Performance Indicators for Hospitals Participating in the VICNISS Type 1 Surveillance Program July 2011 - June 2012
May 2009 - Hospital participation and performance are included in the Victorian Government’s Statement of Priorities and Performance Framework.
The Statements of Priorities are the key accountability agreements between Health Services and the Minister for Health. The annual agreement ensures
delivery or substantial progress towards the key shared objectives of financial stability, improves access and waiting times, and quality of service
provision.
A copy of the 2010-11 Statement of Priorities and Performance Framework Business Rules can be found at:
www.health.vic.gov.au/hospital-performance/index.htm.
A link to the 2011-12 Statement of Priorities and Performance Framework Business Rules will be provided when they are released.
- Download the Performance Indicators 2011-12
(PDF File
46kb, opens in new window) as
detailed below.
- Download the Performance Indicators 2010-11
(PDF File 30kb, opens in new window).
- Go to VICNISS Key Dates to assist with the submission of data to the VICNISS Coordinating Centre.
- Download the Notice of Inability to Undertake VICNISS Surveillance Activities
(PDF File
23 kb, opens in new
window). If a hospital is unable to undertake the surveillance activities as listed in the Performance Indicator document for
any period of time, formal notification to the VCC is required by completing this form.
This notification needs to be signed by the Infection Control Coordinator and the Infection Control Executive Sponsor.
This information will then be forwarded to the Department of Health.
This document lists the VICNISS Hospital Participation Indicators and the VICNISS Data Quality Indicators for all
hospitals participating in Type 1 surveillance activities.
These Performance Indicators have been endorsed by the VICNISS Advisory Committee and the Department of Health.
The VICNISS Coordinating Centre is required to report hospital level indicators to the Department of Health.
1. VICNISS Type 1 Surveillance Hospital Participation Indicators
Required Surveillance Activities
1.1 Intensive Care Units
- 1.1.1 Central line associated bloodstream infections in Adult Intensive Care Units - collect data continuously and submit to the VICNISS Coordinating Centre quarterly.
- 1.1.2 Central line associated bloodstream infections in Neonatal Intensive Care Units - collect data continuously and submit to the VICNISS Coordinating Centre quarterly.
- 1.1.3 Peripheral line associated bloodstream infections in Neonatal Intensive Care Units - collect data continuously and submit to the VICNISS Coordinating Centre quarterly.
1.2 Surgical Site Infections
- 1.2.1 If coronary artery bypass grafts surgery is performed data must be collected continuously and submitted to the VICNISS
Coordinating Centre quarterly.
- 1.2.2 If more than 50 hip arthroplasty procedures are performed annually, data must be collected continuously and submitted to the VICNISS
Coordinating Centre quarterly.
- 1.2.3 If more than 50 knee arthroplasty procedures are performed annually, data must be collected continuously and submitted to the VICNISS
Coordinating Centre quarterly.
NOTE:
- If only one of the above applies, at least another 12 surveillance-months of VICNISS surgical procedure data must be collected and submitted to the VICNISS Coordinating
Centre quarterly. (e.g. CSEC Jan-Dec; or, CSEC Jan-Jun & HYST Jul-Dec).
- If none of the above applies, at least another 24 surveillance-months of VICNISS surgical procedures or VICNISS modules must be collected and submitted to the
VICNISS Coordinating Centre quarterly. (e.g. CSEC Jan-Dec & HDE Jan-Dec).
1.3 Hand Hygiene Compliance Initiative (HHCI)
- Collect HHCI data and submit via HHCApp three times per year.
1.4 Stapylococcus aureus Bacteraemia (SAB)
- Collect SAB data continuously and submit to the VICNISS Coordinating Centre quarterly.
1.5 Clostridium difficile Infection (CDI)
- Collect CDI data continuously and submit to the VICNISS Coordinating Centre quarterly.
2. VICNISS Type 1 Surveillance Data Quality Indicators
- 2.1 Quarterly surveillance data submitted within 1 week of the required date (specified by VICNISS Coordinating Centre).
- 2.2 HHCI data submitted three times per year no later than the required date (specified by Hand Hygiene Australia).
- 2.3 Each health service must have the required number of HH observations for the number of acute in-patient beds at each facility (specified by Hand Hygiene Australia).
- 2.4 For surgical procedure groups, a minimum of 90% of risk factor data must be complete for all procedures submitted.
- 2.5 Organism data including antibiotic resistance patterns (where available) to be submitted for all infections.
- 2.6 Surgical antibiotic prophylaxis data submitted for all surgical procedures under surveillance.