Table 2.

Summary of coding support for the three mediators identified in the study

Mediator	Number of Supporting Codes in Data Set	Average Total Frequency of Supporting Codes Per Individual Interview * (n=36)	Supporting Codes for the Mediator Indentified
A Proactive Infection Control Department	9 Supporting Codes	6.5 Times per Interview	Playing the detective role Checking coder documentation Infection control (IC) as change driver IC—Quality improvement (QI) integration IC highly integrated into organization IC involved with QI IC as a driver of change IC function as legitimate in organization IC education of leadership
Top Leadership Attention to Infection Control	6 Supporting Codes	2.8 Times per Interview	Leadership involved in facilitating change CMS policy increases leadership attention to infection control CMS policy matters when it’s a big financial impact situation IC education of leadership “It’s all about the money” CMS policy creates high organizational awareness of infections
Clinical Staff Engaged in Infection Control	4 Supporting Codes	4.1 Times per Interview	Involving clinical line staff in QI Documentation issues and the physician’s role How to get clinicians to focus on infections CMS policy creates high organizational awareness of infections

^*The “average total frequency” is a measure of coding saturation, i.e. the extent to which supporting codes appear collectively within and across interviews