OrgID Hospital Name Hospital System Hospital System & Namepatientcarelink.org/wp-content/uploads/2017/09/DPH-hai-hospital-dat… · 12866 Beth Israel Deaconess Hospital - Needham

OrgID Hospital Name Hospital System Hospital System & Name

10482 Baystate Medical Center Baystate Health Baystate Medical Center

11303 UMass Memorial Medical Center UMass Memorial Health Care UMass Memorial Health Care - UMass Memorial Medical Center

11558 Tufts Medical Center Tufts Medical Center

11571 Beverly Hospital Lahey Health Lahey Health - Beverly Hospital

12468 Brockton Hospital Signature Healthcare Signature Healthcare - Brockton Hospital

12515 Cape Cod Hospital Cape Cod Healthcare Cape Cod Healthcare - Cape Cod Hospital

12516 Falmouth Hosptial Cape Cod Healthcare Cape Cod Healthcare - Falmouth Hosptial

12538 Berkshire Medical Center Berkshire Health Systems Berkshire Health Systems - Berkshire Medical Center

12568 Massachusetts General Hospital Massachusetts General Hospital

12574 Tobey Hospital Southcoast Health Southcoast Health - Tobey Hospital

12576 St. Luke's Hospital Southcoast Health Southcoast Health - St. Luke's Hospital

12578 Charlton Memorial Hospital Southcoast Health Southcoast Health - Charlton Memorial Hospital

12582 Norwood Hospital Steward Health Care Steward Health Care - Norwood Hospital

12588 Saint Anne's Hospital Steward Health Care Steward Health Care - Saint Anne's Hospital

12596 Brigham and Women's Hospital Brigham and Women's Brigham and Women's Hospital

12598 Holyoke Medical Center Holyoke Medical Center

12599 St. Elizabeth's Medical Center Steward Health Care Steward Health Care - St. Elizabeth's Medical Center

12600 Holy Family Hospital Steward Health Care Steward Health Care - Holy Family Hospital

12601 Carney Hospital Steward Health Care Steward Health Care - Carney Hospital

12618 Newton-Wellesley Hospital Newton-Wellesley Hospital

12619 Morton Hospital Steward Health Care Steward Health Care - Morton Hospital

12622 Good Samaritan Medical Center Steward Health Care Steward Health Care - Good Samaritan Medical Center

12630 Boston Medical Center Boston Medical Center

12643 Beth Israel Deaconess Hospital - Plymouth Beth Israel Deaconess Hospital Beth Israel Deaconess Hospital - Plymouth

12654 Winchester Hospital Lahey Health Lahey Health - Winchester Hospital

12670 Emerson Hospital Emerson Hospital

12674 Lowell General Hospital - Main Campus Lowell General Hospital - Main Campus

12679 Lahey Hospital & Medical Center Lahey Health Lahey Health - Lahey Hospital & Medical Center

12685 Anna Jaques Hospital Anna Jaques Hospital

12686 Heywood Hospital Heywood Hospital

12698 Boston Children's Hospital Boston Children's Hospital

12700 HealthAlliance Hospital UMass Memorial Health Care UMass Memorial Health Care - HealthAlliance Hospital

12703 Mount Auburn Hospital Mount Auburn Hospital

12705 Shriners Hospital for Children - Boston Shriners Hospital for Children - Boston

12708 Noble Hospital Baystate Health Noble Hospital

12709 New England Baptist Hospital New England Baptist Hospital

12710 Lawrence Memorial Hospital of Medford Hallmark Health System Hallmark Health System - Lawrence Memorial Hospital of Medford

12714 Lowell General Hospital - Saints Campus Lowell General Hospital - Saints Campus

12751 Clinton Hospital UMass Memorial Health Care UMass Memorial Health Care - Clinton Hospital

12752 Milford Regional Medical Center Milford Regional Medical Center

12778 Franklin Medical Center Baystate Health Baystate Franklin Medical Center

12793 Lawrence General Hospital Lawrence General Hospital

12808 South Shore Hospital South Shore Hospital

12833 Martha's Vineyard Hospital Martha's Vineyard Hospital

12837 Cooley Dickinson Hospital Cooley Dickinson Hospital

12866 Beth Israel Deaconess Hospital - Needham Beth Israel Deaconess Hospital Beth Israel Deaconess Hospital - Needham

12875 Marlborough Hospital UMass Memorial Health Care UMass Memorial Health Care - Marlborough Hospital

12955 Faulkner Hospital Brigham and Women's Brigham and Women's - Faulkner Hospital

13000 Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Center

13022 Harrington Memorial Hospital Harrington Memorial Hospital

13049 Mary Lane Hospital Baystate Health Baystate Mary Lane Hospital

13091 Mercy Medical Center Mercy Medical Center

13098 Massachusetts Eye and Ear Infirmary Massachusetts Eye and Ear Infirmary

13116 Salem Hospital North Shore Medical Center North Shore Medical Center - Salem Hospital

13174 Sturdy Memorial Hospital Sturdy Memorial Hospital

13189 Fairview Hospital Berkshire Health Systems Berkshire Health Systems - Fairview Hospital

13201 Framingham Union Hospital MetroWest Medical Center MetroWest Medical Center - Framingham Union Hospital

13206 Nantucket Cottage Hospital Nantucket Cottage Hospital

13213 Cambridge Hospital Cambridge Health Alliance Cambridge Health Alliance - Cambridge Hospital

13215 Everett Hospital Cambridge Health Alliance Cambridge Health Alliance - Everett Hospital

13230 Beth Israel Deaconess Hospital - Milton Beth Israel Deaconess Hospital Beth Israel Deaconess Hospital - Milton

13262 Athol Memorial Hospital Athol Memorial Hospital

13290 Nashoba Valley Medical Center Steward Health Care Steward Health Care - Nashoba Valley Medical Center

13298 Melrose-Wakefield Hospital Hallmark Health System Hallmark Health System - Melrose-Wakefield Hospital

13301 Holy Family Hospital at Merrimack Valley Steward Health Care Steward Health Care - Holy Family Hospital at Merrimack Valley

13309 Leonard Morse Hospital MetroWest Medical Center MetroWest Medical Center - Leonard Morse Hospital

13348 Saint Vincent Hospital Saint Vincent Hospital

13381 Wing Hospital Baystate Health Baystate Wing Hospital

14175 Addison Gilbert Hospital Lahey Health Lahey Health - Addison Gilbert Hospital

14360 Union Hospital North Shore Medical Center North Shore Medical Center - Union Hospital

30172 Dana-Farber Cancer Institute Dana-Farber Cancer Institute

1

These statistics aim to provide a broad sense of patient care capacity and staffing in Massachusetts

acute care hospitals. Every hospital in Massachusetts has Infection Preventionists who work to reduce

healthcare-associated infections at their hospital. The Society for Healthcare Epidemiology of America

(SHEA) recommends that there be at least one Infection Preventionist per 125 hospital beds.

Central Line-Associated Blood Stream Infection

The CLABSI SIR table shows data by ICU type. The risk of infection can vary greatly from one ICU to

another depending on the type of patients in the unit and the type of treatment received. In addition

to adult and pediatric ICUs, 10 hospitals in the state have neonatal ICUs, or NICUs. Each location

strives for zero infections. The data presented in this table is from calendar year 2016 (January 1,

2016 through December 31, 2016). The predicted number of infections is calculated based on 2015

national HAI aggregate data and adjusted for each facility using variables found to be significant

predictors of HAI incidence. SIRs can only be calculated using this new baseline from calendar year

2015 and forward. Therefore, you will not see data for calendar year 2014 or earlier. The SIR and

confidence interval of ICUs with a predicted number of infections less than 0.5 have been suppressed

(not calculable).

The State CLABSI SIR chart shows how the state SIR has changed

over time across three ICU types. The SIRs in this chart use

predicted values calculated using a negative binomial regression

model generated from nationally aggregated data from calendar

year 2015. As CLABSIs are prevented, the state SIRs should

decrease.

The central line utilization ratio measures how often and for

how long acute care patients have a central venous catheter in

place. This statistic is important because fewer central lines

mean fewer chances for infection. A downward trend may

indicate that hospitals across the state have implemented

interventions to try to reduce CLABSIs by removing central

lines when not absolutely necessary.

Catheter-Associated Urinary Tract Infection

The CAUTI SIR table shows data by ICU type. The risk of infection can vary greatly from one ICU to

another depending on the type of patients in the unit and the type of treatment received. Each

location strives for zero infections. The data presented in this table is from calendar year 2016

(January 1, 2016 through December 31, 2016). The predicted number of infections is calculated based

on 2015 national HAI aggregate data and adjusted for each facility using variables found to be

significant predictors of HAI incidence. SIRs can only be calculated using this new baseline from

calendar year 2015 and forward. Therefore, you will not see data for calendar year 2014 or earlier.

The SIR and confidence interval of ICUs with a predicted number of infections less than 0.5 have been

suppressed (not calculable).

The State CAUTI SIR chart shows how the state SIR has changed

over time across two ICU types. The SIRs in this chart use

predicted values calculated using a negative binomial regression

model generated from nationally aggregated data from calendar

year 2015. As CAUTIs are prevented, the state SIRs should

decrease.

The catheter utilization ratio measures how often and for how

long acute care patients have a urinary catheter in place. This

statistic is important because fewer urinary catheters mean

fewer chances for infection. A downward trend may indicate

that hospitals across the state have implemented interventions

to try to reduce CAUTIs by removing urinary catheters when

not absolutely necessary.

2016 Hospital Survey Statistics

Massachusetts Calendar Year 2016 HAI Data Summary

Statewide Hospital Summary

This document is designed to help you better understand the data presented on the Summary Page that follow.

Standardized Infection Ratio (SIR): This measure compares the actual number of healthcare-associated infections (HAIs) reported by

a location to the predicted number of infections at that location. If a hospital experiences the exact same number of infections as

predicted, the SIR has a value of 1. If a hospital experiences more infections, the SIR is greater than 1, and vice versa. Statistical

significance means that the number of infections observed was unlikely to have occurred by chance alone. A statistical interpretation

of Same or Lower means that the number of infections was comparable or significantly better than expected. An interpretation of

Higher means that the number of infections was significantly higher than the expected.

2

The chart included depicts LabID statistical interpretations for calendar year 2015 through 2016. It is

meant to be used as a quick assessment of significant variation of infection rates over time. This chart

does not capture change in infection rates that were not statistically significant.

Release Date: July 2017


Surgical Site Infection

SSI data are reported by procedure type since the risk of infection can vary greatly from one procedure to the next depending on

individual patient and hospital factors. All deep incisional primary and organ/space infections are included in this report. Procedures

with implants are observed for infection for 90 days after the procedure. These procedures included CABG, HPRO, and KPRO

procedures. Abdominal hysterectomies, vaginal hysterectomies and colon procedures are observed for 30 days after procedure.

