title: Substantial variation in hospital rankings after adjusting for hospital-level predictors of publicly-reported hospital-associated Clostridium difficile infection rates.
abstract: Across 366 California hospitals, we identified hospital-level characteristics predicting increased hospital-associated Clostridium difficile infection (HA-CDI) rates including more licensed beds, teaching and long-term acute care (LTAC) hospitals, and polymerase chain reaction testing. Adjustment for these characteristics impacted rankings in 24% of teaching hospitals, 13% of community hospitals, and 11% of LTAC hospitals.
authors.affiliation: 1Division of Infectious Diseases,University of California Irvine Medical Center,Orange,California.
authors.forename: Rupak
authors.initials: R
authors.lastname: Datta
authors.affiliation: 3Center for Healthcare Quality,California Department of Public Health,Richmond,California.
authors.forename: N Neely
authors.initials: NN
authors.lastname: Kazerouni
authors.affiliation: 3Center for Healthcare Quality,California Department of Public Health,Richmond,California.
authors.forename: Jon
authors.initials: J
authors.lastname: Rosenberg
authors.affiliation: 4Department of Statistics,University of California Irvine,Irvine,California.
authors.forename: Vinh Q
authors.initials: VQ
authors.lastname: Nguyen
authors.affiliation: 4Department of Statistics,University of California Irvine,Irvine,California.
authors.forename: Michael
authors.initials: M
authors.lastname: Phelan
authors.affiliation: 2Health Policy Research Institute,University of California Irvine School of Medicine,Irvine,California.
authors.forename: John
authors.initials: J
authors.lastname: Billimek
authors.affiliation: 1Division of Infectious Diseases,University of California Irvine Medical Center,Orange,California.
authors.forename: Chenghua
authors.initials: C
authors.lastname: Cao
authors.affiliation: 3Center for Healthcare Quality,California Department of Public Health,Richmond,California.
authors.forename: Patricia
authors.initials: P
authors.lastname: McLendon
authors.affiliation: 3Center for Healthcare Quality,California Department of Public Health,Richmond,California.
authors.forename: Kate
authors.initials: K
authors.lastname: Cummings
authors.affiliation: 1Division of Infectious Diseases,University of California Irvine Medical Center,Orange,California.
authors.forename: Susan S
authors.initials: SS
authors.lastname: Huang
mesh_terms: D002140:California / Q000453:epidemiology; D016360:Clostridioides difficile; D003422:Critical Care / Q000706:statistics & numerical data; D003428:Cross Infection / Q000453:epidemiology*; D004761:Enterocolitis, Pseudomembranous / Q000453:epidemiology*; D005260:Female; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006761:Hospitals / Q000592:standards / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D008134:Long-Term Care / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors