Performance Indicators for Hospitals Participating in the VICNISS Type 2 Surveillance Program July 2010 - June 2011
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 2009-10 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 2010-11 Statement of Priorities and Performance Framework Business Rules will be provided when they are released.
- Download the Performance Indicators 2010-11
(PDF File
30kb, opens in new window) as
detailed below.
- Download the Performance Indicators 2009-10
(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 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 Health.
The VICNISS Coordinating Centre is required to report hospital level indicators to the Department of Health.
1. VICNISS Type 2 Surveillance Hospital Participation Indicators
Required Surveillance Activities
1.1 Outcome Indicators Small, Medium and Large Hospitals
- 1.1.1 Multi Resistant Organism surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.1.2 Occupational Exposure surveillance data - collect and submit to the VICNISS Coordinating Centre quarterly.
- 1.1.3 Notification of Deep and Organ space surgical site infections to the VICNISS Coordinating Centre quarterly.
1.2 Hand Hygiene Initiative Small, Medium and Large Hospitals
- 1.2.1 Hand hygiene compliance audit - collect and submit to the VICNISS Coordinating Centre three times per year.
- 1.2.2 Staphylococcus aureus bacteraemia - collect and submit to the VICNISS Coordinating Centre.
1.3 Process Indicators Large Hospitals
- 1.3.1 Surgical Antibiotic Prophylaxis module - collect and submit data on at least 50 consecutive procedures to the VICNISS Coordinating Centre once per year.
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 Staphylococcus aureus bacteraemias.