The SSI SIR table contains hospital data for 2016 for each procedure currently under surveillance. Each hospital strives for zero

infections. The predicted number of infections is calculated based on 2015 national HAI aggregate data and adjusted for each

procedure using variables found to be significant predictors of HAI incidence. SIRs can only be calculated using this new baseline

from calendar year 2015 and forward. Therefore, you will not see data for calendar year 2014 or earlier. The SIR and confidence

interval of ICUs with a predicted number of infections less than 0.5 have been suppressed (not calculable).

The chart included depicts SSI statistical interpretations for calendar year 2015 through 2016. It is meant to be used as a quick

assessment of significant variation of infection rates over time. This chart does not capture changes in infection rates that were not

statistically significant.

Facility Wide LabID Events

The LabID event section includes overall inpatient facility-wide (FacWideIn) Clostridium difficile infection (CDI) and methicillin-

resistant Staphylococcus aureus (MRSA) bacteremia surveillance LabID event data reported from acute care facilities. LabID events

are provided as proxy surveillance measures of healthcare infection acquisition, exposure burden, and infection burden, based on

laboratory and limited admission data, and should be evaluated as such. When interpreting pediatric CDI data, asymptomatic

colonization in children less than one year of age may confound pediatric CDI rates.

The CDI and MRSA SIR table contains hospital data for 2016 for each LabID event currently under surveillance. Each hospital strives

for zero infections. The predicted number of infections is calculated based on 2015 national HAI aggregate data and adjusted for

each facility using variables found to be significant predictors of HAI incidence. SIRs can only be calculated using this new baseline

from calendar year 2015 and forward. Therefore, you will not see data for calendar year 2014 or earlier. The SIR and confidence

interval of ICUs with a predicted number of infections less than 0.5 have been suppressed (not calculable).


ICU TypeNumber

of ICUsInfections

Predicted

InfectionsSIR Interpretation

Burn 1 9 4.17 2.16 Higher

Cardiac 8 14 15.17 0.92 Same

Cardiothoracic 11 21 26.26 0.80 Same

Medical

(major teaching)15 29 37.17 0.78 Same

Medical

(not major teaching)4 2 2.53 0.79 Same

Medical/Surgical

(major teaching)12 8 21.48 0.37 Lower

Medical/Surgical


Neurosurgical 3 4 5.36 0.75 Same

Pediatric 9 43 32.31 1.33 Same

Surgical 14 20 34.12 0.59 Lower

Trauma 3 5 6.83 0.73 Same

Neonatal 10 26 23.34 1.11 Same

ICU TypeNumber

of ICUsInfections

Predicted

InfectionsSIR Interpretation

Burn 1 2 3.71 0.54 Same

Cardiac 8 24 20.97 1.14 Same

Cardiothoracic 11 25 30.66 0.82 Same

Medical


Medical


Medical/Surgical


Medical/Surgical


Neurosurgical 3 30 26.24 1.14 Same

Pediatric 9 9 12.07 0.75 Same

Surgical 14 62 70.50 0.88 Same

Trauma 3 26 18.53 1.40 Same

1

7,610 (0.36 - 1.36)

39,401 (0.68 - 1.12)

6,759 (0.93 - 2.02)

25,195 (0.45 - 1.05)

51,577 (0.79 - 1.43)

7,401 (0.78 - 1.61)

24,623 (0.53 - 1.18)

36,697 (0.61 - 1.13)

5,238 (0.30 - 2.33)

Catheter DaysConfidence

Interval

1,084 (0.09 - 1.78)

13,830 (0.75 - 1.67)

4,468 (0.26 - 1.62)

16,389 (0.74 - 1.60)

Catheter-Associated Urinary Tract InfectionCAUTI SIRs by ICU Type for 2016 Calendar Year

4,751 (0.23 - 1.80)

20,057 (0.97 - 1.77)

30,930 (0.36 - 0.88)

3,132 (0.13 - 2.61)

19,636 (0.17 - 0.70)

33,363 (0.49 - 1.16)

13,882 (0.52 - 1.51)

23,921 (0.50 - 1.20)

33,096 (0.53 - 1.10)

Central Line-Associated Blood Stream InfectionCLABSI SIRs by ICU Type for 2016 Calendar Year

Central Line DaysConfidence

Interval

1,228 (1.05 - 3.96)

Avergae Number of Patient Days 12,602 49,663 161,430Beds per Infection Preventionist 54.9 128.7 136.6

Average Number of ICU Beds 5 14 90

Avergae Number of Admissions 3,003 10,306 32,272

Medical School Affiliation 23% 61% 85%

Average Number of Beds 58 184 544

<100 Beds 100-299 Beds 300+ Beds

Number of Hospitals 22 36 13

Massachusetts Calendar Year 2016 HAI Data SummaryRelease Date: September 2017


2016 Hospital Survey Statistics

Small Hospital Medium Hospital Large Hospital

0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

Rat

io

State Central Line Utilization Ratios

Adult

Pediatric

Neonatal

0

0.5

1

1.5

2

2015 2016

SIR

State CLABSI SIRs Compared to National Average

Adult

Pediatric

Neonatal

0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

Rat

io

State Catheter Utilization Ratios

Adult

Pediatric

0

0.5

1

1.5

2015 2016

SIR

State CAUTI SIRs Compared to National Average

Adult

Pediatric

Hospitals

ReportingInfections SIR

Confidence

IntervalInterpretation

(CABG) 14 23 0.71 (0.45 - 1.04) Same

(KPRO) 60 76 1.41 (1.12 - 1.75) HIgher

(HPRO) 59 83 1.20 (0.96 - 1.47) Same

(HYST) 54 46 1.43 (1.05 - 1.88) Higher

(VHYS) 51 21 2.24 (1.42 - 3.36) Higher

(COLO) 62 158 0.89 (0.76 - 1.04) Same

Hospitals

ReportingInfections SIR

Confidence


(CDI) 70 2,372 0.95 (0.90 - 0.98) Lower

(MRSA) 70 123 0.60 (0.49 - 0.70) Lower

2

Clostridium difficile 3,411,628 2,509

Methicillin-resistant Staphylococcus

aureus3,700,493 206

Facility Wide LabID EventsCDI and MRSA SIRs for 2016 Calendar Year

Event Patient DaysPredicted

Infections

Vaginal Hysterectomy 1,607 9.38

Colon Surgery 7,128 176.59

Hip Prosthesis 12,780 69.21

Abdominal Hysterectomy 4,550 32.26

Coronary Artery Bypass Graft 4,114 32.56

Knee Prosthesis 16,993 53.79



Surgical Site InfectionSSI SIRs by Procedure Type for 2016 Calendar Year

Procedure ProceduresPredicted

Infections

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016

Statistically Significant Variation from Predicted Number of Surgical Site Infections, 2015-2016

Statistically Higher than Predicted

Statistically the Same as Predicted

Statistically Lower than Predicted

CABG

KPRO

HPRO

HYST

VHYS

COLO

2015 2016 2015 2016

Statistically Significant Variation from Predicted Number of LabID Events, 2015-2016




CDI

MRSA

1

The Hospital and State CLABSI SIR chart shows how the hospital

SIR and the state SIR have changed over time across all ICU types.

The state line represents the SIR among comparable ICU types in

the state. The SIRs in this chart use predicted values calculated

using a negative binomial regression model generated from

nationally aggregated data from calendar year 2015. As CLABSIs

are prevented, the SIR for a hospital should decrease.

The central line utilization ratio measures how often and for how

long acute care patients have a central venous catheter in place.

This statistic is important because fewer central lines mean fewer

chances for infection. A downward trend may indicate that a

hospital has implemented an intervention to reduce CLABSIs by

removing central lines when not absolutely necessary. An upward

trend does not necessarily indicate a change that is within the

hospital’s control. The state line represents central line utilization

among comparable adult ICUs in the state.


The Hospital CAUTI SIR table shows data by ICU type. The risk of infection can vary greatly from one ICU to

another depending on the type of patients in the unit and the type of treatment received. Each location strives

for zero infections. The data presented in this table is from calendar year 2016 (January 1, 2016 through

December 31, 2016). The predicted number of infections is calculated based on 2015 national HAI aggregate data

and adjusted for each facility using variables found to be significant predictors of HAI incidence. SIRs can only be

calculated using this new baseline from calendar year 2015 and forward. Therefore, you will not see data for

calendar year 2014 or earlier. The SIR and confidence interval of ICUs with a predicted number of infections less

than 0.5 have been suppressed (not calculable).

The Hospital and State CAUTI SIR chart shows how the hospital

SIR and the state SIR have changed over time across all ICU types.

The state line represents the SIR among comparable ICU types in

the state. The SIRs in this chart use predicted values calculated

using a negative binomial regression model generated from

nationally aggregated data from calendar year 2015. As CAUTIs

are prevented, the SIR for a hospital should decrease.

The central line utilization ratio measures how often and for how

long acute care patients have a urinary catheter in place. This

statistic is important because fewer urinary catheters mean fewer

chances for infection. A downward trend may indicate that a

hospital has implemented an intervention to reduce CAUTIs by

removing urinary catheters when not absolutely necessary. An

upward trend does not necessarily indicate a change that is within

the hospital’s control. The state line represents urinary catheter

utilization among comparable adult ICUs in the state.

The Hospital CLABSI SIR table shows data by ICU type. The risk of infection can vary greatly from one ICU to

another depending on the type of patients in the unit and the type of treatment received. Each location strives

for zero infections. The data presented in this table is from calendar year 2016 (January 1, 2016 through

December 31, 2016). The predicted number of infections is calculated based on 2015 national HAI aggregate data

and adjusted for each facility using variables found to be significant predictors of HAI incidence. SIRs can only be

calculated using this new baseline from calendar year 2015 and forward. Therefore, you will not see data for

calendar year 2014 or earlier. The SIR and confidence interval of ICUs with a predicted number of infections less

than 0.5 have been suppressed (not calculable).


Hospital-Specific Summaries

This document is designed to help you better understand the data presented on the Summary Pages that follow.

Standardized Infection Ratio (SIR): This measure compares the actual number of healthcare-associated infections (HAIs) reported by a location

to the predicted number of infections at that location. If a hospital experiences the exact same number of infections as predicted, the SIR has a

value of 1. If a hospital experiences more infections, the SIR is greater than 1, and vice versa. Statistical significance means that the number of

infections observed was unlikely to have occurred by chance alone. A statistical interpretation of Same or Lower means that the number of

infections was comparable or significantly better than expected. An interpretation of Higher means that the number of infections was

significantly higher than the expected.

Hospital Survey Statistics HCP Influenza Vaccination Coverage

These statistics aim to provide a broad sense of a hospital’s

patient care capacity and staffing. When reviewing these data,

keep in mind that a single infection at a smaller hospital may have

a greater impact on infection rates than at a larger hospital. Every

hospital in Massachusetts has Infection Preventionists who work to

reduce healthcare-associated infections at their hospital. The

Society for Healthcare Epidemiology of America (SHEA)

recommends that there be at least one Infection Preventionist per

125 beds at a hospital.

