Variation in Surgical Site Infection Monitoring and Reporting by State
Article first published online: 2 MAR 2012
© 2012 National Association for Healthcare Quality
Journal for Healthcare Quality
Volume 35, Issue 2, pages 41–46, March/April 2013
How to Cite
Makary, M. A., Aswani, M. S., Ibrahim, A. M., Reagan, J., Wick, E. C. and Pronovost, P. J. (2013), Variation in Surgical Site Infection Monitoring and Reporting by State. Journal for Healthcare Quality, 35: 41–46. doi: 10.1111/j.1945-1474.2011.00176.x
- Issue published online: 8 MAR 2013
- Article first published online: 2 MAR 2012
- public reporting;
- surgical site infection
Surgical site infections (SSIs) are common, costly, and often preventable. There are no national requirements for measuring or reporting hospital SSI rates and state-level monitoring occurs with little coordination between states. We designed a study to describe the current status of SSI reporting in the United States.
We reviewed SSI monitoring and reporting legislation in all 50 states in September 2010. Data collected included whether SSI monitoring and reporting legislation exists, if public reporting is required, how the data are accessible, and for which procedures SSI data are reported.
Twenty-one (42%) states have legislation for SSI monitoring and reporting. All 21 of these states require public release of findings. Of the states with legislation, eight (38%) currently have SSI data available publicly. A range of two to seven procedures were reported for SSI measurement by individual states. Eighteen (86%) states use state agency websites to make their data publicly available.
There is wide variation in state monitoring and reporting of SSI rates. Standardized reporting may be needed so that consumers can make informed health choices based on quality metrics.