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• W3048418908 abstract "•There is substantial variation in the incidence of infection rates in nursing homes. •Valid benchmarks for nursing home infection rates requires risk adjustment. •Studies that have attempted to risk adjust nursing infection rates are reviewed. •Risk adjustment of nursing home infections monitored by the CDC is discussed. •Barriers to developing risk adjusted nursing home infection rates are discussed. Until recently, there was no national surveillance system for monitoring infection occurrence in long-term care facilities (LTCF) in the United States. As a result, there are no national benchmarks for LTCF infection rates that can be utilized for quality improvement at the facility level. One of the major challenges in the reporting of health care-related infection data is accounting for nonmodifiable facility and patient characteristics that influence benchmarks for infection. The objectives of this paper are to review: (a) published infection rates in LTCF in the United States to assess the level of variability; (b) studies describing facility- and resident-level risk factors for infection that can be used in risk adjustment models; (c) published attempts to risk-adjust LTCF infection rates; and (d) efforts to develop models specifically for risk adjustment of infection rates in LTCF for benchmarking. It is anticipated that this review will stimulate further study of methods to risk-adjust LTCF infection rates for benchmarking that will facilitate research and public reporting. Until recently, there was no national surveillance system for monitoring infection occurrence in long-term care facilities (LTCF) in the United States. As a result, there are no national benchmarks for LTCF infection rates that can be utilized for quality improvement at the facility level. One of the major challenges in the reporting of health care-related infection data is accounting for nonmodifiable facility and patient characteristics that influence benchmarks for infection. The objectives of this paper are to review: (a) published infection rates in LTCF in the United States to assess the level of variability; (b) studies describing facility- and resident-level risk factors for infection that can be used in risk adjustment models; (c) published attempts to risk-adjust LTCF infection rates; and (d) efforts to develop models specifically for risk adjustment of infection rates in LTCF for benchmarking. It is anticipated that this review will stimulate further study of methods to risk-adjust LTCF infection rates for benchmarking that will facilitate research and public reporting." @default.
• W3048418908 created "2020-08-18" @default.
• W3048418908 creator A5051082712 @default.
• W3048418908 date "2021-03-01" @default.
• W3048418908 modified "2023-09-27" @default.
• W3048418908 title "Risk adjustment for benchmarking nursing home infection surveillance data: A narrative review" @default.
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• W3048418908 doi "https://doi.org/10.1016/j.ajic.2020.08.006" @default.
• W3048418908 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32791257" @default.
• W3048418908 hasPublicationYear "2021" @default.
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