For the 2016-2017 influenza season, MA hospitals were required by

MDPH and the Centers for Medicare and Medicaid Services (CMS) to

report detailed vaccination data on their healthcare personnel (HCP)

via the NHSN. The percent of HCP by vaccination status for the

hospital are presented in comparison to the state median.

Massachusetts expected that a 90% influenza vaccination rate

would be reached for acute care hospital employees. Vaccination

rates include those vaccinated both within and outside of the

hospital.

Central Line-Associated Blood Stream Infection

2

The chart included depicts LabID statistical interpretations for calendar year 2015 through 2016. It is meant to be used as a quick assessment of

significant variation of infection rates over time. This chart does not capture change in infection rates that were not statistically significant.

The Hospital SSI SIR table contains hospital data for 2016 for each procedure currently under surveillance. Each hospital strives for zero

infections. The predicted number of infections is calculated based on 2015 national HAI aggregate data and adjusted for each facility using

variables found to be significant predictors of HAI incidence. SIRs can only be calculated using this new baseline from calendar year 2015 and

forward. Therefore, you will not see data for calendar year 2014 or earlier. The SIR and confidence interval of ICUs with a predicted number of

infections less than 0.5 have been suppressed (not calculable).

The chart included depicts SSI statistical interpretations for calendar year 2015 through 2016. It is meant to be used as a quick assessment of

significant variation of infection rates over time. This chart does not capture changes in infection rates that were not statistically significant.


The LabID event section includes overall inpatient facility-wide (FacWideIn) Clostridium difficile infection (CDI) and methicillin-resistant

Staphylococcus aureus (MRSA) bacteremia surveillance LabID event data reported from acute care facilities. LabID events are provided as proxy

surveillance measures of healthcare infection acquisition, exposure burden, and infection burden, based on laboratory and limited admission

data, and should be evaluated as such. When interpreting pediatric CDI data, asymptomatic colonization in children less than one year of age

may confound pediatric CDI rates.

The Hospital CDI and MRSA SIR table contains hospital data for 2016 for each LabID event currently under surveillance. Each hospital strives for

zero infections. The predicted number of infections is calculated based on 2015 national HAI aggregate data and adjusted for each facility using

variables found to be significant predictors of HAI incidence. SIRs can only be calculated using this new baseline from calendar year 2015 and

forward. Therefore, you will not see data for calendar year 2014 or earlier. The SIR and confidence interval of ICUs with a predicted number of

infections less than 0.5 have been suppressed (not calculable).


Hospital-Specific Summaries


SSI data are reported by procedure type since the risk of infection can vary greatly from one procedure to the next depending on individual

patient and hospital factors. All deep incisional primary and organ/space infections are included in this report. Procedures with implants are

observed for infection for 90 days after the procedure. These procedures include CABG, HPRO, and KPRO procedures. Abdominal

hysterectomies, vaginal hysterectomies and colon procedures are observed for 30 days after procedure.

ICU Type Infections SIRConfidence


Cardiac 4 3.30 (1.05 - 7.97) Higher

Cardiothoracic 0 0.00 (0 - 1.51) Same

Medical (major teaching) 2 0.78 (0.13 - 2.56) Same

Pediatric 1 1.40 (0.07 - 6.89) Same

Surgical 0 0.00 (0 - 2.66) Same

Neonatal 2 0.65 (0.10 - 2.15) Same



Cardiac 5 2.56 (0.93 - 5.67) Same

Cardiothoracic 2 0.94 (0.15 - 3.08) Same


Pediatric 1 1.76 (0.08 - 8.65) Same

Surgical 7 2.17 (0.95 - 4.29) Same

1

Medical School Affiliation Yes


Baystate Medical Center - Springfield, MA

2016 Hospital Survey Statistics HCP Influenza Vaccination Coverage

Hospital Type Major teaching

Profit Status Not-for-profit

Number of Beds 769

Number of ICU Beds 124

Number of Admissions 41,421

Number of Patient Days 200,531

Beds per Infection Preventionist 134.91

Central Line-Associated Blood Stream InfectionHospital CLABSI SIRs by ICU Type for 2016 Calendar Year

Central Line

Days

Predicted

Infections

1,073 1.21

1,748 1.97

2,286 2.58

1223 1.95

497 0.72

998 1.13

2,132 3.07

*Missing data is either not calculable or not collected during that time period. Please see the "One Page Description Hospital CY2016" for more information.

Catheter-Associated Urinary Tract InfectionHospital CAUTI SIRs by ICU Type for 2016 Calendar Year

Catheter DaysPredicted

Infections

1642 2.14

3301 4.37

332 0.57

1766 3.22


92% 97%

50%

60%

70%

80%

90%

100%

State v. Hospital, 2016-2017 Season

Unknown status

Medical contraindication

Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State

Hospital & State CLABSI SIRs Compared to National Average

0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio

Hospital Central Line Utilization Ratios Adult

Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2015 2016

SIR

Hospital

State

Hospital & State CAUTI SIRs Compared to National Average

0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io

Hospital Catheter Utilization Ratios

Adult

Pediatric

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 4.69 0.64 (0.16 - 1.74) Same

(KPRO) 2.67 0.75 (0.12 - 2.47) Same

(HPRO) 3.15 0.64 (0.10 - 2.09) Same

(HYST) 3.12 2.57 (1.19 - 4.87) Higher

(VHYS) 1.64 4.26 (1.86 - 8.42) Higher

(COLO) 13.69 1.53 (0.97 - 2.30) Same

Predicted

InfectionsSIR

Confidence


(CDI) 142.00 0.47 (0.36 - 0.59) Lower

(MRSA) 15.95 0.25 (0.08 - 0.60) Lower

2

Coronary Artery Bypass Graft 3 458


Baystate Medical Center - Springfield, MA

Surgical Site InfectionHospital SSI SIRs by Procedure Type for 2016 Calendar Year

Procedure Infections Procedures

Knee Prosthesis 2 700

Hip Prosthesis 2 431

Hospital CDI and MRSA SIRs for 2016 Calendar Year

Abdominal Hysterectomy 8 453

Vaginal Hysterectomy 7 222

Colon Surgery 21 432




aureus4 185,634

*Missing data is either not calculable or not collected during that time period. Please see the "One Page Description Hospital CY2016" for more

information.

Event Infections Patient Days

Clostridium difficile 67 164,521

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016

Statistically Significant Variation from Predicted Number of Surgical Site Infections, 2015 -2016



Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO





Pediatric 1 1.91 (0.09 - 9.43) Same

Surgical 0 0.00 (0 - 0.71) Lower

Trauma 2 0.86 (0.14 - 2.82) Same

Neonatal 0 0.00 (0 - 1.18) Same





Pediatric 1

Surgical 3 0.35 (0.09 - 0.95) Lower

Trauma 6 0.74 (0.29 - 1.53) Same

1



UMass Memorial Health Care -

UMass Memorial Medical Center - Worcester, MA




Number of Beds 717






Central Line

Days

Predicted

Infections

1,982 2.24

6,850 7.73

363 0.52

3,703 4.18

1,532 2.34

1,825 2.54

4670 8.52




Infections

2210 2.88

8381 11.11

216 0.37 Not calculable

2970 8.14


92% 84%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

lizat

ion

R

atio


Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io


Adult

Pediatric

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 1.86 0.00 (0 - 1.60) Same

(KPRO) 1.21 0.83 (0.04 - 4.08) Same

(HPRO) 2.33 0.43 (0.02 - 2.11) Same

(HYST) 1.23 0.00 (0 - 2.44) Same

(VHYS) 0.41

(COLO) 6.56 0.46 (0.11 - 1.24) Same

Predicted

InfectionsSIR

Confidence


(CDI) 142.94 0.60 (0.48 - 0.73) Lower

(MRSA) 16.87 0.24 (0.07 - 0.57) Lower

2




UMass Memorial Medical Center - Worcester, MA







Vaginal Hysterectomy 0 56 Not calculable

Colon Surgery 3 252



aureus4 218,359


information.




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Cardiac 2 0.99 (0.16 - 3.26) Same



Neurosurgical 2 1.88 (0.31 - 6.20) Same

Pediatric 1 0.92 (0.04 - 4.55) Same

Surgical 1 0.49 (0.02 - 2.39) Same

Neonatal 3 0.79 (0.2 - 2.13) Same



Cardiac 3 1.59 (0.40 - 4.33) Same


Medical (major teaching) 0 0.00 (0 - 1.17) Same


Pediatric 1 1.81 (0.09 - 8.92) Same

Surgical 2 0.60 (0.10 - 1.98) Same

1

1412 5.01

322 0.55

1828 3.34


1178 1.88

2286 2.98

1931 2.56


Infections

944 1.07

753 1.08

1,826 2.06

2,551 3.82



1,794 2.02

2,615 2.95

2,065 2.33



Central Line

Days

Predicted

Infections






Number of Beds 382



Tufts Medical Center - Boston, MA


92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io


Adult

Pediatric

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 3.29 1.83 (0.74 - 3.79) Same

(KPRO) 1.00 3.01 (0.76 - 8.18) Same

(HPRO) 1.84 1.63 (0.41 - 4.43) Same

(HYST) 0.90 1.12 (0.05 - 5.50) Same

(VHYS) 0.24

(COLO) 4.91 1.22 (0.49 - 2.54) Same

Predicted

InfectionsSIR

Confidence


(CDI) 63.56 1.20 (0.94 - 1.48) Same

(MRSA) 7.80 0.13 (0.00 - 0.63) Lower

2


aureus1 96,245


information.







