Vydavatel U.S. Department of Health & Human Services
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Long-term acute care is a hospital defined by the Centers for Medicare & Medicaid Services (CMS) as a licensed general acute care hospital providing care for patients with medically complex conditions requiring an average length of stay for all patients of greater than 25 days. This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California long-term acute care (LTAC) hospitals. The hospital onset (HO) CDI rate is calculated by dividing the number of HO CDI cases by the total inpatient days. The rates are not risk adjusted and may reflect factors in the hospital that can affect the occurrence of CDI, such as transmission of the C. difficile bacteria and use of antimicrobials. CDI cases are classified as HO when the positive stool sample is obtained on day four or later during the hospital stay. Differences in rates for LTAC hospitals can result from differences in laboratory testing methodology, patient populations, infection and transmission prevention practices, antibiotic utilization, and/or community onset rates of CDI. HO CDI rate in LTAC hospitals is provided separately from the rates in rehabilitation acute care hospitals. Patients in LTAC hospitals have longer lengths of stay, an established risk factor for CDI. Also, specifically for LTAC and rehabilitation acute care hospitals, we include whether a hospital uses the polymerase chain reaction test (PCR) to detect CDI. In this table, hospital rates of CDI for LTAC hospitals have not been adjusted to account for the differences in sensitivity between PCR and other laboratory testing methods; therefore, rates from hospitals using different types of laboratory tests are not comparable. To link the CDPH facility IDs with those from other Departments, like OSHPD, please reference the "Licensed Facility Cross-Walk" Open Data table at https://chhs.data.ca.gov/Facilities-and-Services/Licensed-Facility-Cross...