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Measure Last Updated
HCP/IMM-3 Q4 2023 – Q1 2024

Influenza Vaccination Coverage Among Healthcare Personnel (HCP)

Antibiotic Stewardship 2024

Measured via Center for Disease Control National Healthcare Safety Network (CDC NHSN) Annual Facility Survey

OSF St. Paul Medical Center Q4 2020 – Q1 2021 Q4 2021 – Q1 2022 Q4 2022 – Q1 2023 Q4 2023 – Q1 2024 Q4 2024 – Q1 2025 IL CAH Rate Q4 2024 – Q1 2025 National CAH Rate Q4 2024 – Q1 2025
IMM-3 Influenza Vaccination Coverage Among Healthcare Personnel 98% of 316 patients 83% of 292 patients 74% of 289 patients 94% of 239 patients 94.1% of 239 patients 58.0% 75.0%

Influenza Vaccination Coverage Among Healthcare Personnel

Antibiotic Stewardship 2021 2022 2023 2024 % of IL CAHs Meeting Element (2024) State CAH Average (2024) National CAH Average (2024)
Number of Elements Met 6 7 7 7 89% 95.0% 94.0%
Element 1: Leadership Y Y Y Y 93% 98.0% 99.0%
Element 2: Accountability Y Y Y Y 93% 100.0% 99.0%
Element 3: Drug Expertise Y Y Y Y 93% 100.0% 98.0%
Element 4: Action Y Y Y Y 95% 100.0% 99.0%
Element 5: Tracking Y Y Y Y 91% 98.0% 97.0%
Element 6: Reporting Y Y Y Y 95% 98.0% 99.0%
Element 7: Education N Y Y Y 95% 100.0% 100.0%

Antibiotic Stewardship Trend in OSF St. Paul Medical Center

Safe Use of Opioids 2023 2024 % of IL CAHs Meeting Element (2024) State CAH Rate (2024) National CAH Rate (2024)
Safe Use of Opioids Rate N/A 9% of 152 patients 100% 18.3% 16.5%

Opioid Rate Trend in OSF St. Paul Medical Center