- [Kathryn] Thank you for viewing this
on-demand presentation for the NHSN annual training.
My name's Kathryn Haass
and I'm with the NHSN Acute Care Analytics Team.
I will be presenting a summary
of patient safety component annual survey data
from 2016 to 2020.
After viewing this presentation, you'll be able
to define the purpose of the annual survey,
list facility information reported on the annual survey,
and describe findings from the annual survey data.
Before looking at the data, let's review key aspects
of the annual survey.
The annual survey collects facility-level data
for the previous calendar year.
For example, for this year 2022,
facilities will submit survey data for 2021.
All facilities enrolled
in the NHSN patient safety component are required
to complete a survey.
There are three types of surveys
including a hospital survey, a long-term acute care survey,
and an inpatient rehabilitation survey.
Facilities complete the survey or surveys
that are applicable to their facility type.
The survey has five sections
including facility characteristics, lab practice,
infection control practice,
antibiotic stewardship practice,
and water management and monitoring practices.
This presentation will focus
on facility characteristics data.
Survey data is used to calculate HAI standardized
infection ratios or SIRs,
and that is also used across CDC to support decision-making,
program planning, and research.
If you are interested in learning more
about the SIR, check out the on-demand presentation
titled Patient Safety Component,
Use of NHSN Annual Survey Data:
Involvement in HAI SIR models.
This chart shows the number of facilities
that completed a survey by survey year and survey type.
The survey type includes the hospital survey
which is the blue bar, the rehab survey
which is the orange bar, and the LTAC survey
which is the green bar.
I would also like to mention that rehab units
and hospitals are included in the rehab group.
You can see that from 2016 to 2020,
that approximately 5,000 facilities completed
a hospital survey each year,
followed by about 1100 rehab facilities
that completed the rehab survey,
and less than 500 LTAC facilities
that completed the LTAC survey.
I will now present the annual survey data by survey type.
We will start with the acute care hospital data.
Before we begin, I want
to review the facility characteristic section
of the hospital survey.
This section includes the ownership type,
the teaching hospital status,
and the number of beds setup and staffed.
We will also look at data for the facility type,
which is part of the NHSN enrollment process.
This chart shows the number of facilities
that completed a hospital survey by survey year
and survey type.
General acute care facilities are listed in blue.
Critical access hospitals are in orange.
And other facility types are in green.
Other facility types are listed in the footnote
for your information.
Of the approximately 5,000 facilities
that completed a hospital survey,
approximately 3,400 were general acute care facilities,
followed by critical access hospitals and the green group,
which is all other facility types.
This chart shows the number of facilities
that completed a hospital survey by survey year
and ownership type.
Ownership types include not for profit, for profit,
and other.
Other ownership types are listed in the footnote.
Most facilities that completed a hospital survey were not
for profit, followed by profit and other.
This chart shows the number of facilities
that completed a hospital survey by survey year
and teaching status.
Teaching status of yes indicates the facility
is a teaching hospital for physicians
or physicians in training.
Yes is in green and no is in blue.
In 2016 and 2017, less than half of facilities indicated
that they were teaching hospitals.
While in 2018 through 2020, just over half
of facilities indicated they were a teaching hospital.
These changes may be due to changes in teaching status
or changes in the interpretation of the survey question.
These changes were not tested for statistical significance.
This chart shows the number of facilities
that completed a hospital survey by survey year
and teaching type.
Teaching type includes medical which is blue,
graduate which is green, and undergraduate which is orange.
Of those facilities
that indicated they were a teaching hospital,
most facilities indicated they trained medical students
or postgraduate residents, followed by facilities
that only trained postgraduate residents,
and then facilities that only trained undergraduate, medical
or nursing students.
This chart shows the number of facilities
that completed a hospital survey by survey year
and the number of beds.
The number of beds are grouped by one to 400 beds,
and greater than 400 beds.
One to 400 beds is in blue,
and greater than 400 beds is in green.
The vast majority of facilities have between one
and 400 beds, with less than 500 facilities indicating
they had more than 400 beds.
We will now look at data
for the long-term acute care facilities.
The facility characteristics for the LTAC survey
include the ownership type, affiliation, setting,
and the number of beds.