Colon Surgery 6 157






Hospital SSI SIRs by Procedure Type for 2016 Calendar Year


Tufts Medical Center - Boston, MA


2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical

(not major teaching)0 0.00 (0 - 2.82) Same



Medical/Surgical

(not major teaching)2 0.90 (0.15 - 2.97) Same

1

2477 2.22



Infections



Central Line

Days

Predicted

Infections

1,410 1.06






Hospital Type Nonteaching


Number of Beds 223

Medical School Affiliation No


Lahey Health - Beverly Hospital - Beverly, MA


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0.34

0.36

0.38

0.4

2015 2016

Uti

liza

tio

n

Rat

io

Hospital Central Line Utilization Ratios

Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 1.31 1.53 (0.25 - 5.03) Same

(HPRO) 0.12

(HYST) 0.23

(VHYS) 0.16

(COLO) 2.78 1.80 (0.65 - 3.98) Same

Predicted

InfectionsSIR

Confidence


(CDI) 43.54 1.08 (0.80 - 1.42) Same

(MRSA) 2.58 0.00 (0 - 1.16) Same

2


information.



aureus0 80,090


Facility Wide LabID EventsHospital CDI and MRSA SIRs for 2016 Calendar Year



Colon Surgery 5 113

Hip Prosthesis 0 32 Not calculable

Abdominal Hysterectomy 1 34 Not calculable



Lahey Health - Beverly Hospital - Beverly, MA



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Signature Healthcare - Brockton Hospital - Brockton, MA


Hospital Type Graduate teaching


Number of Beds 216





Infections



Central Line

Days

Predicted

Infections

1,776 1.55



3323 3.39


92% 93%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.56 0.00 (0 - 5.38) Same

(HPRO) 0.72 0.00 (0 - 4.18) Same

(HYST) 0.18

(VHYS) 0.01

(COLO) 1.54 1.95 (0.49 - 5.29) Same

Predicted

InfectionsSIR

Confidence


(CDI) 29.66 0.78 (0.50 - 1.14) Same

(MRSA) 2.29 0.00 (0 - 1.30) Same

2



Signature Healthcare - Brockton Hospital - Brockton, MA



Colon Surgery 3 77








information.



aureus0 47,756

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO




Medical/Surgical





Medical/Surgical


1



Cape Cod Healthcare - Cape Cod Hospital - Hyannis, MA




Number of Beds 246







Central Line

Days

Predicted

Infections

1,252 1.09

1,058 0.92


Hospital CAUTI SIRs by ICU Type for 2016 Calendar Year


Infections

2131 1.91

2181 1.95


92% 85%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.34

0.36

0.38

0.4

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.55

0.6

0.65

0.7

0.75

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 0.65 0.00 (0 - 4.60) Same

(KPRO) 1.16 0.00 (0 - 2.57) Same

(HPRO) 1.80 2.23 (0.70 - 5.37) Same

(HYST) 0.35

(VHYS) 0.34

(COLO) 4.63 0.43 (0.07 - 1.42) Same

Predicted

InfectionsSIR

Confidence


(CDI) 49.08 1.06 (0.79 - 1.37) Same

(MRSA) 3.25 0.31 (0.01 - 1.51) Same

2



Cape Cod Healthcare - Cape Cod Hospital - Hyannis, MA









Colon Surgery 2 197




aureus1 75,055


information.



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical

(not major teaching)4 4.91 (1.56 - 11.84) Higher



Medical/Surgical


1

1739 1.27



Infections



Central Line

Days

Predicted

Infections

1,081 0.81








Number of Beds 95



Cape Cod Healthcare - Falmouth Hospital - Falmouth, MA


92% 83%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

2.0

4.0

6.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.66 0.00 (0 - 4.53) Same

(HPRO) 0.93 3.24 (0.82 - 8.81) Same

(HYST) 0.13

(VHYS) 0.23

(COLO) 1.08 0.00 (0 - 2.77) Same

Predicted

InfectionsSIR

Confidence


(CDI) 17.13 0.99 (0.59 - 1.55) Same

(MRSA) 1.31 0.00 (0 - 2.28) Same

2


information.



aureus0 27,490




Not calculable


Colon Surgery 0 52





Cape Cod Healthcare - Falmouth Hospital - Falmouth, MA



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016

Statistically Significant Variation from Predicted Number of Surgical Site Infections, 2015-2016



Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical

(major teaching)0 0.00 (0 - 1.58) Same



Medical/Surgical

(major teaching)5 1.47 (0.54 - 3.26) Same

1

2605 3.39



Infections



Central Line

Days

Predicted

Infections

1,676 1.89








Number of Beds 298



Berkshire Health Systems -

Berkshire Medical Center - Pittsfield, MA


92% 92%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.3

0.5

2015 2016

SIR

Hospital

State


0.4

0.45

0.5

0.55

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.55

0.6

0.65

0.7

0.75

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.94 1.06 (0.05 - 5.22) Same

(HPRO) 1.30 2.31 (0.58 - 6.29) Same

(HYST) 0.14

(VHYS) 0.14

(COLO) 1.64 1.22 (0.20 - 4.03) Same

Predicted

InfectionsSIR

Confidence


(CDI) 41.97 0.91 (0.65 - 1.23) Same

(MRSA) 2.63 1.52 (0.48 - 3.67) Same

2


information.



aureus4 55,341




Not calculable


Colon Surgery 2 73





Berkshire Health Systems -

Berkshire Medical Center - Pittsfield, MA



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Burn 9 2.16 (1.05 - 3.96) Higher

Cardiac 3 0.66 (0.16 - 1.80) Same




Pediatric 1 0.58 (0.02 - 2.83) Same

Surgical 6 0.72 (0.29 - 1.49) Same

Neonatal 2 0.83 (0.13 - 2.73) Same



Burn 2 0.54 (0.09 - 1.78) Same

Cardiac 1 0.18 (0.00 - 0.89) Lower


Medical (major teaching) 1 0.14 (0.00 - 0.70) Lower


Pediatric 2 1.50 (0.25 - 4.94) Same

Surgical 9 0.54 (0.26 - 0.99) Lower

1

779 1.34

9101 16.61


4389 5.72

5249 6.96

5060 17.94



Infections

1084 3.71

3463 5.53

7,422 8.37

1,677 2.42



4,614 5.21

3,153 3.56

1,207 1.74

1,228 4.17

4,014 4.53

4,419 4.99



Central Line

Days

Predicted

Infections






Number of Beds 993


Massachusetts General Hospital - Boston, MA

2016 Hospital Survey Statistics HCP Influenza Vaccination CoverageMedical School Affiliation Yes

92% 84%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

Pediatric

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 4.94 0.81 (0.25 - 1.95) Same

(KPRO) 2.60 2.31 (0.93 - 4.80) Same

(HPRO) 4.19 1.91 (0.88 - 3.62) Same

(HYST) 4.58 1.96 (0.95 - 3.60) Same

(VHYS) 0.28

(COLO) 21.55 1.02 (0.65 - 1.52) Same

Predicted

InfectionsSIR

Confidence


(CDI) 276.92 0.98 (0.86 - 1.10) Same

(MRSA) 22.99 0.87 (0.54 - 1.31) Same

2


information.



aureus20 300,381










Release Date: September 2017

Massachusetts General Hospital - Boston, MA




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1

970 0.53



Infections



Central Line

Days

Predicted

Infections

756 0.51








Number of Beds 74



Southcoast Health - Tobey Hospital - Wareham, MA


92% 93%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.34

0.36

0.38

0.4

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.08

(HPRO) 0.09

(HYST) 0.14

(VHYS) 0.03

(COLO) 0.66 0.00 (0 - 4.52) Same

Predicted

InfectionsSIR

Confidence


(CDI) 11.10 0.72 (0.33 - 1.36) Same

(MRSA) 0.64 0.00 (0 - 4.69) Same

2


information.



aureus0 20,209





Colon Surgery 0 44



Knee Prosthesis 1 35 Not calculable


Southcoast Health - Tobey Hospital - Wareham, MA



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical


Surgical 0 0.00 (0 - 2.47) Same



Medical/Surgical


Surgical 1 0.58 (0.02 - 2.84) Same

1



Infections

2494 2.23

1381 1.73





Central Line

Days

Predicted

Infections

2,936 2.55

1,394 1.21







Number of Beds 391



Southcoast Health - St. Luke's Hospital - New Bedford, MA


92% 88%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.46

(HPRO) 0.91 1.10 (0.05 - 5.43) Same

(HYST) 0.50 1.98 (0.09 - 9.78) Same

(VHYS) 0.26

(COLO) 2.18 0.92 (0.15 - 3.03) Same

Predicted

InfectionsSIR

Confidence


(CDI) 55.19 0.80 (0.58 - 1.06) Same

(MRSA) 2.99 0.67 (0.11 - 2.20) Same

2


information.



aureus2 79,797





Colon Surgery 2 115

Not calculable







Southcoast Health - St. Luke's Hospital - New Bedford, MA


2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Cardiac 1 0.85 (0.04 - 4.18) Same

Cardiothoracic 0 0.00 (0 - 2.26) Same

Medical




Cardiac 2 1.24 (0.20 - 4.08) Same


Medical


1




Infections

1471 1.62

1343 1.20

1831 1.67


1,357 1.18

1,526 1.32

1,637 1.42



Central Line

Days

Predicted

Infections






Number of Beds 328



Southcoast Health - Charlton Memorial Hospital - Fall River, MA


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.65

0.7

0.75

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 1.49 0.67 (0.03 - 3.30) Same

(KPRO) 0.47

(HPRO) 0.61 3.28 (0.55 - 10.84) Same

(HYST) 0.83 0.00 (0 - 3.59) Same

(VHYS) 0.25

(COLO) 2.57 1.17 (0.29 - 3.17) Same

Predicted

InfectionsSIR

Confidence


(CDI) 46.76 0.90 (0.65 - 1.20) Same

(MRSA) 2.44 0.82 (0.13 - 2.71) Same

2


information.



aureus2 72,902





Colon Surgery 3 128

Not calculable






Southcoast Health - Charlton Memorial Hospital - Fall River, MA




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1

1643 1.47



Infections



Central Line

Days

Predicted

Infections

934 0.81







Profit Status For-profit

Number of Beds 244



Steward Health Care - Norwood Hospital - Norwood, MA


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.47

(HPRO) 0.59 10.19 (4.13 - 21.19) Higher

(HYST) 0.23

(VHYS) 0.03

(COLO) 1.71 1.75 (0.44 - 4.76) Same

Predicted

InfectionsSIR

Confidence


(CDI) 26.58 1.28 (0.9 - 1.76) Same

(MRSA) 1.36 0.74 (0.03 - 3.62) Same

2


information.



aureus1 32,639




Not calculable


Colon Surgery 3 89





Steward Health Care - Norwood Hospital - Norwood, MA



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1

1823 1.33



Infections



Central Line

Days

Predicted

Infections

961 0.72








Number of Beds 185



Steward Health Care - Saint Anne's Hospital - Fall River, MA


92% 90%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.3

0.35

0.4

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.81 9.86 (4.58 - 18.72) Higher

(HPRO) 0.64 3.13 (0.52 - 10.33) Same

(HYST) 0.07

(VHYS) 0.05

(COLO) 1.00 1.00 (0.05 - 4.90) Same

Predicted

InfectionsSIR

Confidence


(CDI) 25.71 1.52 (1.09 - 2.05) Higher

(MRSA) 1.56 1.28 (0.21 - 4.22) Same

2


information.



aureus2 37,614




Not calculable


Colon Surgery 1 64





Steward Health Care - Saint Anne's Hospital - Fall River, MA



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Cardiac 0 0.00 (0 - 1.68) Same



