Table 3.
Perceived impact of the CMS policy on attention to HAIs, available resources, and activities related to surveillance, education, prevention, and documentation in hospitals: n = 317
| % | |
|---|---|
| Attention to HAIs | |
| Greater focus on HAIs targeted by the CMS policy | 81 |
| Less time to prevent HAIs that are NOT targeted by the CMS policy | 32 |
| Surveillance and education | |
| More time spent on surveillance for | |
| CAUTIs | 59 |
| CLABSIs | 50 |
| SSIs | 40 |
| More time spent monitoring infection prevention practices in hospital units | 53 |
| More time spent educating staff on best practices to reduce | |
| CAUTIs | 69 |
| CLABSIs | 68 |
| Mediastinitis post-CABG* | 35 |
| More face-to-face time with front line staff to improve infection prevention practices | 57 |
| Infection prevention practices | |
| Front-line staff removes | |
| Urinary catheters more quickly than before | 71 |
| Central venous catheters more quickly than before | 50 |
| Front-line staff increasingly use | |
| Antimicrobial-coated urinary catheters | 29 |
| Antiseptic-containing dressing for CVCs | 56 |
| Antiseptic or antimicrobial-impregnated CVCs | 36 |
| Antimicrobial locks for CVCs | 15 |
| Routine bathing of all ICU patients with a chlorhexidine preparation on a daily basis | 23 |
| Routinely obtains on hospital admission | |
| Urine cultures from all patients with urinary catheters | 27 |
| Blood cultures on admission from all patients with CVCs | 13 |
| Documentation | |
| More time working with physicians to improve HAI documentation in medical records | 54 |
| More time working with billing staff to improve HAI coding practices | 49 |
| Resources | |
| Funding for our infection control program is now† | |
| Substantially less than before | 2 |
| Less than before | 4 |
| Same as before | 77 |
| More than before | 13 |
| Substantially more than before | 2 |
| Closer working relationships between infection control and quality improvement to reduce HAIs | 57 |
| Greater collaboration by interdisciplinary teams to prevent HAIs | 65 |
CABG, coronary artery bypass graft; CAUTIs, catheter-associated urinary tract infections; CLABSIs, central line-associated bloodstream infection; CMS, Centers for Medicare and Medicaid Services; CVC, central venous catheter; HAIs, health care-associated infections; ICU, intensive care unit; SSI, surgical site infection.
*
Among the 153 hospitals that performed CABG procedures.
†
Seven missing responses.