HAI Program: Ventilator­Associated Pneumonia Rates 

Hospital 1, 2 Group I: Large hospitals with Level I Trauma Service Designation and extensive teaching programs for medical students, interns, residents and fellows. Group II: Large hospitals with Level I Trauma Rehabilitation Service Designation that have extensive teaching programs for medical students, interns, residents, and fellows. Group III: Large Hospitals with Levels I or II Trauma Rehabilitation Service designation, often with teaching programs for medical residents or fellow but not for medical students. Group IV: Hospitals extensively involved in one or more teaching programs for medical residents or fellows, but without Level I or II Trauma Rehabilitation designation. Group V a: Long-term acute care hospital. 4 Group V b: Community hospitals without Level I or II Trauma rating, with either limited involvement in no more than one
Harborview Medical Center

VentilatorAssociated Pneumonia Rate 3
10.75

Children’s Hospital and Regional Medical Center University of Washington Medical Center

0.31 0.43

Good Samaritan Hospital Kadlec Medical Center Lourdes Health Network Northwest Hospital PeaceHealth Saint Joseph Hospital Providence Everett Medical Center Providence Saint Mary Medical Center Providence Saint Peter Hospital Saint Joseph Medical Center Southwest Washington Medical Center Yakima Regional Medical & Cardiac Center Deaconess Medical Center Mary Bridge Children’s Hospital 8 Mount Carmel Hospital Sacred Heart Medical Center Swedish Medical Center, Cherry Hill Swedish Medical Center, First Hill Tacoma General Hospital/Allenmore Hospital Valley Medical Center Virginia Mason Medical Center Yakima Valley Memorial Hospital Kindred Hospital Seattle Regional Hospital

1.76 0.57 0.00 0.85 0.73 0.16 2.54 0.00 0.00 1.50 1.43 2.37 5.97 0.00 0.45 0.94 0.38 1.17 4.78 0.00 1.55 0.24 0.47

Auburn Regional Medical Center Capital Medical Center Cascade Valley Hospital Central Washington Hospital Enumclaw Regional Hospital Evergreen Healthcare

0.00 0.00 0.00 0.00 0.00 0.00
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April 14, 2010 download of January 2009 – December 2009 NHSN data 

HAI Program: Ventilator­Associated Pneumonia Rates 
Hospital 1, 2 teaching program (usually a Family Medicine residency program) or no medical teaching status. 4
Grays Harbor Community Hospital Harrison Medical Center 5 Highline Medical Center Holy Family Hospital 6 Island Hospital Jefferson General Hospital Kennewick General Hospital Kittitas Valley Community Hospital Legacy Salmon Creek Hospital 7 Mason General Hospital Mid-Valley Hospital 13 Olympic Medical Center Overlake Hospital Medical Center 4, 9 PeaceHealth Saint John Medical Center 11 Providence Centralia Hospital Pullman Regional Hospital Saint Anthony Hospital Saint Clare Hospital 10 Saint Francis Hospital Samaritan Healthcare Skagit Valley Hospital Skyline Hospital 13 Stevens Hospital Sunnyside Community Hospital Toppenish Community Hospital Tri-State Memorial Hospital United General Hospital Valley General Hospital Valley Hospital Medical Center 12 Walla Walla General Hospital Whidbey General Hospital

VentilatorAssociated Pneumonia Rate 3
0.00 2.22 0.00 2.46 0.00 0.00 0.00 0.00 2.58 0.00 0.00 0.72 7.31 0.00 0.00 0.00 1.33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.34 0.00 0.00

April 14, 2010 download of January 2009 – December 2009 NHSN data.
Notes: 1. Teaching designation for medical students is based upon being listed on the Association of American Medical Colleges (AAMC) website (http://services.aamc.org/memberlistings/index.cfm?fuseaction=home.search&search_typ e=TH&state_criteria=ALL). Teaching designation for medical residents or fellows is based upon having residency or fellowship programs but a majority of undergraduate medical students do not rotate through the hospital’s multiple clinical services. Approved programs are listed on the Accreditation Council for Graduate Medical Education website (http://www.acgme.org/adspublic/default.asp). 2. EMS Trauma Program designations for Trauma Service and Rehabilitation Service are based on rankings listed in http://www.doh.wa.gov/hsqa/emstrauma/download/atcf_directory.pdf and http://www.doh.wa.gov/hsqa/emstrauma/download/rehabdirectory.pdf . 3. All rates are expressed as infections per 1,000 ventilator-days. 4. Long term acute care hospitals (Group Va) receive patients from hospitals in all groups who will need care between the ICU and skilled nursing facility level anticipated to last more than 25 days. This type of patient presents more of an infection prevention challenge than patients typical of community hospitals in Group Vb. Many of the hospitals identified as outliers in Group Vb have relatively low rates of ventilator-associated pneumonia. So
April 14, 2010 download of January 2009 – December 2009 NHSN data  Page 2 

HAI Program: Ventilator­Associated Pneumonia Rates 
many of the Group Vb hospitals achieved zero or near-zero rates that even rates below 1 per 1,000 ventilator-days show as outliers. 5. Harrison Medical Center – High rate is due to 8 unrelated cases throughout the year, with no indication of cross-infection. A bundle of prevention measures, already in place, is being reinforced by daily hospital-wide nursing leadership discussions that started in August and education in weekly ICU staff meetings that started in October. 6. Holy Family Hospital – High rate is due to 4 cases occurring in different months throughout the year, with no indication of cross-infection. Bundle of prevention measures, in place since 2006, is being reinforced by education in weekly ICU staff meetings that started at the end of 2009. 7. Legacy Salmon Creek Medical Center – Rate is due to 3 unrelated cases, with different bacteria and no indication of cross infection. The hospital reports that it has reinforced prevention measures already in place. 8. Mary Bridge Children’s Hospital – Rate is due to 11 infections that occurred from January through June of 2009. There were no additional cases to report in the second half of the year, after the hospital recognized a problem and introduced major changes mid-summer to prevent more infections from occurring. 9. Overlake Hospital Medical Center – Rate is due to 2 unrelated infections, with no indication of cross-infection. 10. St. Clare Hospital – The rate for St. Clare hospital is due to 2 unrelated infections during the first two months of the year, none in the rest of the year. 11. Peacehealth St. John Medical Center – High rate is due to 6 patients that became infected in different months throughout the year. The hospital recognized a problem late in 2008 and has continued to introduce investigations and preventive measures in order to identify and resolve the root cause. 12. Valley Hospital – High rate is due to a relatively small total number of days patients were on ventilators and just 1 infection event during the entire year. 13. No values are shown for Mid-Valley Hospital and Skyline Hospital because they had no patients on ventilators in the report period.

April 14, 2010 download of January 2009 – December 2009 NHSN data 

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