Surgical 3 0.68 (0.17 - 1.84) Same

Neonatal 7 2.83 (1.23 - 5.60) Higher



Cardiac 6 1.86 (0.75 - 3.87) Same


Medical (major teaching) 1 0.18 (0.00 - 0.9) Lower

Surgical 17 1.19 (0.71 - 1.86) Same

1



Infections

2018 3.22

5905 7.69

4137 5.48

7846 14.32



1,579 1.78

5,503 6.21

3,956 4.46

3,931 4.44

1,727 2.47




Central Line

Days

Predicted

Infections






Number of Beds 763



Brigham and Women's Hospital - Boston, MA


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0.6

0.65

0.7

0.75

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 4.15 1.21 (0.44 - 2.67) Same

(KPRO) 2.07 3.39 (1.48 - 6.69) Higher

(HPRO) 4.47 0.22 (0.01 - 1.10) Same

(HYST) 4.96 0.60 (0.15 - 1.64) Same

(VHYS) 0.52 0.00 (0 - 5.78) Same

(COLO) 21.63 0.79 (0.47 - 1.23) Same

Predicted

InfectionsSIR

Confidence


(CDI) 187.97 0.85 (0.72 - 0.99) Lower

(MRSA) 22.10 0.27 (0.11 - 0.56) Lower

2


information.



aureus6 263,531




Vaginal Hysterectomy 0 70







Brigham and Women's Hospital - Boston, MA




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO

Hospital Type



Medical/Surgical




Medical/Surgical


1




Infections

1009 0.74



Central Line

Days

Predicted

Infections

983 0.74






Holyoke Medical Center - Holyoke, MA


Undergraduate teaching


Number of Beds 198

92% 77%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.32

(HPRO) 0.37

(HYST) 0.02

(VHYS) 0.02

(COLO) 1.11 0.00 (0 - 2.70) Same

Predicted

InfectionsSIR

Confidence


(CDI) 9.69 0.10 (0.00 - 0.50) Lower

(MRSA) 0.93 0.00 (0 - 3.21) Same

2


information.



aureus0 23,468





Colon Surgery 0 52







Holyoke Medical Center - Holyoke, MA


2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical


Neonatal 2



Medical/Surgical


1



Infections

5706 7.43





Central Line

Days

Predicted

Infections

5,266 5.94







Number of Beds 287



Steward Health Care - St. Elizabeth's Medical Center - Brighton, MA


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

liza

tio

n

Rat

io


Adult

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 2.76 0.36 (0.01 - 1.78) Same

(KPRO) 0.34

(HPRO) 0.60 0.00 (0 - 5.00) Same

(HYST) 0.85 0.00 (0 - 3.54) Same

(VHYS) 0.33

(COLO) 2.46 0.81 (0.13 - 2.68) Same

Predicted

InfectionsSIR

Confidence


(CDI) 31.02 1.45 (1.07 - 1.92) Higher

(MRSA) 3.93 1.53 (0.61 - 3.17) Same

2


aureus6 51,127


information.







Colon Surgery 2 93



Hip Prosthesis 0 98





Steward Health Care - St. Elizabeth's Medical Center - Brighton, MA


2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Steward Health Care - Holy Family Hospital - Methuen, MA




Number of Beds 261





Infections



Central Line

Days

Predicted

Infections

1,173 1.02



1648 1.48


92% 89%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.77 0.00 (0 - 3.90) Same

(HPRO) 0.97 0.00 (0 - 3.09) Same

(HYST) 0.33

(VHYS) 0.03

(COLO) 2.24 0.00 (0 - 1.33) Same

Predicted

InfectionsSIR

Confidence


(CDI) 28.60 1.12 (0.77 - 1.56) Same

(MRSA) 2.00 0.50 (0.02 - 2.46) Same

2



Steward Health Care - Holy Family Hospital - Methuen, MA



Colon Surgery 0 112








information.



aureus1 44,823

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Steward Health Care - Carney Hospital - Boston, MA




Number of Beds 110





Infections



Central Line

Days

Predicted

Infections

908 0.79



1307 1.09


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.35

0.4

0.45

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.54

0.56

0.58

0.6

0.62

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.27

(HPRO) 0.10

(HYST) 0.14

(VHYS) 0.01

(COLO) 1.02 0.00 (0 - 2.94) Same

Predicted

InfectionsSIR

Confidence


(CDI) 11.56 0.87 (0.43 - 1.54) Same

(MRSA) 0.65 3.06 (0.51 - 10.10) Same

2



Steward Health Care - Carney Hospital - Boston, MA






Colon Surgery 0 48





information.



aureus2 12,684

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Newton-Wellesley Hospital - Newton, MA




Number of Beds 250





Infections



Central Line

Days

Predicted

Infections

705 0.80



1182 1.54


92% 88%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.3

0.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 1.41 0.71 (0.03 - 3.50) Same

(HPRO) 2.38 1.68 (0.53 - 4.05) Same

(HYST) 0.41

(VHYS) 0.31

(COLO) 2.54 0.39 (0.02 - 1.94) Same

Predicted

InfectionsSIR

Confidence


(CDI) 44.96 0.42 (0.26 - 0.64) Lower

(MRSA) 2.77 0.36 (0.01 - 1.78) Same

2



Newton-Wellesley Hospital - Newton, MA



Colon Surgery 1 130








information.



aureus1 61,870

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Steward Health Care - Morton Hospital - Taunton, MA




Number of Beds 133





Infections



Central Line

Days

Predicted

Infections

802 0.60



1125 0.82


92% 92%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.62 4.88 (1.24 - 13.27) Higher

(HPRO) 0.32

(HYST) 0.07

(VHYS) 0.04

(COLO) 1.25 0.00 (0 - 2.38) Same

Predicted

InfectionsSIR

Confidence


(CDI) 18.41 1.14 (0.72 - 1.71) Same

(MRSA) 0.81 2.46 (0.41 - 8.13) Same

2



Steward Health Care - Morton Hospital - Taunton, MA






Colon Surgery 0 62





information.



aureus2 20,920

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Steward Health Care

Good Samaritan Medical Center - Brockton, MA




Number of Beds 267





Infections



Central Line

Days

Predicted

Infections

1,576 1.37



3092 2.77


92% 92%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.62 1.62 (0.08 - 8.00) Same

(HPRO) 0.82 3.67 (0.93 - 9.97) Same

(HYST) 0.25

(VHYS) 0.28

(COLO) 2.80 0.36 (0.01 - 1.76) Same

Predicted

InfectionsSIR

Confidence


(CDI) 39.04 1.10 (0.80 - 1.47) Same

(MRSA) 2.22 3.60 (1.67 - 6.83) Higher

2



Steward Health Care

Good Samaritan Medical Center - Brockton, MA



Colon Surgery 1 150








information.



aureus8 56,613

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO




Pediatric 1

Surgical 3 0.96 (0.24 - 2.61) Same

Trauma 2 0.95 (0.16 - 3.14) Same

Neonatal 1 0.58 (0.02 - 2.87) Same




Pediatric 0

Surgical 5 1.07 (0.39 - 2.37) Same

Trauma 8 1.81 (0.83 - 3.43) Same

1



Boston Medical Center - Boston, MA




Number of Beds 487






Central Line

Days

Predicted

Infections


4,809 5.43


2,772 3.13

1,374 2.10

931 1.71




Infections

3769 5.00


2552 4.66

1615 4.43


92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

lizat

ion

R

atio


Pediatric

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

Pediatric

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 0.85 0.00 (0 - 3.51) Same

(KPRO) 0.61 4.88 (1.24 - 13.27) Higher

(HPRO) 1.02 3.90 (1.24 - 9.41) Higher

(HYST) 1.51 0.66 (0.03 - 3.27) Same

(VHYS) 0.45

(COLO) 6.75 0.44 (0.11 - 1.21) Same

Predicted

InfectionsSIR

Confidence


(CDI) 96.74 1.00 (0.81 - 1.21) Same

(MRSA) 10.04 0.60 (0.24 - 1.24) Same

2


Boston Medical Center - Boston, MA








Colon Surgery 3 200





information.



aureus6 146,012

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO

Hospital Type



Medical/Surgical




Medical/Surgical


1



Beth Israel Deaconess Hospital - Plymouth - Plymouth, MA




Number of Beds 150





Central Line

Days

Predicted

Infections

1,275 0.96




Infections

2052 1.50


92% 97%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0.34

0.36

0.38

0.4

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.54

0.56

0.58

0.6

0.62

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.73 0.00 (0 - 4.13) Same

(HPRO) 0.70 0.00 (0 - 4.26) Same

(HYST) 0.10

(VHYS) 0.16

(COLO) 1.99 0.50 (0.02 - 2.48) Same

Predicted

InfectionsSIR

Confidence


(CDI) 30.81 0.81 (0.53 - 1.18) Same

(MRSA) 1.54 0.65 (0.03 - 3.19) Same

2



Beth Israel Deaconess Hospital - Plymouth - Plymouth, MA




Colon Surgery 1 87








information.



aureus1 39,257

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Lahey Health - Winchester Hospital - Winchester, MA




Number of Beds 189





Infections



Central Line

Days

Predicted

Infections

658 0.58



1585 1.32


92% 97%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 1.23 3.26 (1.03 - 7.85) Higher

(HPRO) 0.93 0.00 (0 - 3.23) Same

(HYST) 0.24

(VHYS) 0.03

(COLO) 2.03 0.99 (0.16 - 3.25) Same

Predicted

InfectionsSIR

Confidence


(CDI) 37.42 0.56 (0.35 - 0.84) Lower

(MRSA) 2.03 0.00 (0 - 1.47) Same

2



Lahey Health - Winchester Hospital - Winchester, MA



Colon Surgery 2 97








information.



aureus0 56,116

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Emerson Hospital - Concord, MA




Number of Beds 179





Infections



Central Line

Days

Predicted

Infections

1,072 0.81



1478 1.08


92% 94%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.72 1.40 (0.07 - 6.89) Same

(HPRO) 0.73 0.00 (0 - 4.08) Same

(HYST) 0.06

(VHYS) 0.05

(COLO) 1.07 0.00 (0 - 2.79) Same

Predicted

InfectionsSIR

Confidence


(CDI) 17.06 0.70 (0.38 - 1.19) Same

(MRSA) 0.96 1.04 (0.05 - 5.12) Same

2



Emerson Hospital - Concord, MA





0 12

Colon Surgery 0 57

Not calculable

Not calculable


information.



aureus1 28,885




Vaginal Hysterectomy

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Lowell General Hospital - Main Campus - Lowell, MA




Number of Beds 176





Infections



Central Line

Days

Predicted

Infections

2,097 1.58



1905 1.39


92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 1.96 0.51 (0.02 - 2.52) Same

(HPRO) 1.69 1.78 (0.45 - 4.83) Same

(HYST) 0.16

(VHYS) 0.02

(COLO) 2.47 0.00 (0 - 1.21) Same

Predicted

InfectionsSIR

Confidence


(CDI) 24.43 0.57 (0.32 - 0.93) Lower

(MRSA) 2.11 0.95 (0.15 - 3.13) Same

2



Lowell General Hospital - Main Campus - Lowell, MA



Colon Surgery 0 144








information.



aureus2 74,465

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Cardiac 2 1.37 (0.23 - 4.53) Same



Surgical 3 0.68 (0.17 - 1.85) Same



Cardiac 1 0.37 (0.01 - 1.80) Same



Surgical 4 0.49 (0.15 - 1.18) Same

1



Lahey Health - Lahey Hospital & Medical Center - Burlington, MA




Number of Beds 345






Central Line

Days

Predicted

Infections


Infections

1,293 1.46

1,337 1.51

3,849 4.34

3,902 4.40



1713 2.74

1439 1.87

4754 6.30

4449 8.12


92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 2.09 0.00 (0 - 1.43) Same

(KPRO) 1.92 0.52 (0.02 - 2.56) Same

(HPRO) 2.89 1.38 (0.44 - 3.33) Same

(HYST) 1.40 0.71 (0.03 - 3.51) Same

(VHYS) 0.37

(COLO) 10.60 0.47 (0.17 - 1.04) Same

Predicted

InfectionsSIR

Confidence


(CDI) 87.11 1.64 (1.38 - 1.92) Higher

(MRSA) 7.18 0.42 (0.10 - 1.13) Same

2



Lahey Health - Lahey Hospital & Medical Center - Burlington, MA








Colon Surgery 5 413



aureus3 112,909


information.




