Jackson Health Hospitals Have Lower ABSSSI Incidence Than Miami-Dade County Average

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In Acute Bacterial Skin and Skin Structure Infections (ABSSSI)

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By: James Pitt  Jun. 26, 2018

A June 4 Miami Herald investigation found that according to CMS data, Jackson Health System performed under the national benchmark on incidence of MRSA bloodstream infections, but at or above the national benchmark on five other types of infection. Dr. Lilian Abbo of Jackson Health attributed this to the case mix at Jackson Health and the high prevalence of MRSA in Miami-Dade County.

To examine whether these MRSA findings are transferable to other infections that start cutaneously, Dexur analysts examined the incidence of acute bacterial skin and skin structure infection (ABSSSI) in 2013-2016 CMS inpatient discharge data from the 26 hospitals in Miami-Dade county that had over 500 Medicare-eligible inpatient discharges per year.

At these 26 hospitals, the average incidence of ABSSSI was 7.36%.

All three of Jackson Health's hospitals had somewhat lower ABSSSI incidence than average. 5.07% of discharges involved ABSSSI at Jackson Memorial Hospital; 6.10% at Jackson South Community Hospital; and 6.51% at Jackson North Medical Center.

To examine case mix (i.e. which hospitals have sicker patients), analysts examined ABSSSI in cellulitis specifically (DRGs 602 and 603) at 21 of these hospitals. At all hospitals, all or nearly all of these infections were present on admission, not nosocomial. 27.59% of Jackson North Medical Center's patients had major complications or comorbidities (MCC). This was second only to North Shore Medical Center, where 29.17% of cellulitis patients with ABSSSI had MCC. The lowest rate of MCC was at Larkin Community Hospital Palm Springs, where only 8.94% of cellulitis patients with ABSSSI had MCC.

DEXUR PRO MEMBERS GET ACCESS TO:

1. Total Discharges
2. Total Discharges after Exclusion
3. Skin Infection Discharges / Hospitalizations
4. Skin Infection Discharges after Exclusion
5. Skin Infection Average Length of Stay

From 2013-2016, at the following hospitals:

1. Baptist Hospital Of Miami
2. University Of Miami Hospital
3. Mount Sinai Medical Center
4. Aventura Hospital & Medical Center
5. Mercy Miami Hospital
6. Kendall Regional Medical Center
7. Jackson Memorial Hospital
8. Palmetto General Hospital
9. South Miami Hospital
10. Westchester General Hospital
11. Hialeah Hospital
12. Coral Gables Hospital
13. North Shore Medical Center
14. Larkin Community Hospital
15. Doctors Hospital - Baptist Health South Florida
16. West Kendall Baptist Hospital
17. Jackson South Community Hospital
18. Homestead Hospital
19. Larkin Community Hospital Palm Springs
20. Jackson North Medical Center
21. Memorial Hospital West
22. Memorial Regional Hospital
23. HealthSouth Rehabilitation Hospital Of Miami
24. Larkin Community Hospital Palm Springs Campus Hialeah
25. Villa Maria Nursing & Rehabilitation Center
26. West Gables Rehabilitation Hospital

Plus

1. Total discharges with cellulitis without major complications/ comorbidities (DRG 603)
2. ABSSSI (skin infection) discharges with cellulitis without MCC
3. Total discharges with cellulitis with MCC (DR 602)
4. ABSSSI discharges with cellulitis without MCC
5. % of ABSSSI cellulitis discharges with MCC

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For the following hospitals

1. Baptist Hospital Of Miami
2. University Of Miami Hospital
3. Mount Sinai Medical Center
4. Aventura Hospital & Medical Center
5. Mercy Miami Hospital
6. Kendall Regional Medical Center
7. Jackson Memorial Hospital
8. Palmetto General Hospital
9. South Miami Hospital
10. Westchester General Hospital
11. Hialeah Hospital
12. North Shore Medical Center
13. Larkin Community Hospital
14. Doctors Hospital - Baptist Health South Florida
15. West Kendall Baptist Hospital
16. Jackson South Community Hospital
17. Homestead Hospital
18. Larkin Community Hospital Palm Springs
19. Jackson North Medical Center
20. Memorial Hospital West
21. Memorial Regional Hospital

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