Table 2:
Weighted Bivariate and Multivariable Estimates for Nursing Homes by Enrollment in NHSN
| Enrolled n=3502 | Not Enrolled n=3520 | Adjusted Estimates | ||
|---|---|---|---|---|
| % (SE) | P | OR (95% CI) | ||
| Self-reported Facility Characteristics | ||||
| Participation in QIN-QIO activities | 67.9 (3.5) | 27.4 (3.5) | <.001 | 5.77 (3.15–10.55) |
| Decision-maker for NHSN | ||||
| Administrator(s) only | 17.1 (2.8) | 12.6 (2.7) | 0.26 | referent |
| Clinical staff only | 37.1 (3.5) | 21.8 (3.3) | 0.002 | 1.02 (0.46–2.26) |
| Both | 39.2 (3.5) | 28.7 (3.6) | 0.038 | 0.91 (0.43–1.93) |
| Corporate only | 2.7 (1.0) | 8.4 (2.3) | 0.008 | 0.17 (0.05–0.57) |
| Don’t know decision-maker | 3.9 (1.6) | 28.5 (3.6) | <.001 | 0.08 (0.02–0.28) |
| Experience of person in charge of IC | ||||
| At any facility | ||||
| >36 months | 56.4 (3.2) | 59.6 (3.6) | 0.51 | referent |
| 12–36 months | 17.8 (2.5) | 18.6 (2.8) | 0.84 | 0.85 (0.32–2.29) |
| ≤12 months | 25.7 (2.8) | 21.8 (3.0) | 0.35 | 0.89 (0.34–2.29) |
| At current facility | ||||
| >36 months | 40.2 (3.2) | 40.4 (3.6) | 0.97 | referent |
| 12–36 months | 24.9 (2.8) | 20.2 (2.9) | 0.25 | 2.09 (0.78–5.56) |
| ≤12 months | 34.9 (3.1) | 39.4 (3.6) | 0.34 | 1.47 (0.58–3.74) |
| Facility Characteristics from CASPER | ||||
| Bed size | ||||
| 30–99 | 44.2 (3.6) | 37.4 (3.8) | 0.20 | referent |
| 100–199 | 49.6 (3.6) | 50.8 (4.0) | 0.83 | 0.92 (0.49–1.71) |
| 200+ | 6.2 (1.5) | 11.8 (2.5) | 0.044 | 0.44 (0.17–1.13) |
| Ownership type | ||||
| Not for profit | 28.5 (3.1) | 23.5 (3.1) | 0.26 | referent |
| For profit | 64.8 (3.3) | 70.7 (3.4) | 0.21 | 0.81 (0.43–1.55) |
| Government | 6.7 (1.6) | 5.8 (1.6) | 0.69 | 0.58 (0.18–1.87) |
| Chain-affiliated | 57.5 (3.5) | 50.1 (4.0) | 0.16 | 1.69 (0.91–3.13) |
| Hospital-based | 2.0 (0.8) | 0.1 (0.1) | <.001 | 8.25 (0.75–90.67) |
| Quality of care measures, mean (SE) | ||||
| Percent with influenza vaccinations | 69.6 (1.7) | 67.8 (1.6) | 0.40 | 0.99 (0.98–1.01) |
| Percent with pneumococcal vaccinations | 69.2 (2.0) | 63.0 (2.0) | 0.013 | 1.01 (1.00–1.02) |
Note: Controlled for turnover of infection preventionists, administrators and directors of nursing in the previous 3 years and for QIN-QIO region. NHSN, National Healthcare Safety Network; NH, nursing home; QIN-QIO, Quality Innovation Network-Quality Improvement Organization; IC, infection control; OR, odds ratio; CI, confidence interval; SE, standard error.