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical

(not major teaching)0



Medical/Surgical


1



Anna Jaques Hospital - Newburyport, MA




Number of Beds 111






Central Line

Days

Predicted

Infections





Infections

854 0.62


92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.52

0.54

0.56

0.58

0.6

0.62

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.54 0.00 (0 - 5.51) Same

(HPRO) 0.45

(HYST) 0.15

(VHYS) 0.18

(COLO) 0.96 0.00 (0 - 3.10) Same

Predicted

InfectionsSIR

Confidence


(CDI) 15.14 0.86 (0.47 - 1.43) Same

(MRSA) 0.95 0.00 (0 - 3.13) Same

2


Anna Jaques Hospital - Newburyport, MA






Not calculable



Colon Surgery 0 51




aureus0 28,074


information.



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical




Medical


1



Heywood Hospital - Gardner, MA




Number of Beds 134






Central Line

Days

Predicted

Infections





Infections

860 0.64


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.33

(HPRO) 0.29

(HYST) 0.05

(VHYS) 0.22

(COLO) 0.52 0.00 (0 - 5.71) Same

Predicted

InfectionsSIR

Confidence


(CDI) 8.06 0.99 (0.46 - 1.88) Same

(MRSA) 0.53 0.00 (0 - 5.67) Same

2


Heywood Hospital - Gardner, MA








Colon Surgery 0 34




aureus0 19,158


information.



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Pediatric 36 1.32 (0.93 - 1.80) Same

Neonatal 9 2.32 (1.13 - 4.26) Higher



Pediatric 4 0.45 (0.14 - 1.09) Same

1



Boston Children's Hospital - Boston, MA




Number of Beds 415






Central Line

Days

Predicted

Infections


16,413 27.27

3,201 3.87




Infections

5570 8.82

92% 97%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io


Neonatal

Pediatric

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.2

0.22

0.24

0.26

2015 2016

Uti

lizat

ion

R

atio


Pediatric

Predicted

InfectionsSIR

Confidence


(COLO) 1.49 0.00 (0 - 2.01) Same

Predicted

InfectionsSIR

Confidence


(CDI) 55.73 1.33 (1.05 - 1.65) Higher

(MRSA) 4.10 1.46 (0.59 - 3.04) Same

2



Boston Children's Hospital - Boston, MA



Colon Surgery 0 57




aureus6 128,561


information.



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016




Statistically Lower

COLO



Medical/Surgical




Medical/Surgical


1




HealthAlliance Hospital - Leominster, MA




Number of Beds 143





Infections



Central Line

Days

Predicted

Infections

1,070 0.94



2225 1.86


92% 92%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.48

(HPRO) 0.43

(HYST) 0.31

(VHYS) 0.00

(COLO) 1.49 0.00 (0 - 2.00) Same

Predicted

InfectionsSIR

Confidence


(CDI) 21.72 0.83 (0.50 - 1.28) Same

(MRSA) 1.49 0.67 (0.03 - 3.31) Same

2




HealthAlliance Hospital - Leominster, MA






Colon Surgery 0 70





information.



aureus1 31,452

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical (major teaching) 0 0.00 (0 - 2.68) Same

Surgical 2 1.25 (0.21 - 4.13) Same




Surgical 3 1.00 (0.25 - 2.71) Same

1



Mount Auburn Hospital - Cambridge, MA




Number of Beds 217







Central Line

Days

Predicted

Infections

1,137 1.11

1,633 1.60




Infections

1408 1.87

1651 3.01


92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.64

0.66

0.68

0.7

0.72

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 0.93 0.00 (0 - 3.23) Same

(KPRO) 0.82 1.23 (0.06 - 6.05) Same

(HPRO) 1.13 1.77 (0.29 - 5.83) Same

(HYST) 1.02 1.96 (0.32 - 6.46) Same

(VHYS) 0.19

(COLO) 1.69 0.59 (0.03 - 2.91) Same

Predicted

InfectionsSIR

Confidence


(CDI) 37.92 0.69 (0.45 - 0.99) Lower

(MRSA) 2.62 0.76 (0.12 - 2.52) Same

2



Mount Auburn Hospital - Cambridge, MA









Colon Surgery 1 71



aureus2 64,316


information.




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Pediatric 2 2.47 (0.41 - 8.15) Same



Pediatric 0

1



Shriners Hospital for Children - Boston - Boston, MA




Number of Beds 30






Central Line

Days

Predicted

Infections

706 0.81




Infections



92% 93%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

1.0

2.0

3.0

4.0

5.0

2015 2016

SIR

Hospital

State


0.98

0.99

1

2015 2016

Uti

liza

tio

n

Rat

io


Pediatric

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.42

0.44

0.46

0.48

2015 2016

Uti

lizat

ion

R

atio


Pediatric

Predicted

InfectionsSIR

Confidence


(CDI) 0.64 1.56 (0.07 - 7.69) Same

(MRSA) 0.05

2



Shriners Hospital for Children - Boston - Boston, MA



Not calculable


information.



aureus0 3,560

2015 2016 2015 2016




Statistically Lower

CDI

MRSA



Medical/Surgical




Medical/Surgical


1



Noble Hospital - Westfield, MA




Number of Beds 97







Central Line

Days

Predicted

Infections





Infections



92% 95%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.13

(HPRO) 0.15

(COLO) 0.12

Predicted

InfectionsSIR

Confidence


(CDI) 3.34 0.30 (0.01 - 1.47) Same

(MRSA) 0.22

2



Noble Hospital - Westfield, MA





Colon Surgery 1 6 Not calculable






aureus0 7,391 Not calculable


information.

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

COLO



Medical/Surgical




Medical/Surgical


1



New England Baptist Hospital - Boston, MA




Number of Beds 118







Central Line

Days

Predicted

Infections





Infections



92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

2.0

4.0

6.0

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 10.90 0.18 (0.03 - 0.60) Lower

(HPRO) 12.42 0.32 (0.10 - 0.77) Lower

(COLO) 0.04

Predicted

InfectionsSIR

Confidence


(CDI) 5.65 0.18 (0.00 - 0.87) Lower

(MRSA) 0.51 0.00 (0 - 5.84) Same

2



New England Baptist Hospital - Boston, MA



Knee Prosthesis 2 2,959

Hip Prosthesis 4 2,567




aureus0 22,297


information.




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

COLO



Medical/Surgical




Medical/Surgical


1



Hallmark Health System -

Lawrence Memorial Hospital of Medford - Medford, MA




Number of Beds 44







Central Line

Days

Predicted

Infections





Infections



92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.04

(HPRO) 0.04

(COLO) 0.23

Predicted

InfectionsSIR

Confidence


(CDI) 3.90 1.79 (0.78 - 3.54) Same

(MRSA) 0.18

2




Lawrence Memorial Hospital of Medford - Medford, MA













information.

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

COLO



Medical/Surgical




Medical/Surgical


1



Lowell General Hospital - Saints Campus - Lowell, MA




Number of Beds 75






Central Line

Days

Predicted

Infections

1,060 0.71




Infections



92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.01

(COLO) 0.35

Predicted

InfectionsSIR

Confidence


(CDI) 9.13 0.99 (0.48 - 1.80) Same

(MRSA) 0.94 0.00 (0 - 3.18) Same

2



Lowell General Hospital - Saints Campus - Lowell, MA









information.



aureus0 21,509

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016




Statistically Lower

KPRO

COLO

Predicted

InfectionsSIR

Confidence


(CDI) 1.15 1.74 (0.29 - 5.74) Same

(MRSA) 0.08

2



UMass Memorial Health Care - Clinton Hospital - Clinton, MA




Number of Beds 41


Number of Admissions 968





Not calculable


information.



aureus0 3,514

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

92% 92%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital



Medical/Surgical




Medical/Surgical


1



Milford Regional Medical Center - Milford, MA




Number of Beds 145





Infections



Central Line

Days

Predicted

Infections

882 0.86



1485 1.58


92% 91%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.3

0.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.45

(HPRO) 0.82 1.21 (0.06 - 5.98) Same

(HYST) 0.27

(VHYS) 0.10

(COLO) 1.25 0.00 (0 - 2.39) Same

Predicted

InfectionsSIR

Confidence


(CDI) 34.38 0.76 (0.50 - 1.09) Same

(MRSA) 1.64 0.61 (0.03 - 3.01) Same

2



Milford Regional Medical Center - Milford, MA



Colon Surgery 0 60








information.



aureus1 34,445

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Baystate Franklin Medical Center - Greenfield, MA




Number of Beds 90







Central Line

Days

Predicted

Infections





Infections



92% 99%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.15

(HPRO) 0.25

(HYST) 0.11

(VHYS) 0.19

(COLO) 1.03 0.98 (0.04 - 4.81) Same

Predicted

InfectionsSIR

Confidence


(CDI) 8.74 0.57 (0.21 - 1.26) Same

(MRSA) 0.41

2



Baystate Franklin Medical Center - Greenfield, MA







Colon Surgery 1 55








information.

