SIR Model Explorer

CLABSI, CAUTI, MRSA Bacteremia LabID, CDI LabID

CLABSI Risk Adjustment for ICU and Ward Locations (ACHs)

The number of predicted CLABSIs under the 2022 baseline for ICU and ward locations is calculated using a negative binomial regression model and is risk adjusted based on the following variables found to be statistically significant predictors of CLABSI incidence. Information about the statistical properties of NHSN risk adjustment models, including how the number of predicted events is calculated, is available in NHSN’s Guide to the SIR (2022 baseline) [PDF – 1MB].

Table 1. CLABSI Risk Adjustment for ICU and Ward Locations (ACHs)
Parameter Parameter Estimate Standard Error P-value  
Intercept -8.8456 0.2347 <.0001
Situs Slot Gacor Location Code: Critical Care Group 1

    Medical Cardiac Critical Care- IN:ACUTE:CC:C

    Pediatric Medical-Surgical Critical Care-IN:ACUTE:CC:MS_PED

    Pediatric Trauma Critical Care- IN:ACUTE:CC:T_PED

    Trauma Critical Care- IN:ACUTE:CC:T

1.0072 0.0887 <.0001
Situs Slot Gacor Location Code: Critical Care Group 2

    Surgical Cardiothoracic Critical Care- IN:ACUTE:CC:CT

0.4236 0.0941 <.0001
Situs Slot Gacor Location Code: Critical Care Group 3

    Burn Critical Care- IN:ACUTE:CC:B

    Medical Critical Care- IN:ACUTE:CC:M

    Onsite Overflow Critical Care-IN:ACUTE:CC:OF_ONSITE

    Pediatric Burn Critical Care-IN:ACUTE:CC:B_PED

    Pediatric Medical Critical Care-IN:ACUTE:CC:M_PED

   Pediatric Respiratory Critical Care- IN:ACUTE:CC:R_PED

   Pediatric Surgical Cardiothoracic Critical Care- IN:ACUTE:CC:CT_PED

    Prenatal Critical Care- IN:ACUTE:CC:PNATL

    Respiratory Critical Care-IN:ACUTE:CC:R

1.1416 0.0853 <.0001
Situs Slot Gacor Location Code: Critical Care Group 4

    Medical-Surgical Critical Care-IN:ACUTE:CC:MS

    Neurologic Critical Care-IN:ACUTE:CC:N

    Neurosurgical Critical Care- IN:ACUTE:CC:NS

    Surgical Critical Care- IN:ACUTE:CC:S

    Pediatric Surgical Critical Care- IN:ACUTE:CC:S_PED

0.9184 0. 0827 <.0001
Situs Slot Gacor Location Code: Mixed Acuity Group

   Adult Mixed Acuity Unit- IN:ACUTE:MIXED:ALL_ADULT

   Mixed Age Mixed Acuity Unit- IN:ACUTE:MIXED:ALL

  

