This dataset includes central line-associated bloodstream infection (CLABSI) data reported by California hospitals to the California Department of Public Health (CDPH), Healthcare-Associated Infections (HAI) Program, via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Hospital types include acute care, critical access, long-term acute care, free-standing rehabilitation hospitals, as well as acute rehabilitation units that report data separately. CLABSI data for each hospital include the number of infections observed (reported) and predicted (based on national baseline data), the number of central line-days, the Standardized Infection Ratio (SIR) and associated 95% confidence intervals, and statistical interpretation to show whether CLABSI incidence was the same (no different), better (lower), or worse (higher) than the national baseline. Central line insertion practices (CLIP) adherence percent for each hospital is calculated from data reported by all critical care locations (i.e., critical care areas, neonatal critical care, and one special care area, "Oncology - Medical/Surgical Critical Care"). In 2021, the CLIP reporting requirement to CDPH via NHSN was discontinued. CLABSI SIRs are influenced by clinical and infection control practices related to central line insertion and infection control maintenance practices, patient-based risk factors, and surveillance and reporting methods. Health and Safety Code section 1288.55(a)(2) requires general acute care hospitals to report to CDPH all cases of CLABSI identified in their facilities. For general information about NHSN, surveillance definitions, and reporting requirements for CLABSI, please visit: https://www.cdc.gov/nhsn/index.html To link the CDPH facility IDs with those from other Departments, including OSHPD, please reference the "Licensed Facility Cross-Walk" Open Data table at: https://data.chhs.ca.gov/dataset/licensed-facility-crosswalk. For information about healthcare-associated infection prevention progress in California hospitals and statewide prevention goals, please visit: https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/AnnualHAIReports.aspx

Oregon hospitals report CLABSIs from adult, pediatric, and neonatal intensive care units, and adult and pediatric medical, surgical, and medical/surgical wards as part of Oregon's mandatory healthcare-associated infections reporting program. For information regarding standardized infection ratio baselines, please see https://www.cdc.gov/nhsn/2015rebaseline/index.html.

Oregon hospitals report CLABSIs from adult, pediatric, and neonatal intensive care units, and adult and pediatric medical, surgical, and medical/surgical wards as part of Oregon's mandatory healthcare-associated infections reporting program. For information regarding standardized infection ratio baselines, please see https://www.cdc.gov/nhsn/2015rebaseline/index.html.

Oregon hospitals report CLABSIs from adult, pediatric, and neonatal intensive care units, and adult and pediatric medical, surgical, and medical/surgical wards as part of Oregon's mandatory healthcare-associated infections reporting program. For information regarding standardized infection ratio baselines, please see https://www.cdc.gov/nhsn/2015rebaseline/index.html.

Oregon hospitals report CLABSIs from adult, pediatric, and neonatal intensive care units, and adult and pediatric medical, surgical, and medical/surgical wards as part of Oregon's mandatory healthcare-associated infections reporting program. For information regarding standardized infection ratio baselines, please see https://www.cdc.gov/nhsn/2015rebaseline/index.html.

Oregon hospitals report CLABSIs from adult, pediatric, and neonatal intensive care units, and adult and pediatric medical, surgical, and medical/surgical wards as part of Oregon's mandatory healthcare-associated infections reporting program. For information regarding standardized infection ratio baselines, please see https://www.cdc.gov/nhsn/2015rebaseline/index.html.

Oregon hospitals report CLABSIs from adult, pediatric, and neonatal intensive care units, and adult and pediatric medical, surgical, and medical/surgical wards as part of Oregon's mandatory healthcare-associated infections reporting program. For information regarding standardized infection ratio baselines, please see https://www.cdc.gov/nhsn/2015rebaseline/index.html.

Oregon hospitals report CLABSIs from all adult and pediatric ICUs, NICUs, and adult and pediatric medical, surgical, and medical/surgical wards as part of Oregon's mandatory healthcare-associated infections reporting program.

California Health and Safety Code section 1288.55(a)(1) requires general acute care hospitals to report all cases of Clostridioides difficile infections (CDI) identified in their facilities to the California Department of Public Health (CDPH). CDI data are submitted by hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). CDPH downloads California hospital CDI data from NHSN and analyzes the data to describe prevention progress in an annual public report of healthcare-associated infections CDPH publishes annual CDI data reported by each California hospital in the datasets below. The following datasets include the number of CDI reported by each California hospital in the specified reporting year. Beginning in 2016 for each California hospital, the annual CDI dataset includes the number of CDI that were predicted to occur in each hospital based on its specific facility-level characteristics. The observed (reported) number of CDI are then compared to the predicted number of CDI in a ratio called the Standardized Infection Ratio or SIR. The SIR is a metric that summarizes an individual hospital’s CDI prevention progress compared with the national baseline and California state-specific prevention goals. Detailed information about the variables included in each dataset are described in the accompanying data dictionaries for the year of interest. For more information about the SIR and NHSN’s statistical models that are used to calculate the predicted number of CDI for each hospital, please review “NHSN’s Guide to the SIR”: https://www.cdc.gov/nhsn/ps-analysis-resources/index.html For general information about NHSN, surveillance definitions, and reporting requirements for CDI, please visit: https://www.cdc.gov/nhsn/index.html To link the CDPH facility IDs with those from other Departments, including HCAI, please reference the "Licensed Facility Cross-Walk" Open Data table at: https://data.chhs.ca.gov/dataset/licensed-facility-crosswalk. For information about healthcare-associated infection prevention progress in California hospitals and statewide prevention goals, please visit: https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/AnnualHAIReports.aspx