FACTORS ASSOCIATED WITH RESOURCE SHIFTING, i.e., LESS TIME TO PREVENT HEALTH CARE-ASSOCIATED INFECTIONS NOT INCLUDED IN THE CMS POLICY
| Bivariate OR (95% CIs) |
P value | Multivariate OR (95% CI) |
P value | |
|---|---|---|---|---|
| Hospital characteristics | ||||
| Type of hospital ownership | ||||
| Public | 1.0 | - | 1.0 | - |
| For-profit | 0.9 (0.4–1.8) | .72 | 0.8 (0.4–1.7) | .57 |
| Not-for-profit | 1.0 (0.4–2.3) | .99 | 1.0 (0.4–2.5) | .95 |
| Hospital size | ||||
| Small (<100 beds) | 1.0 | - | 1.0 | - |
| Midsize (100 to <400 beds) | 1.5 (0.8–2.7) | .16 | 1.5 (0.8–2.7) | .18 |
| Large (≥400 beds) | 2.2 (1.02–4.8) | .043 | 2.3 (1.0–5.1) | .038 |
| Hospital organizational culture | ||||
| Hospital executive leadership (CEO, COO, and others) | ||||
| Has spoken with front-line staff about infection prevention | 1.1 (0.7–1.8) | .47 | - | - |
| Is the primary driver for our hospital to be a safety-centered institution | 1.0 (0.5–2.0) | .94 | - | - |
| Hospital clinical leadership (CMO, CNO, and others) | ||||
| Has spoken with front-line staff about infection prevention | 0.6 (0.3–0.9) | .027 | - | - |
| Is the primary driver for our hospital to be a safety-centered institution | 0.9 (0.5–1.6) | .66 | - | - |
| Front-line staff | ||||
| Are receptive to changes in clinical processes | 0.5 (0.3–0.8) | .003 | 0.5 (0.3–0.8) | .005 |
| Have a sense of personal responsibility for improving patient care &outcomes | 0.6 (0.4–0.99) | .046 | - | - |
| Feel extremely empowered to hold each other responsible or infection control practices | 0.6 (0.3–1.1) | .11 | ||
| Easy to implement evidence-based recommendations to prevent HAIs | 0.7 (0.4–1.1) | .09 | - | - |
| Mechanism to share best practices in preventing HAIs between hospital units at least quarterly | 0.6 (0.3–1.0) | .050 | - | - |
CEO, chief executive officer; CMO, chief medical officer; CNO, chief nursing officer; COO, chief operating officer; HAIs, health care-associated infections; OR, odds ratio.