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Comparative Study
. 2017 Aug;38(8):989-992.
doi: 10.1017/ice.2017.120. Epub 2017 Jun 19.

Indirect Versus Direct Standardization Methods for Reporting Healthcare-Associated Infections: An Analysis of Central Line-Associated Bloodstream Infections in Maryland

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Free PMC article
Comparative Study

Indirect Versus Direct Standardization Methods for Reporting Healthcare-Associated Infections: An Analysis of Central Line-Associated Bloodstream Infections in Maryland

Lyndsay M O'Hara et al. Infect Control Hosp Epidemiol. .
Free PMC article

Abstract

Whether healthcare-associated infection data should be presented using indirect (current CMS/CDC methodology) or direct standardization remains controversial. We applied both methods to central-line-associated bloodstream infection data from 45 acute-care hospitals in Maryland from 2012 to 2014. We found that the 2 methods generate different hospital rankings with payment implications. Infect Control Hosp Epidemiol 2017;38:989-992.

Conflict of interest statement

Potential conflicts of interest. All authors report no conflicts of interest relevant to this article.

Figures

Figure 1
Figure 1
Direction and magnitude of Maryland CLABSI rank change by standardization method (2012–2014) *Hospital 1=lowest CLABSI rate=best performance **Hospital numbers do not carry over between years (i.e. Hospital 1 in 2012 is not necessarily Hospital 1 in 2013 or 2014)

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