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Measure Last Updated
CAH Quality Infrastructure 2024

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

CAH Quality Infrastructure 2023 2024 % of OR CAHs Meeting Element (2024) State CAH Average (2024) National CAH Average (2024)
Number of Elements Met 2 5 28% 12.0% 10.0%
Element 1: Leadership Y Y 96% 100.0% 95.0%
Element 2: Strategic Plan N N 64% 60.0% 58.0%
Element 3: Workforce N Y 80% 76.0% 61.0%
Element 4: CQI System Y Y 92% 100.0% 91.0%
Element 5: CQI Behavior N Y 76% 92.0% 84.0%
Element 6: PT Engagement N Y 84% 76.0% 52.0%
Element 7: Collect Data N N 84% 80.0% 78.0%
Element 8: Use Data N N 68% 76.0% 63.0%

CAH Quality Infrastructure Trend in Blue Mountain Hospital