Archives Admin Tables

MRSA 2010-2011

Reporting Period	Jan. 1 - Mar. 31 2010		Apr. 1 - Jun. 30 2010		Jul. 1 - Sep. 30 2010		Oct. 1 - Dec. 31 2010		Jan. 1 - Mar. 31 2011		Apr. 1 - Jun. 30 2011		Jul. 1 - Sep. 30 2011		Oct. 1 - Dec. 31 2011
Case count	Less than 5		Less than 5		0		Less than 5		0		Less than 5		0		0
Rate per 1000 days	0.03		0.06		0		0.06		0		0.03		0		0

VRE Bacteraemia Rate

Reporting Period	Jul. 1 - Sep. 30 2010	Oct. 1 - Dec. 31 2010	Jan. 1 - Mar. 31 2011	Apr. 1 - Jun. 30 2011	Jul. 1 - Sep. 30 2011	Oct. 1 - Dec. 31 2011
Case count	0	0	0	0	0	0
Rate per 1000 days	0	0	0	0	0	0

How is the CLI Rate calculated?

The rate refers to the number of diagnosed cases of central line-associated infections per 1,000 central line days.

Reporting Period	Jan. 1 - Mar. 31 2009	Apr. 1 - Jun. 30 2009	Jul. 1 - Sep. 30 2009	Oct. 1 - Dec. 31 2009	Jan. 1 - Mar. 31 2010	Apr. 1 - Jun. 30 2010	Jul. 1 - Sep. 30 2010	Oct. 1 - Dec. 31 2010	Jan. 1 - Mar. 31 2011	Apr. 1 - Jun. 30 2011	Jul. 1 - Sep. 30 2011	Oct. 1 - Dec. 31 2011
Case count	10	10	Less than 5	8	Less than 5	Less than 5	Less than 5	Less than 5	Less than 5	Less than 5	Less than 5	0
Rate per 1000 days	6.5	7.6	1.73	5.47	0.73	1.45	1.92	0.85	2.04	0.68	3.30	0

How is the VAP rate calculated?

The rate refers to the number of diagnosed cases of VAP per 1,000 ventilator days in the Intensive Care Unit.

Reporting Period	Jan. 1 - Mar. 31 2009	Apr. 1 - Jun. 30 2009	Jul. 1 - Sep. 30 2009	Oct. 1 - Dec. 31 2009	Jan. 1 - Mar. 31 2010	Apr. 1 - Jun. 30 2010	Jul. 1 - Sep. 30 2010	Oct. 1 - Dec. 31 2010	Jan. 1 - Mar. 31 2011	Apr. 1 - Jun. 30 2011	Jul. 1 - Sep. 30 2011	Oct. 1 - Dec. 31 2011
Case count	Less than 5	Less than 5	0	0	0	Less than 5	Less than 5	0	Less than 5	0	0	0
Rate per 1000 days	4.3	1.3	0	0	0	1.44	1.82	0	1.07	0	0	0

We report VAP cases acquired at Mount Sinai Hospital, as required by the Ministry of Health and Long-Term Care. We also actively monitor other related indicators that help us with our prevention efforts.

What is the current Ontario SSI-Prevention Indicator?

As required by the Ontario Ministry of Health and Long-Term Care, we report the percent of total primary hip and knee surgical patients who receive prophylactic antibiotics within the appropriate time prior to surgery.

Reporting Period	Mar. 1 - Mar. 31 2009		Apr. 1 - Jun. 30 2009		Jul. 1 - Sep. 30 2009		Oct. 1 - Dec. 31 2009		Jan. 1 - Mar. 31 2010		Apr. 1 - Jun. 30 2010		Jul. 1 - Sep. 30 2010		Oct. 1 - Dec. 31 2010		Jan. 1 - Mar. 31 2011		Apr. 1 - Jun. 30 2011		Jul. 1 - Sep. 30 2011		Oct. 1 - Dec. 31 2011
Case count	95%		99%		98%		100%		99%		97%		98%		97%		97%		98%		98%		98%

What is our hand hygiene compliance rate?

We assess hand hygiene compliance on a quarterly basis in order to determine the effectiveness of our prevention program. As required by the Ministry of Health and Long-Term Care, we report our hand hygiene compliance rates annually for before and after patient or patient environment contact.

Compliance rates are calculated by dividing the number of times hand hygiene was performed over the number of times hand hygiene was required to be performed.

Reporting Period	January 1 - March 31, 2009		January 1 - March 31, 2010		January 1 - March 31, 2011
Percent Compliance	58% before initial patient or patient environment contact 75% after patient or patient environment contact		62% before initial patient or patient environment contact 76% after patient or patient environment contact		67% before initial patient or patient environment contact 82% after patient or patient environment contact

C. difficile Cases and Rates per 1,000 days

Month	FY 12/13 Apr.	FY 12/13 May.	FY 12/13 Jun.	FY 11/12 Jul.	FY 11/12 Aug.	FY 11/12 Sep.	FY 11/12 Oct.	FY 11/12 Nov.	FY 11/12 Dec.	FY 11/12 Jan.	FY 11/12 Feb.	FY 11/12 Mar.	FY 11/12 Apr.
Case count	Less than 5	5	Less than 5	6	Less than 5	6	Less than 5	5	Less than 5	6	Less than 5	Less than 5	Less than 5
Rate per 1000 days	0.22	0.54	0.48	0.67	0.46	0.76	0.47	0.59	0.13	0.65	0.26	0.45	0.22