Performance Indicators for Hospitals Participating in the VICNISS Type 2 Surveillance Program July 2009 - June 2010
May 2009
Hospital participation and performance are included in the 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 2008-09 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 2009-10 Statement of Priorities and Performance Framework Business Rules will be provided when they are released.
- Download the Performance Indicators 2009-10
(PDF File
30kb, opens in new window) as
detailed below.
- Download the Performance Indicators 2008-09
(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) form. 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.
This document lists the revised VICNISS Hospital Participation Indicators and the VICNISS Data Quality Indicators for all hospitals
participating in Type 2 surveillance activities.
These Performance Indicators have been endorsed by the VICNISS Advisory Committee and the Department of Human Services.

1. VICNISS Type 2 Surveillance Hospital Participation Indicators
Required Surveillance Activities
1.1 Small Hospitals
- 1.1.1 Multi Resistant Organism surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.1.2 Bloodstream infection surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.1.3 Occupational Exposure surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.1.4 Notification of Deep and Organ space surgical site infections to the VICNISS Coordinating Centre quarterly.
1.2 Medium Hospitals
- 1.2.1 Multi Resistant Organism surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.2.2 Bloodstream infection surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.2.3 Occupational Exposure surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.2.4 Notification of Deep and Organ space surgical site infections to the VICNISS Coordinating Centre quarterly.
1.3 Large Hospitals
Outcome Indicator Modules
- 1.3.1 Bloodstream infection surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.3.2 Occupational Exposure surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.3.3 Notification of Deep and Organ space surgical site infections to the VICNISS Coordinating Centre quarterly.
Process Indicator Modules
- 1.3.4 Annual Surgical Antibiotic Prophylaxis module.
- 1.3.5 Other process indicators optional.
2. VICNISS Type 2 Surveillance Data Quality Indicators
- 2.1 Quarterly surveillance data submitted within 1 week of the required date (as notified by VICNISS Coordinating Centre).
- 2.2 Complete organism data including antibiotic resistance patterns be submitted for all Multi Resistant Organism and bloodstream infections.