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2019 HAI Annual Data Report

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2019 HAI Annual Data Report 2019 HAI Annual Data Report December 30, 2020 The final 2019 HAI report will be posted at a later date. The data on the following pages has been approved by all acute and critical access facilities. Alabama Hospitals 2019 CAUTI Report for Review Includes data from medical wards, surgical wards, medical/surgical wards, and adult and pediatric critical care units. Facilities without these units report data from mixed age/mixed acuity wards. Ratio of Hospital Number of Observed to Performance Volume of Number of Type Region Hospital Name Catheter Expected Compared to Hospital CAUTIs Days Infections National (SIR) Performance CAUTI State State of Alabama N/A 305 405,574 0.632 Better* CAUTI Southeast Andalusia Health Medium 0 2,099 0 Similar CAUTI North Athens Limestone Hospital Medium 3 3,370 1.671 Similar CAUTI Southwest Atmore Community Hospital Medium 0 588 N/A - CAUTI Central Baptist Medical Center East High 9 5,972 1.447 Similar CAUTI Central Baptist Medical Center South High 33 16,880 1.115 Similar CAUTI West Bibb Medical Center Medium 1 418 N/A - CAUTI Birmingham Brookwood Medical Center Medium 6 5,439 1.001 Similar CAUTI Central Bullock County Hospital Low 0 54 N/A Similar CAUTI Birmingham Children's Health System Medium 3 1,759 1.046 Similar CAUTI Southwest Choctaw General Hospital Low 0 235 N/A - CAUTI Northeast Citizens Baptist Medical Center Medium 1 1,312 N/A - CAUTI Northeast Clay County Hospital Medium 1 337 N/A - CAUTI Central Community Hospital Medium 0 502 N/A - CAUTI Northeast Coosa Valley Medical Center Medium 0 2,471 0 Similar CAUTI Central Crenshaw Community Hospital Low 2 284 N/A - CAUTI North Crestwood Medical Center Medium 1 4,925 0.291 Similar CAUTI North Cullman Regional Medical Center High 3 7,042 0.598 Similar CAUTI Southwest D.W. McMillan Memorial Hospital Medium 0 873 N/A - Data pulled 12/28/20. SIR calculated using 2015 national baseline data. Page 1 of 6 Includes data from medical wards, surgical wards, medical/surgical wards, and adult and pediatric critical care units. Facilities without these units report data from mixed age/mixed acuity wards. Ratio of Hospital Number of Observed to Performance Volume of Number of Type Region Hospital Name Catheter Expected Compared to Hospital CAUTIs Days Infections National (SIR) Performance CAUTI Southeast Dale Medical Center Medium 0 547 N/A - CAUTI West DCH Regional Medical Center High 29 24,072 0.87 Similar CAUTI North Decatur Morgan Hospital - Decatur Campus High 4 9,105 0.509 Similar CAUTI North Decatur Morgan Hospital - Parkway Campus Medium 1 1,181 N/A - CAUTI Northeast DeKalb Regional Medical Center Medium 0 2,729 0 Similar CAUTI Central EAMC-Lanier Low 0 195 N/A - CAUTI Central East Alabama Medical Center High 1 6,918 0.17 Better CAUTI Central Elmore Community Hospital Low 0 190 N/A - CAUTI Southwest Evergreen Medical Center Low 0 126 N/A - CAUTI West Fayette Medical Center Medium 1 384 N/A - CAUTI Southeast Flowers Hospital High 10 11,205 0.96 Similar CAUTI Northeast Floyd Cherokee Medical Center Low 0 135 N/A - CAUTI Northeast Gadsden Regional Medical Center High 2 13,031 0.156 Better CAUTI Birmingham Grandview Medical Center High 30 18,004 0.99 Similar CAUTI West Greene County Hospital Low 0 24 N/A - CAUTI Southwest Grove Hill Memorial Hospital Low 1 269 N/A - CAUTI West Hale County Hospital Low 0 24 N/A - CAUTI North Helen Keller Hospital Medium 1 4,912 0.288 Similar CAUTI North Highlands Medical Center Medium 1 1,485 N/A - CAUTI West Hill Hospital of Sumter County Low 0 0 N/A - Data pulled 12/28/20. SIR calculated using 2015 national baseline data. Page 2 of 6 Includes data from medical wards, surgical wards, medical/surgical wards, and adult and pediatric critical care units. Facilities without these units report data from mixed age/mixed acuity wards. Ratio of Hospital Number of Observed to Performance Volume of Number of Type Region Hospital Name Catheter Expected Compared to Hospital CAUTIs Days Infections National (SIR) Performance CAUTI North Huntsville Hospital High 21 25,064 0.521 Better CAUTI Central Jack Hughston Memorial Hospital Medium 1 647 N/A - CAUTI Central Jackson Hospital & Clinic High 11 11,491 1.103 Similar CAUTI Southwest Jackson Medical Center Low 0 279 N/A - CAUTI Southwest John Paul Jones Hospital Low 0 59 N/A - CAUTI Central Lake Martin Community Hospital Medium 0 346 N/A - CAUTI North Lakeland Community Hospital Medium 0 391 N/A - CAUTI North Lawrence Medical Center Low 1 327 N/A - CAUTI North Marshall Medical Center North Medium 4 2,890 2.993 Similar CAUTI North Marshall Medical Center South Medium 1 5,038 0.372 Similar CAUTI Southeast Medical Center Barbour Medium 0 833 N/A - CAUTI Southeast Medical Center Enterprise Medium 0 1,964 0 Similar CAUTI Birmingham Medical