Quality Improvement Measures

Division of Pulmonary & Critical Care Medicine

Quality Improvement Measures

Healthcare-acquired infections (HAIs):

• 31% decrease in catheter-associated urinary track infections (UTIs) [from 4.48 per 1000 catheter days to 3.1 per 1000 catheter days in FY14]
• 35% decrease in catheter-associated bloodstream infections (BSI) [from 2.1 per 1000 catheter days in FY13 to 1.37 per 1000 catheter days in FY14]

Sepsis outcomes:

• 86% of patients received antibiotics within one hour of sepsis diagnosis not present on admission—nearly double the proportion (45%) for FY2013.

Mortality outcomes:

• FY 2011: 17%
• FY 2012: 16%
• FY 2013: 18%
• FY 2014: 11%