In 2007, the Oregon State Legislature passed House Bill 2524 with the intent of creating a mandatory healthcare-associated infection (HAI) reporting program.
The HAI reporting program activities are directed by Oregon Administrative Rules (OARS
: Hospital Reporting: Health Care Acquired Infection Reporting and Public Disclosure) and Oregon Revised Statute 442.851
(Temporary provisions relating to health care acquired infections are compiled as Notes following ORS 442.851).
The Oregon Health Authority (OHA) established the Oregon Healthcare-Associated Infections Advisory Committee (HAIAC), a diverse group of stakeholders, to inform policy for reporting HAIs. On July 1, 2008, based on determinations by the Oregon HAIAC, the OHA published rules for HAI reportability and chose the National Healthcare Safety Network (NHSN) as the reporting system to be used for inpatient HAI outcome measures.
Quarterly inpatient reporting to NHSN began January 1, 2009, and included:
- Central line-associated bloodstream infections (CLABSIs) in intensive care units
- Surgical site infections (SSI)
- Coronary artery bypass graft surgery
- Knee prosthesis procedures
As of January 1, 2011, SSI reporting expanded to include:
- Colon surgery
- Hip prosthesis procedures
- Abdominal hysterectomy
As of January 1, 2012 SSI reporting expanded to include:
- Clostridium difficile infections
OHA provides oversight and support for the mandatory reporting activities of healthcare-associated infections in Oregon hospitals. The National Healthcare Safety Network (NHSN) is the reporting tool used by Oregon’s hospitals to report healthcare-associated infections. This includes the reporting of CLABSIs, certain kinds of SSIs and several healthcare facility process measures designed to ensure quality and to reduce HAIs.
The National Healthcare Safety Network, which is a secure, internet-based surveillance system, is the primary tool used for collecting hospital HAI data in most U.S. states and territories. The Oregon Public Health Division uses NHSN data to estimate the burden of HAIs in Oregon and provides data to measure the impact of Oregon surveillance and prevention programs. Additionally, to ensure accuracy of occurrences and data reported, validation of NHSN data is independently audited by state employees.
To learn more about the National Healthcare Safety Network, visit NHSN.