN/A
Virgin IslandsNo applicable statute N/A
(show/hide notes)
Notes: 

Data as of February 2008. U.S. total includes territories.

Sources: 

Health Policy Tracking Service, a service of Thomson West at www.netscan.com.

Definitions: 

Nosocomial infection outbreaks: Infections as defined by the national Centers for Disease Control and Prevention within a defined time period

Hospital acquired infection: Any localized or systemic patient condition that: (a) resulted from the presence of an infectious agent or agents, or its toxin or toxins as determined by clinical examination or by laboratory testing; and (b) was not found to be present or incubating at the time of admission unless the infection was related to a previous admission to the same setting.




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