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Lawrence General Hospital - Lawrence, MA




Number of Beds 189





Infections



Central Line

Days

Predicted

Infections

1,493 1.46



2399 2.55


92% 93%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.35

(HPRO) 0.39

(HYST) 0.16

(VHYS) 0.06

(COLO) 1.43 0.70 (0.03 - 3.46) Same

Predicted

InfectionsSIR

Confidence


(CDI) 30.18 1.13 (0.79 - 1.55) Same

(MRSA) 2.48 0.40 (0.02 - 1.98) Same

2



Lawrence General Hospital - Lawrence, MA






Colon Surgery 1 63





information.



aureus1 48,730

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Cardiac 0 0.00 (0 - 2.54) Same

Medical/Surgical


Surgical 1 0.71 (0.03 - 3.52) Same

Neonatal 0



Cardiac 3 2.11 (0.53 - 5.74) Same

Medical/Surgical


Surgical 4 1.77 (0.56 - 4.26) Same

1



South Shore Hospital - South Weymouth, MA




Number of Beds 434






Central Line

Days

Predicted

Infections


1,167 1.18

1,455 1.47

1,390 1.40





Infections

1135 1.42

1489 1.52

1582 2.26


92% 97%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2.5

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 1.08 2.77 (0.70 - 7.53) Same

(HPRO) 1.44 0.00 (0 - 2.08) Same

(HYST) 1.44 2.09 (0.53 - 5.68) Same

(VHYS) 0.14

(COLO) 5.48 0.73 (0.23 - 1.76) Same

Predicted

InfectionsSIR

Confidence


(CDI) 86.36 0.64 (0.48 - 0.82) Lower

(MRSA) 5.13 0.20 (0.01 - 0.96) Lower

2



South Shore Hospital - South Weymouth, MA






Colon Surgery 4 220





information.



aureus1 131,750

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO

Predicted

InfectionsSIR

Confidence


(KPRO) 0.02

(HPRO) 0.05

(HYST) 0.01

2



Martha's Vineyard Hospital - Oak Bluffs, MA




Number of Beds 25











2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

92% 95%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

Hospital Type



Medical/Surgical




Medical/Surgical


1



Cooley Dickinson Hospital - Northampton, MA




Number of Beds 140





Central Line

Days

Predicted

Infections





Infections

926 0.68


92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.3

0.35

0.4

0.45

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.57 1.77 (0.08 - 8.72) Same

(HPRO) 0.79 1.26 (0.06 - 6.20) Same

(HYST) 0.33

(VHYS) 0.08

(COLO) 1.57 1.27 (0.21 - 4.21) Same

Predicted

InfectionsSIR

Confidence


(CDI) 18.72 1.60 (1.10 - 2.25) Higher

(MRSA) 1.14 0.00 (0 - 2.61) Same

2



Cooley Dickinson Hospital - Northampton, MA




Colon Surgery 2 74








information.



aureus0 26,266

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Beth Israel Deaconess Hospital - Needham - Needham, MA




Number of Beds 58







Central Line

Days

Predicted

Infections





Infections



92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.13

(HPRO) 0.28

(HYST) 0.01

(COLO) 0.49

Predicted

InfectionsSIR

Confidence


(CDI) 8.31 1.20 (0.61 - 2.14) Same

(MRSA) 0.58 0.00 (0 - 5.17) Same

2



Beth Israel Deaconess Hospital - Needham - Needham, MA










information.



aureus0 14,142

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

COLO

HYST



Medical/Surgical

(major teaching)0



Medical/Surgical


1




Marlborough Hospital - Marlborough, MA




Number of Beds 77






Central Line

Days

Predicted

Infections





Infections

975 0.78


92% 95%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.3

0.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.31

(HPRO) 0.43

(COLO) 0.11

Predicted

InfectionsSIR

Confidence


(CDI) 11.26 1.69 (1.04 - 2.58) Higher

(MRSA) 0.90 1.12 (0.05 - 5.50) Same

2



Marlborough Hospital - Marlborough, MA









aureus1 19,048


information.




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

COLO



Medical/Surgical




Medical/Surgical


1



Brigham and Women's - Faulkner Hospital - Boston, MA




Number of Beds 141





Infections



Central Line

Days

Predicted

Infections

515 0.50



806 0.86


92% 95%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 1.21 2.48 (0.63 - 6.75) Same

(HPRO) 0.88 1.14 (0.05 - 5.59) Same

(HYST) 0.14

(VHYS) 0.10

(COLO) 1.06 0.95 (0.04 - 4.66) Same

Predicted

InfectionsSIR

Confidence


(CDI) 19.77 1.16 (0.75 - 1.71) Same

(MRSA) 1.14 0.88 (0.04 - 4.34) Same

2



Brigham and Women's - Faulkner Hospital - Boston, MA



Colon Surgery 1 51








information.



aureus1 34,845

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Cardiac 2 1.10 (0.18 - 3.64) Same



Medical/Surgical


Neurosurgical 0 0.00 (0 - 4.06) Same

Surgical 1 0.45 (0.02 - 2.23) Same

Trauma 1 0.42 (0.02 - 2.06) Same

Neonatal 0 0.00 (0 - 1.15) Same



Cardiac 3 1.15 (0.29 - 3.13) Same



Medical/Surgical


Neurosurgical 8 2.43 (1.12 - 4.61) Higher

Surgical 7 1.49 (0.65 - 2.94) Same

Trauma 12 2.01 (1.09 - 3.42) Higher

1



Number of Beds 746


Beth Israel Deaconess Medical Center - Boston, MA




Central Line

Days

Predicted

Infections




2,021 2.28

654 0.74

1,959 2.21

1,605 1.81

3,210 3.62

3,530 3.98



Infections

1629 2.60

3061 3.99

1,562 2.39

1,743 2.60



2575 4.70

2174 5.96


3767 4.99

2119 2.76

929 3.29

92% 93%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

Neonatal

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.6

0.65

0.7

0.75

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 3.79 0.53 (0.08 - 1.74) Same

(KPRO) 1.77 2.83 (1.03 - 6.26) Higher

(HPRO) 3.30 1.82 (0.73 - 3.78) Same

(HYST) 2.53 1.58 (0.50 - 3.80) Same

(VHYS) 0.45

(COLO) 14.48 1.45 (0.92 - 2.17) Same

Predicted

InfectionsSIR

Confidence


(CDI) 170.46 1.13 (0.98 - 1.30) Same

(MRSA) 15.29 0.92 (0.52 - 1.5) Same

2





Beth Israel Deaconess Medical Center - Boston, MA








information.



aureus14 226,585




2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO

Hospital Type



Medical/Surgical




Medical/Surgical


1



Harrington Memorial Hospital - Southbridge, MA




Number of Beds 114





Central Line

Days

Predicted

Infections





Infections



92% 86%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.22

(HPRO) 0.18

(HYST) 0.02

(VHYS) 0.03

(COLO) 0.50 0.00 (0 - 5.95) Same

Predicted

InfectionsSIR

Confidence


(CDI) 8.84 0.91 (0.42 - 1.71) Same

(MRSA) 0.52 0.00 (0 - 5.80) Same

2



Harrington Memorial Hospital - Southbridge, MA







Colon Surgery 0 27





information.



aureus0 16,780

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO

Predicted

InfectionsSIR

Confidence


(KPRO) 0.04

(HPRO) 0.04

(HYST) 0.08

(COLO) 0.01

Predicted

InfectionsSIR

Confidence


(CDI) 0.36

(MRSA) 0.03

2



Baystate Mary Lane Hospital - Ware, MA




Number of Beds 25















information.

Clostridium difficile 0 1,268Not calculable


aureus0 1,268

Not calculable

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

COLO

92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

Hospital Type



Medical/Surgical




Medical/Surgical


1



Mercy Medical Center - Springfield, MA




Number of Beds 251





Central Line

Days

Predicted

Infections

1,246 1.08




Infections

1584 1.42


92% 84%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

2.0

4.0

6.0

8.0

10.0

2015 2016

SIR

Hospital

State


0

0.1

0.2

0.3

0.4

0.5

2015 2016

Uti

liza

tio

n R

atio


Adult

State (Adult)

0.0

2.0

4.0

6.0

8.0

10.0

12.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.03

(HPRO) 0.10

(HYST) 0.40

(VHYS) 0.07

(COLO) 2.90 1.38 (0.43 - 3.32) Same

Predicted

InfectionsSIR

Confidence


(CDI) 22.33 1.03 (0.66 - 1.52) Same

(MRSA) 1.81 1.66 (0.42 - 4.50) Same

2



Mercy Medical Center - Springfield, MA







Colon Surgery 4 144





information.



aureus3 46,696

2015 2016 2015 2016





CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016





KPRO

HPRO

HYST

VHYS

COLO

Predicted

InfectionsSIR

Confidence


(CDI) 1.33 1.51 (0.25 - 4.97) Same

(MRSA) 0.14

2



Massachusetts Eye and Ear Infirmary - Boston, MA




Number of Beds 41







Not calculable


information.



aureus0 6,468

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

92% 84%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital



Cardiothoracic 0

Medical/Surgical




Cardiothoracic 0

Medical/Surgical


1



North Shore Medical Center - Salem Hospital - Salem, MA




Number of Beds 271







Central Line

Days

Predicted

Infections


2,609 2.94



Infections


2670 3.48


92% 94%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.46

0.48

0.5

0.52

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 0.40

(KPRO) 0.69 0.00 (0 - 4.31) Same

(HPRO) 1.38 1.45 (0.24 - 4.77) Same

(HYST) 0.42

(VHYS) 0.38

(COLO) 3.36 1.19 (0.37 - 2.87) Same

Predicted

InfectionsSIR

Confidence


(CDI) 53.35 1.13 (0.86 - 1.43) Same

(MRSA) 3.86 0.52 (0.08 - 1.71) Same

2

Coronary Artery Bypass Graft 0 49 Not calculable


North Shore Medical Center - Salem Hospital - Salem, MA



Colon Surgery 4 129







aureus2 65,241



information.




2015 2016 2015 2016





CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016





CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical




Medical


1



Sturdy Memorial Hospital - Attleboro, MA




Number of Beds 128





Infections



Central Line

Days

Predicted

Infections

971 0.73



2202 1.64


92% 95%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.1

0.2

0.3

0.4

0.5

2015 2016

Uti

liza

tio

n R

atio


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.6

0.65

0.7

0.75

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.51 3.95 (0.66 - 13.05) Same

(HPRO) 0.43

(HYST) 0.50 0.00 (0 - 5.98) Same

(VHYS) 0.15

(COLO) 1.16 0.86 (0.04 - 4.25) Same

Predicted

InfectionsSIR

Confidence


(CDI) 21.47 1.12 (0.73 - 1.63) Same

(MRSA) 1.11 1.80 (0.30 - 5.93) Same

2



Sturdy Memorial Hospital - Attleboro, MA






Colon Surgery 1 62





information.



aureus2 33,545

2015 2016 2015 2016





CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016





KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Berkshire Health Systems - Fairview Hospital - Great Barrington, MA




Number of Beds 25







Central Line

Days

Predicted

Infections





Infections



92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.1

0.2

0.3

0.4

0.5

2015 2016

Uti

liza

tio

n R

atio


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.06

(HPRO) 0.09

(HYST) 0.02

(VHYS) 0.01

(COLO) 0.09

Predicted

InfectionsSIR

Confidence


(CDI) 0.77 2.61 (0.43 - 8.62) Same

(MRSA) 0.07

2



Berkshire Health Systems - Fairview Hospital - Great Barrington, MA








Colon Surgery 0 6



Not calculable




information.

