Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections (BSI) in California Hospitals

California Health and Safety Code section 1288.55(a)(1) requires general acute care hospitals to report all cases of methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections (BSI) identified in their facilities to the California Department of Public Health (CDPH). MRSA BSI data are submitted by hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN).

CDPH downloads California hospital MRSA BSI data from NHSN and analyzes the data to describe prevention progress in an annual public report of healthcare-associated infections. CDPH publishes annual MRSA BSI data reported by each California hospital in the datasets below.

The following datasets include the number of MRSA BSI reported by each California hospital in the specified reporting year. Beginning in 2016 for each California hospital, the annual MRSA BSI dataset includes the number of MRSA BSI that were predicted to occur in each hospital based on its specific facility-level characteristics. The observed (reported) number of MRSA BSI are then compared to the predicted number of MRSA BSI in a ratio called the Standardized Infection Ratio or SIR. The SIR is a metric that summarizes an individual hospital’s MRSA BSI prevention progress compared with the national baseline and California state-specific prevention goals.

The datasets also include the associated 95% confidence intervals for the SIR and statistical interpretation to show whether MRSA BSI incidence was the same (no different), better (lower) or worse (higher) than the national baseline. Another performance measure in this dataset allows for tracking hospital progress in meeting national HAI reduction goals. Hospitals must have an SIR at or below incremental targets each year to be considered on track.

Detailed information about the variables included in each dataset are described in the accompanying data dictionaries for the year of interest.

For more information about the SIR and NHSN’s statistical models that are used to calculate the predicted number of MRSA BSI for each hospital, please review “NHSN’s Guide to the SIR”: https://www.cdc.gov/nhsn/ps-analysis-resources/index.html

For general information about NHSN, surveillance definitions, and reporting requirements for MRSA BSI, please visit: https://www.cdc.gov/nhsn/index.html

To link the CDPH facility IDs with those from other Departments, including HCAI, please reference the "Licensed Facility Cross-Walk" Open Data table at: https://data.chhs.ca.gov/dataset/licensed-facility-crosswalk.

For information about healthcare-associated infection prevention progress in California hospitals and statewide prevention goals, please visit: https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/AnnualHAIReports.aspx

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Data and Resources

Additional Info

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Field Value
Contact Email [email protected]
Program Center for Health Care Quality/Healthcare-Associated Infections Program/Epidemiology Unit
Homepage URL https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/HAIProgramHome.aspx
Temporal Coverage

2013 to present
Spatial/Geographic Coverage

California
Geographic Granularity County
Language English
Frequency Annually
De-Identification Method

See Healthcare-Associated Infections Report at https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/AnnualHAIReports.aspx
Source Link https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/AnnualHAIReports.aspx
Data Collection Tool

National Healthcare Safety Network (NHSN): http://www.cdc.gov/nhsn/

California specific NHSN reporting guidelines: https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/CA_SpecificReportingGuidelines.aspx
License Terms of Use
Limitations Use of this data is subject to the CHHS Terms of Use and any copyright and proprietary notices incorporated in or accompanying the individual files.
Related Resources

To link the CDPH facility IDs with those from other Departments, like HCAI, please reference the "Licensed Facility Cross-Walk" Open Data table at https://data.chhs.ca.gov/dataset/licensed-facility-crosswalk.
Citation

Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention [Distributor: Healthcare-Associated Infections Program, California Department of Public Health]. 2015. MRSA-BSI-SIR-2015-CA-CDPH.xlsx
Last Updated June 16, 2023, 19:12 (UTC)