Charting the Course: 2022 NHSN HAI Rebaseline

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Introduction

The NHSN Team will be updating the national baseline used to calculate all healthcare-associated infections (HAI) standardized infection ratios (SIRs) and standardized utilization ratios (SURs) in the Patient Safety Component. This process of updating the national baseline, referred to as the “Rebaseline,” will involve the NHSN team analyzing national data and creating updated risk adjustment models, in a phased approach, to be used in the calculations of future SIR and SUR denominators. Refer to the tables below for information about the scope of this Rebaseline and the types of models that will be assessed and created.

The new baseline will represent data reported to NHSN for 2022. New SIR and SUR reports, based on the 2022 national baseline, will be created in the NHSN application in a phased approach; our goal is to have all new SIR and SUR reports available in the NHSN application by the end of 2024.

Where We’re Going

Multiple opportunities for education and communication around the 2022 Rebaseline and its implications will be available to the NHSN community later this year. This website will be updated in an on-going manner; please check this site and the FAQs below to get regular updates as this effort progresses.

The NHSN team remains committed to working with facilities to improve HAI prevention. Measuring progress under an updated national standard is important to understanding prevention efforts and standards in the current healthcare environment. The newly baselined data will continue to drive patient safety and the effort to reduce HAI rates.

2022 HAI Rebaseline Scope: Overview
Facility Type HAIs analyzed for potential SIR models Device types analyzed for potential SUR models
Acute Care Hospitals (ACHs) CLABSI (including separate risk adjustment for NICUs, MBIs, and SCAs/ONCs) CAUTI, VAE, pediatric VAE, SSI, MRSA Blood LabID, CDI LabID Central line, central line NICU, pediatric ventilator, urinary catheter, ventilator
Critical Access Hospitals (CAHs) CLABSI, CAUTI, VAE, pediatric VAE, SSI, MRSA Blood LabID, CDI LabID Central line, urinary catheter, ventilator
Inpatient Rehabilitation Facilities (IRFs) CLABSI, CAUTI, MRSA Blood LabID, CDI LabID, VAE, pediatric VAE Central line, urinary catheter, ventilator
Long-term Acute Care Hospitals (LTACHs) CLABSI, CAUTI, MRSA Blood LabID, CDI LabID, VAE, pediatric VAE Central line, urinary catheter, ventilator
2022 HAI Rebaseline Scope: Surgical Site Infections Potential Standardized Infection Ratio (SIR) Model Types
2022 HAI Rebaseline Scope: Surgical Site Infections

Potential Standardized Infection Ratio (SIR) Model Types

Rebaselinegraphic SSI Scope

SSI SIR model inclusion criteria are detailed in the Analysis section of the NHSN SSI Protocol: Surgical Site Infection (cdc.gov) [PDF – 586 KB] The list of NHSN operative procedure categories is in Table 2 of the same document.