West High 7 9,269 0.756 Similar CAUTI Southeast Mizell Memorial Hospital Medium 0 928 N/A - CAUTI Southwest Mobile Infirmary Medical Center High 19 16,839 0.921 Similar CAUTI Southwest Monroe County Hospital Medium 0 568 N/A - CAUTI North North Alabama Medical Center High 2 10,175 0.224 Better CAUTI Southwest North Baldwin Infirmary Medium 1 706 N/A - CAUTI North North Mississippi Medical Center-Hamilton Low 0 130 N/A - CAUTI Northeast Northeast Alabama Regional Medical Center Medium 5 5,420 1.47 Similar Data pulled 12/28/20. SIR calculated using 2015 national baseline data. Page 3 of 6 Includes data from medical wards, surgical wards, medical/surgical wards, and adult and pediatric critical care units. Facilities without these units report data from mixed age/mixed acuity wards. Ratio of Hospital Number of Observed to Performance Volume of Number of Type Region Hospital Name Catheter Expected Compared to Hospital CAUTIs Days Infections National (SIR) Performance CAUTI West Northport Medical Center Medium 2 3,420 0.575 Similar CAUTI West Northwest Medical Center Medium 0 621 N/A - CAUTI West Pickens County Medical Center Low 0 152 N/A - CAUTI Central Prattville Baptist Hospital Medium 2 2,157 1.828 Similar CAUTI Birmingham Princeton Baptist Medical Center High 6 14,301 0.335 Better CAUTI Southwest Providence Hospital High 0 7,955 0 Better CAUTI North Red Bay Hospital Low 0 111 N/A - CAUTI Central Regional Medical Center of Central Alabama Medium 0 818 N/A - CAUTI Northeast Riverview Regional Medical Center Medium 0 5,156 0 Better CAUTI Central Russell Medical Center Medium 0 2,465 0 Similar CAUTI North Russellville Hospital Medium 0 1,382 N/A - CAUTI Birmingham Shelby Baptist Medical Center High 3 9,486 0.357 Better CAUTI North Shoals Hospital Low 1 195 N/A - CAUTI Southwest South Baldwin Regional Medical Center Medium 1 3,681 0.267 Similar CAUTI Southeast Southeast Health High 3 6,890 0.271 Better CAUTI Southwest Springhill Medical Center Medium 3 5,269 0.792 Similar CAUTI Birmingham St. Vincent's Birmingham High 8 15,119 0.518 Better CAUTI Birmingham St. Vincent's Blount Medium 0 367 N/A - CAUTI Central St. Vincent's Chilton Low 0 281 N/A - CAUTI Birmingham St. Vincent's East High 9 11,694 0.598 Similar Data pulled 12/28/20. SIR calculated using 2015 national baseline data. Page 4 of 6 Includes data from medical wards, surgical wards, medical/surgical wards, and adult and pediatric critical care units. Facilities without these units report data from mixed age/mixed acuity wards. Ratio of Hospital Number of Observed to Performance Volume of Number of Type Region Hospital Name Catheter Expected Compared to Hospital CAUTIs Days Infections National (SIR) Performance CAUTI Birmingham St. Vincent's St. Clair Medium 0 1,297 N/A - CAUTI Northeast Stringfellow Memorial Hospital Medium 1 1,822 N/A - CAUTI Northeast Tanner Medical Center-East Alabama Low 0 152 N/A - CAUTI Southwest Thomas Hospital High 3 6,532 0.593 Similar CAUTI Southeast Troy Regional Medical Center Medium 0 965 N/A - CAUTI Birmingham UAB Highlands Medium 4 4,704 0.843 Similar CAUTI Birmingham UAB Hospital High 36 39,653 0.438 Better CAUTI Southwest USA Children's & Women's Hospital Medium 0 458 N/A - CAUTI Southwest USA Medical Center High 5 7,959 0.323 Better CAUTI Central Vaughan Regional Medical Center Medium 0 2,414 0 Similar CAUTI Birmingham Walker Baptist Medical Center Medium 1 4,204 0.336 Similar CAUTI Southwest Washington County Hospital Low 0 262 N/A - CAUTI West Whitfield Regional Hospital Medium 0 812 N/A - Data pulled 12/28/20. SIR calculated using 2015 national baseline data. Page 5 of 6 Includes data from medical wards, surgical wards, medical/surgical wards, and adult and pediatric critical care units. Facilities without these units report data from mixed age/mixed acuity wards. Ratio of Hospital Number of Observed to Performance Volume of Number of Type Region Hospital Name Catheter Expected Compared to Hospital CAUTIs Days Infections National (SIR) Performance CAUTI Southeast Wiregrass Medical Center Medium 0 588 N/A - Volume of Hospital Low: Fewer than 335 Catheter Days Medium: 335 - 5,572 Catheter Days High: Greater than 5,572 Catheter Days Hospital Performance Compared to National Performance (Based on 95% Confidence Interval) Better: Facility had significantly fewer infections than predicted based on 2015 national baseline data Similar: Facility did not have significantly more or less infections than predicted based on 2015 national baseline data Worse: Facility had significantly more infections than predicted based on 2015 national baseline data An SIR of "N/A" and national performance comparison of "-" indicates that a facility did not have enough predicted infections to draw meaningful comparisons This report contains information that is Proprietary, Confidential, or legally privileged or protected.
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