- INF-1: patients who received prophylactic antibiotics within 1 hour prior to surgical incision (2 hours if receiving vancomycin).
- INF-2: patients who received prophylactic antibiotics recommended for their specific surgical procedure.
- INF-3: patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time (48 hours for coronary artery bypass graft surgery or other cardiac surgery).
- INF-4: cardiac surgery patients with controlled 6 AM postoperative blood glucose level (200 mg/dL [11.1 mmol/L]).
- INF-6: surgery patients with appropriate surgical site hair removal with clippers or depilatory or those not requiring surgical site hair removal.
- INF-7: colorectal surgery patients with immediate postoperative normothermia (first recorded temperature was 96.8°F within first 15 minutes after leaving the operating room).
Hospital participation in these data collection efforts is voluntary. However, the Centers for Medicare & Medicaid Services (CMS) reduces hospital reimbursement by 2% if they fail to report their performance on these measures. After validation and cleanup of the data, the results are reported on the Hospital Compare Web site (http://www.hospitalcompare.hhs.gov).
There were 3996 documented postoperative infections (out of 405 720 patients).The S-INF composite process-of-care measure predicted a decrease in postoperative infection rates from 14.2 to 6.8 per 1000 discharges (adjusted odds ratio, 0.85; 95% confidence interval, 0.76-0.95).The S-INF-Core composite process-of-care measure predicted a decrease in postoperative infection rates from 11.5 to 5.3 per 1000 discharges (adjusted odds ratio, 0.86; 95% confidence interval, 0.74-1.01), which was not a statistically significantly lower probability of infection.None of the individual SCIP measures were significantly associated with a lower probability of infection.