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The new QDR and supporting chartbooks are further integrated with the National Quality Strategy (NQS).The NQS has three overarching aims that build on the Institute for Healthcare Improvement's Triple Aim® and that support HHS’s delivery system reform initiatives to achieve better care, smarter spending, and healthier people through incentives, information, and the way care is delivered.There were 3,468 facilities that reported CLABSI rates to the National Healthcare Safety Network in 2011 and 3,516 facilities in 2012.SCIP procedures refer to procedures performed on adults.Quality measures tracked in the QDR have been reorganized around these priorities, and a chartbook will be released marking progress for each NQS priority.Patient safety is one of these NQS priorities and the topic of this chartbook.
Average annual rates of change of quality to care measures through 2012, by National Quality Strategy priority Image: Scatterplot showing average annual rates of change of quality to care measures through 2012, by National Quality Strategy priority. For each measure with at least four estimates over time, weighted log-linear regression is used to calculate average annual percentage change.
Adverse drug events made up the largest portion, with rates decreasing from 49.5 in 2010 to 40.3 in 2013.
Pressure ulcers were next, with rates decreasing from 40.3 in 2010 to 32.5 in 2013.
Key: CLABSI = central line-associated bloodstream infection; SSI = surgical site infection; SCIP = Surgical Care Improvement Project. A standardized infection ratio of less than one means that hospitals had fewer infections than those of a similar type and size during the January 2006 to December 2008 referent period.
Source: Centers for Disease Control and Prevention, . For example, a ratio of 0.84 for SSIs means the SSI rate in 2011 was 16% lower than in 2006-2008 for similar hospitals.
These aims are used to guide and assess local, State, and national efforts to improve health and the quality of health care.