Patient Safety
Fairfield Memorial Hospital
| 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 |
| Fairfield Memorial Hospital | 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 | 97% of 496 patients | 90% of 434 patients | 95% of 458 patients | 92% of 472 patients | 91.9% of 472 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 | 7 | 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 | Y | Y | Y | Y | 95% | 100.0% | 100.0% |
Antibiotic Stewardship Trend in Fairfield Memorial Hospital
| 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 | 17% of 84 patients | 100% | 18.3% | 16.5% |