This chart shows the number of facilities
that completed an LTAC survey by survey year
and ownership type.
Ownership type includes for profit which is blue,
not for profit which is orange, and other which is purple.
Other ownership types are included
in the footnote for your information.
Most facilities that completed an LTAC survey
during the study period were for profit,
followed by not for profit, and other.
This chart shows the number of facilities
that completed an LTAC survey by survey year
and affiliation.
Facilities indicated whether they were affiliated
with a multi-facility organization, a hospital system,
or whether they considered themselves independent.
Most facilities indicated they were affiliated
with a multi-facility organization
which is represented by the blue bar,
followed by a hospital system affiliation
which is represented by the orange bar,
with less than a hundred facilities indicating
an independent affiliation which is represented
by the purple bar.
This chart shows the number of facilities
that completed an LTAC survey by survey year and setting.
Facilities indicated whether the physical setting
of the facility was freestanding which is represented
by the blue portion of the bar, or within a hospital
which is represented by the orange portion of the bar.
More than half of facilities indicated
they were a freestanding facility.
This chart shows the number of facilities
that completed an LTAC survey by survey year
and the number of beds.
The number of beds are grouped by one to a hundred beds,
and greater than a hundred beds.
One to a hundred beds is in blue,
and greater than a hundred beds is in green.
Most facilities have between one and a hundred beds,
with less than 50 facilities indicating they have more
than a hundred beds.
Last, we will review data
for the CMS-certified inpatient rehabilitation facilities.
Facility characteristics
on the rehab survey include the setting,
the ownership type, the affiliation, and the number of beds.
This chart shows the number of facilities
that completed a rehab survey by survey year and setting.
Facilities indicated whether the physical setting
of the facility was a hospital unit, a freestanding facility
or based within a healthcare facility.
Most facilities were rehab units
which is represented by the blue bar,
followed by freestanding rehab facilities represented
by the orange bar, and facilities based
within a healthcare facility
which is represented by the purple bar.
This chart shows the number of facilities
that completed a rehab survey by survey year
and ownership type.
Data was only included for facilities that indicated
that they were a free-standing facility
or based within a healthcare facility.
Ownership type includes for profit which is in blue,
not for profit which is in orange,
and other which is represented by the purple bar.
Ownership types that were included
in the other category are included
in the footnote for your information.
Those facility types that completed a rehab survey
during the study period were for profit,
followed by the not for profit group,
with less than five facilities
indicating an ownership status other than for profit
or not for profit.
This chart shows the number of facilities
that completed a rehab survey by survey year
and affiliation.
Data was only included for facilities
that indicated they were a freestanding facility
or based within a healthcare facility.
Facilities indicated whether they were affiliated
with a multi-facility organization which is in blue,
a hospital system which is in orange,
or considered their facility independent
which is represented by the purple bar.
Like the LTAC facilities, most rehab facilities
indicated they were affiliated
with a multi-facility organization,
followed by a hospital system affiliation,
and then independent.
This chart shows the number of facilities
that completed a rehab survey by survey year
and the number of beds.
Data was only included for facilities
that indicated they were a freestanding facility
or based within a healthcare facility.
The number of beds are grouped by one to a hundred beds
which is in blue, and greater than a hundred beds
which is in green.
Most facilities have between one and 100 beds
with less than 30 facilities indicating they have more
than a hundred beds.
In summary, the annual survey collects facility-level data
that is used for SIR calculations
and decision-making across CDC.
The annual survey includes information
about facility characteristics, including but not limited
to ownership, affiliation, setting, and the number of beds.
And the annual survey data for the last five years have been
relatively stable, with minor changes
from year to year.
Resources about the annual survey can be found
on the following websites.
The NHSN annual surveys, location
and monthly reporting plan website includes all the forms
and the table of instructions for information
about how to collect data regarding
the annual facility survey.
For frequently asked questions about the annual survey,
please see the frequently asked questions website.
For additional guidance
on the annual survey analysis reports,
please see the run survey report PDF that's listed here.
For any questions that you can't find an answer to
on the website, please email NHSN@cdc.gov.
Thank you for attending the NHSN annual training.