2015 2016 2015 2016





CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016





KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



MetroWest Medical Center -

Framingham Union Hospital - Framingham, MA




Number of Beds 191





Infections



Central Line

Days

Predicted

Infections

660 0.58



1627 1.36


92% 95%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.1

0.2

0.3

0.4

0.5

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(HYST) 0.10

(VHYS) 0.01

(COLO) 0.99 2.01 (0.33 - 6.64) Same

Predicted

InfectionsSIR

Confidence


(CDI) 18.19 1.26 (0.82 - 1.86) Same

(MRSA) 1.22 2.46 (0.62 - 6.69) Same

2



MetroWest Medical Center -

Framingham Union Hospital - Framingham, MA




Colon Surgery 2 45





information.



aureus3 27,271

2015 2016 2015 2016





CDI

MRSA

2015 2016 2015 2016 2015 2016





HYST

VHYS

COLO

Predicted

InfectionsSIR

Confidence


(CDI) 0.45

(MRSA) 0.05

2



Nantucket Cottage Hospital - Nantucket, MA




Number of Beds 19








information.

Clostridium difficile 0 2,621 Not calculable



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital



Medical/Surgical




Medical/Surgical


1



Cambridge Health Alliance - Cambridge Hospital - Cambridge, MA




Number of Beds 145






Central Line

Days

Predicted

Infections





Infections

765 0.64


92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0.3

0.32

0.34

0.36

0.38

0.4

2015 2016

Uti

liza

tio

n R

atio


Adult

State (Adult)

0.0

1.0

2.0

3.0

4.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.19

(HPRO) 0.32

(HYST) 0.25

(VHYS) 0.06

(COLO) 0.78 1.28 (0.06 - 6.30) Same

Predicted

InfectionsSIR

Confidence


(CDI) 17.38 0.46 (0.21 - 0.87) Lower

(MRSA) 1.46 0.00 (0 - 2.05) Same

2


Cambridge Health Alliance - Cambridge Hospital - Cambridge, MA



Not calculable


Colon Surgery 1 29






aureus0 31,198



information.




2015 2016 2015 2016





CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016





KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Cambridge Health Alliance - Everett Hospital - Everett, MA




Number of Beds 96





Infections



Central Line

Days

Predicted

Infections

717 0.63



1089 0.91


92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.1

0.2

0.3

0.4

0.5

2015 2016

Uti

liza

tio

n R

atio


Adult

State (Adult)

0.0

1.0

2.0

3.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

lizat

ion

Rat

io


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(COLO) 0.50 3.97 (0.66 - 13.12) Same

Predicted

InfectionsSIR

Confidence


(CDI) 15.04 0.60 (0.29 - 1.09) Same

(MRSA) 1.71 0.00 (0 - 1.75) Same

2

Colon Surgery 2 22


Cambridge Health Alliance - Everett Hospital - Everett, MA







information.



aureus0 26,629

2015 2016 2015 2016





CDI

MRSA

2015 2016





COLO



Medical/Surgical




Medical/Surgical


1



Beth Israel Deaconess Hospital - Milton - Milton, MA




Number of Beds 88





Infections



Central Line

Days

Predicted

Infections

810 0.54



1348 0.99


92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.78 1.29 (0.06 - 6.35) Same

(HPRO) 0.98 0.00 (0 - 3.05) Same

(HYST) 0.08

(VHYS) 0.01

(COLO) 1.15 1.75 (0.29 - 5.76) Same

Predicted

InfectionsSIR

Confidence


(CDI) 18.45 0.65 (0.35 - 1.10) Same

(MRSA) 0.96 0.00 (0 - 3.12) Same

2



Beth Israel Deaconess Hospital - Milton - Milton, MA



Colon Surgery 2 71








information.



aureus0 22,351

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO

Predicted

InfectionsSIR

Confidence


(CDI) 1.93 1.55 (0.39 - 4.22) Same

(MRSA) 0.09

2



Athol Memorial Hospital - Athol, MA




Number of Beds 25







Not calculable


information.



aureus0 4,260

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital



Medical/Surgical




Medical/Surgical


1



Steward Health Care -

Nashoba Valley Medical Center - Ayer, MA




Number of Beds 77







Central Line

Days

Predicted

Infections





Infections



92% 92%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.16

(HPRO) 0.18

(HYST) 0.01

(VHYS) 0.00

(COLO) 0.09

Predicted

InfectionsSIR

Confidence


(CDI) 6.78 1.03 (0.45 - 2.04) Same

(MRSA) 0.17

2



Steward Health Care -

Nashoba Valley Medical Center - Ayer, MA















information.

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1




Melrose-Wakefield Hospital - Melrose, MA




Number of Beds 126





Infections



Central Line

Days

Predicted

Infections

695 0.52



974 0.71


92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.54 3.67 (0.61 - 12.12) Same

(HPRO) 0.65 0.00 (0 - 4.61) Same

(HYST) 0.24

(VHYS) 0.11

(COLO) 1.55 2.58 (0.81 - 6.21) Same

Predicted

InfectionsSIR

Confidence


(CDI) 18.27 1.64 (1.12 - 2.31) Higher

(MRSA) 1.31 0.00 (0 - 2.29) Same

2




Melrose-Wakefield Hospital - Melrose, MA



Colon Surgery 4 80








information.



aureus0 37,471

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Steward Health Care - Holy Family Hospital at

Merrimack Valley - Haverhill, MA




Number of Beds 124






Central Line

Days

Predicted

Infections





Infections

738 0.54


92% 89%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0.5

0.55

0.6

0.65

0.7

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CDI) 7.86 1.15 (0.55 - 2.1) Same

(MRSA) 0.35

2


Steward Health Care - Holy Family Hospital at

Merrimack Valley - Haverhill, MA



Not calculable


information.



aureus0 7,763

2015 2016 2015 2016




Statistically Lower

CDI

MRSA



Medical/Surgical




Medical/Surgical


1



MetroWest Medical Center - Leonard Morse Hospital - Natick, MA




Number of Beds 160






Central Line

Days

Predicted

Infections





Infections

824 0.69


92% 95%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

1.0

2.0

3.0

2015 2016

SIR

Hospital

State


0.45

0.5

0.55

0.6

0.65

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.38

(HPRO) 0.67 1.49 (0.07 - 7.34) Same

(COLO) 0.25

Predicted

InfectionsSIR

Confidence


(CDI) 8.68 0.92 (0.42 - 1.75) Same

(MRSA) 0.48

2


MetroWest Medical Center - Leonard Morse Hospital - Natick, MA














information.

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

COLO



Medical/Surgical

(major teaching)0 0.00 (0 - 0.83) Lower



Medical/Surgical


1



Saint Vincent Hospital - Worcester, MA




Number of Beds 304





Infections



Central Line

Days

Predicted

Infections

3,186 3.59



4435 5.78


92% 83%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.3

0.5

2015 2016

SIR

Hospital

State


0.48

0.5

0.52

0.54

0.56

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.5

1

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CABG) 0.66 1.52 (0.07 - 7.48) Same

(KPRO) 2.11 0.47 (0.02 - 2.33) Same

(HPRO) 2.97 0.34 (0.01 - 1.66) Same

(HYST) 0.43

(VHYS) 0.10

(COLO) 2.69 0.00 (0 - 1.11) Same

Predicted

InfectionsSIR

Confidence


(CDI) 65.34 1.15 (0.90 - 1.43) Same

(MRSA) 4.55 0.88 (0.27 - 2.11) Same

2



Saint Vincent Hospital - Worcester, MA








Colon Surgery 0 124




aureus4 86,938


information.



2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

CABG

KPRO

HPRO

HYST

VHYS

COLO



Medical/Surgical




Medical/Surgical


1



Baystate Wing Hospital - Palmer, MA




Number of Beds 74







Central Line

Days

Predicted

Infections





Infections



92% 96%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.06

(HPRO) 0.03

(COLO) 0.34

Predicted

InfectionsSIR

Confidence


(CDI) 6.03 1.00 (0.40 - 2.07) Same

(MRSA) 0.24

2



Baystate Wing Hospital - Palmer, MA













information.

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

COLO



Medical




Medical


1



Lahey Health - Addison Gilbert Hospital - Gloucester, MA




Number of Beds 79







Central Line

Days

Predicted

Infections





Infections



92% 94%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.5

1.0

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(CDI) 5.46 0.18 (0.00 - 0.90) Lower

(MRSA) 0.43

2



Lahey Health - Addison Gilbert Hospital - Gloucester, MA


Not calculable


information.



aureus1 12,181

2015 2016 2015 2016




Statistically Lower

CDI

MRSA



Medical/Surgical




Medical/Surgical


1



North Shore Medical Center - Union Hospital - Lynn, MA




Number of Beds 147





Infections



Central Line

Days

Predicted

Infections

792 0.78



813 0.86


92% 93%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

0.0

0.3

0.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

2015 2016

Uti

liza

tio

n

Rat

io


Adult

State (Adult)

0.0

0.5

1.0

1.5

2015 2016

SIR

Hospital

State


0

0.2

0.4

0.6

0.8

2015 2016

Uti

lizat

ion

R

atio


Adult

State (Adult)

Predicted

InfectionsSIR

Confidence


(KPRO) 0.77 0.00 (0 - 3.89) Same

(HPRO) 0.42

(HYST) 0.01

(VHYS) 0.01

(COLO) 0.02

Predicted

InfectionsSIR

Confidence


(CDI) 14.37 0.70 (0.35 - 1.24) Same

(MRSA) 0.85 0.00 (0 - 3.53) Same

2



North Shore Medical Center - Union Hospital - Lynn, MA











information.



aureus0 15,606

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

2015 2016 2015 2016 2015 2016 2015 2016 2015 2016




Statistically Lower

KPRO

HPRO

HYST

VHYS

COLO

Predicted

InfectionsSIR

Confidence


(CDI) 8.44 1.19 (0.60 - 2.11) Same

(MRSA) 0.68 0.00 (0 - 4.40) Same

2



Dana-Farber Cancer Institute - Boston, MA




Number of Beds 30








information.



aureus0 10,555

2015 2016 2015 2016




Statistically Lower

CDI

MRSA

92% 98%

50%

60%

70%

80%

90%

100%


Unknown status


Declined vaccine

Vaccine coverage

State Hospital

Documents

OrgID Hospital Name Hospital System Hospital System & Namepatientcarelink.org/wp-content/uploads/2017/09/DPH-hai-hospital-dat… · 12866 Beth Israel Deaconess Hospital - Needham