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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

HSHS Good Shepherd Hospital 2023 Q2 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 N/A N/A 0.0% of 0 patients 58.0% 75.0%

Influenza Vaccination Coverage Among Healthcare Personnel

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

Antibiotic Stewardship Trend in HSHS Good Shepherd 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 11% of 53 patients 100% 18.3% 16.5%

Opioid Rate Trend in HSHS Good Shepherd Hospital