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Indirect Versus Direct Standardization Methods for Reporting Healthcare-Associated Infections: An Analysis of Central Line–Associated Bloodstream Infections in Maryland

Published online by Cambridge University Press:  19 June 2017

Lyndsay M. O’Hara ,
Max Masnick ,
Surbhi Leekha ,
Sarah S. Jackson ,
Natalia Blanco  and
Anthony D. Harris
Lyndsay M. O’Hara
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
Max Masnick
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
Surbhi Leekha
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
Sarah S. Jackson
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
Natalia Blanco
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
Anthony D. Harris*
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
*
Address correspondence to Dr. Anthony Harris, 10 S. Pine St, Baltimore, MD 21201 (aharris@epi.umaryland.edu).
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Abstract

Whether healthcare-associated infection data should be presented using indirect (current CMS/CDC methodology) or direct standardization remains controversial. We applied both methods to central-line–associated bloodstream infection data from 45 acute-care hospitals in Maryland from 2012 to 2014. We found that the 2 methods generate different hospital rankings with payment implications.

Infect Control Hosp Epidemiol 2017;38:989–992

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 8 , August 2017 , pp. 989 - 992
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

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