Influence | Example |
---|---|
Internal | |
1. Experience | Surveillance of central line infection rates by unit |
2. Resources | |
a. Material | Lack of bladder scanners, lack of data collection infrastructure for measuring catheter-days |
b. Human | Hospital epidemiologist with interest in central line infections |
3. Organizational Characteristics | Performance improvement committee of governing board; part of multi-hospital system monitoring performance indicators |
External | |
1. Voluntary/professional | Michigan Keystone, NDNQI* |
2. Regulatory | HAC** policy; CMSº core measures, Joint Commission |
3. Financial | Non-federal pay for performance (Blue Cross Blue Shield) |