   Pediatric Mixed Acuity Unit- IN:ACUTE:MIXED:ALL_PEDS

0.6581 0. 0929 <.0001
Situs Slot Gacor Location Code: Step Down Group

     Adult Step-Down Unit- IN:ACUTE:STEP

     Pediatric Step-Down Unit- IN:ACUTE:STEP:PED

     Step-Down Neonatal Nursery- IN:ACUTE:STEP:NURS

0.6617 0.0857 <.0001
Situs Slot Gacor Location Code: Ward Group 1

    Gerontology Ward- IN:ACUTE:WARD:GNT

    Medical Ward- IN:ACUTE:WARD:M

    Onsite Overflow Ward- IN:ACUTE:WARD:OF_ONSITE

    Pediatric Surgical ward- IN:ACUTE:WARD:S_PED

0.5714 0.0840 <.0001
Situs Slot Gacor Location Code: Ward Group 3

    Ear, Nose, Throat Ward- IN:ACUTE:WARD: ENT

    Gastrointestinal Ward- IN:ACUTE:WARD:GI

    Genitourinary Ward- IN:ACUTE:WARD:GU

    Jail Unit- IN:ACUTE:WARD:JAL

    Pediatric Genitourinary Ward- IN:ACUTE:WARD:GU_PED

    Orthopedic Trauma Ward- IN:ACUTE:WARD:T_ORT

    Pediatric Medical- Surgical Ward- IN:ACUTE:WARD: MS_PED

    Pediatric Medical Ward- IN:ACUTE:WARD:M_PED

    Pulmonary Ward- IN:ACUTE:WARD:PULM

0.7840 0.0926 <.0001
Situs Slot Gacor Location Code: Ward Group 4

    Antenatal Care Ward- IN:ACUTE:WARD: ANTENAT

    Burn Ward- IN:ACUTE:WARD:B

    Gynecology Ward- IN:ACUTE:WARD:GYN

    Medical-Surgical Ward- IN:ACUTE:WARD:MS

    Neurology Ward- IN:ACUTE:WARD:N

    Neurosurgical Ward- IN:ACUTE:WARD:NS

    Pediatric Burn Ward- IN:ACUTE:WARD:B_PED

    Plastic Surgery Ward- IN:ACUTE:WARD:PLS 

    Surgical Ward- IN:ACUTE:WARD:S

    Telemetry Ward- IN:ACUTE:WARD:TEL

    Vascular Surgery Ward-IN:ACUTE:WARD:VS

0.4028 0.0822 <.0001
Situs Slot Gacor Location Code: Ward Group 2

    Adolescent Behavioral Health Ward- IN:ACUTE:WARD: BHV_ADOL          

    Behavioral Health/Psych Ward- IN:ACUTE:WARD:BHV

    Labor and Delivery Ward-IN:ACUTE:WARD:LD

    Labor, Delivery, Recovery, Postpartum Suite- IN:ACUTE:WARD:LD_PP

    Orthopedic ward-IN:ACUTE:WARD: ORT

    Pediatric Behavioral Health Ward- IN:ACUTE:WARD:BHV_PED

    Pediatric Neurology Ward- IN:ACUTE:WARD:N_PED

    Pediatric Neurosurgical ward- IN:ACUTE:WARD:NS_PED

    Pediatric Orthopedic Ward- IN:ACUTE:WARD: ORT_PED

    Pediatric Rehabilitation Ward- IN:ACUTE:WARD:REHAB_PED

    Postpartum Ward- IN:ACUTE:WARD:PP

    Rehabilitation Ward (within Hospital)- IN:ACUTE:WARD:REHAB

    Stroke (Acute) Ward- IN:ACUTE:WARD:STRK

    Well Newborn– Nursery (Level I)- IN:ACUTE:WARD:NURS

REFERENT  –
Medical School Affiliation1: Graduate/Major 0.0989 0.0253 <.0001
Medical School Affiliation1: Undergraduate/Non-teaching REFERENT
Facility type (based on NHSN enrollment):

   General Acute Care Hospital (HOSP-GEN)

   Children’s Hospital (HOSP-CHLD)

   Military Hospital (HOSP-MIL)

   Veteran’s Affairs Hospital (HOSP-VA)

  Women’s and Children’s Hospital (HOSP-WOMCHILD)

0.7286 0.2220 0.0010
Facility type (based on NHSN enrollment):

   Orthopedic Hospital (HOSP-ORTHO)

   Surgical Hospital (HOSP-SURG)

   Women’s Hospital (HOSP-WOM)

REFERENT
Average length of stay2: 4.8-5.6 days 0. 0946 0.0241 <.0001
Average length of stay2: ≥5.7 days 0.2042 0.0238 <.0001
Average length of stay2: <4.8 days REFERENT
Number of beds1: 138–424 beds 0.0784 0.0323 0.0151
Number of beds1: ≥425 beds 0.1628 0.0355 <.0001
Number of beds1: <138 beds REFERENT
Proportion of total beds that are ICU3: ≥0.189 0.0747 0.0197 0.0001
Proportion of total beds that are ICU3: <0.189 REFERENT

Footnotes:

1 Medical school affiliation and number of beds are reported on the Annual Hospital Survey [PDF – 1MB].
2 Average length of stay is calculated as # annual patient days / # annual admissions, as reported on the Annual Hospital Survey [PDF – 1MB].
3 Proportion of beds that are ICU is calculated as: # of ICU beds / total # of beds as reported on the Annual Hospital Survey [PDF – 1MB].