Delaware Code Title 16. Health and Safety § 1004A. Hospital reports

(1) Surgical site infections such as total hip and knee arthroplasty, colostomy, or hysterectomy.

(2) Central line-associated bloodstream infections.

(3) Direct healthcare personnel influenza vaccination rates.

(4) Other categories as provided under subsection (c) of this section.

(b)(1) Infection prevention professionals, or a designee, of hospitals shall submit quarterly reports on their healthcare associated infection rates to the Department using the accepted Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN) definitions.  Prevention and control data related to quality measures will be based on nationally recognized and recommended standards that may include those developed by the CDC, Centers for Medicare and Medicaid Services and the Agency for Healthcare, Research and Quality.  Data in quarterly reports must cover a period ending not earlier than 45 days prior to submission of the report.  Quarterly reports shall be made available to each hospital 45 days after submittal to the Department for review by the hospitals.  The hospitals shall have 7 days to review the quarterly reports and report any changes to the Department.  Following the 7-day review period, such quarterly reports shall be made available to the public at each hospital and through the Department (the “public report”).

(2) If the hospital is a division or subsidiary of another entity that owns or operates other hospitals or related organizations, the quarterly report shall be for the specific division or subsidiary and not for the other entity.