Our goals

Hospital acquired infections (HAI) can cause serious problems for patients. North Shore-LIJ has zero tolerance for healthcare acquired infection and has received recognition at the national level from the National Patient Safety Foundation, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health, Office of Healthcare Quality and the Critical Care Societies Collaboration and at the state level from the Health Care Association of New York State (HANYS).

Our goal is to eliminate infections that arise following admission to the hospital. Infections can cause patients to remain in the hospital for a longer than expected period of time due to treatment and management of the infection. In certain severe situations an infection can cause death.

North Shore-LIJ has implemented a rigorous campaign to reduce the chance of acquiring an infection. In keeping with the national agenda to make hospitalizations safer for patients, the North Shore-LIJ Health System has the following goals to reduce healthcare associated infections:

  • Reduce and eliminate healthcare associated central line associated bacteremias (CLABS) or bloodstream infections
  • Reduce and eliminate surgical site infections (SSIs) associated with a surgical procedures
  • Promote hand hygiene
  • Educate patients on infection prevention
  • Commit to decreasing new and emerging pathogens that impact hospitalized patients, such as clostridium difficile (c-diff)

Central line associated bacteremias

North Shore-LIJ’s goal is to reduce and eliminate healthcare associated central line related bloodstream infections. Central lines are placed in patients and used to deliver medications, fluids, nutrients, and blood products. A central line is a catheter that is placed into a large vein usually in the upper portion of the chest area or at times in the area of the groin. Although a central line is necessary at times for management of an illness or disease, it can lead to an infection. North Shore-LIJ has special procedures for placing and caring for the central line to prevent infection. North Shore-LIJ facilities have been very successful in decreasing infections associated with a central line.

Intensive Care Unit Central Line
Associated Bacteremia Index*

All NSLIJ Hospitals Combined Individual NSLIJ Hospitals 2013 2014 2014

2013 - 7.78
2014 - 8.08
2015 - 6.14

Forest Hills Hospital 0.37 0.00  0.00
Franklin Hospital   1.05 0.75  0.00
Glen Cove Hospital: The Mildred and Frank Feinberg Campus 1.86  4.86  0.00
Huntington Hospital 0.67  0.55  0.00
Lenox Hill Hospital 0.82  0.45  0.60
Long Island Jewish Medical Cente 0.20  0.42  0.97
North Shore University Hospital: The Sandra Atlas Bass Campus 0.76  0.54  0.00
Plainview Hospital 0.00  0.00  0.00
Southside Hospital 0.83  0.00  0.00
Staten Island University Hospital 0.81  0.89  0.00
Steven and Alexandra Cohen Children's Medical Center of New York 0.35  0.41 0.41
Syosset Hospital 0.00  0.00 0.00

*Decrease is favorable.
2015 data includes January – March 2015.
Data is submitted and verified every 90 days
Includes data from Steven and Alexandra Cohen Children's Medical Center of New York
Data as of June 25, 2014
Data Source: NHSN

 

Preventing surgical site infections

In a majority of surgical procedures, the skin is cut to gain entry under the skin. This incision breaks our body’s first line of defense against infection. When there is a break in the body’s defense, the risk for bacteria to enter the body and cause an infection increases.

North Shore-LIJ strives to reduce and eliminate surgical site infections. The health system is dedicated to minimizing the risk of infection associated with surgical procedures. The following is a list of infection prevention measures that have been implemented and are monitored to ensure continuous improvement:

  • Administering antibiotics specific to the surgical procedure within 1 hour of the incision
  • Removal of hair at the surgical procedure site with a clipper when necessary
  • Keeping the sugar level in the blood at a certain range in cardiac procedures
  • Maintenance of body temperature for select procedures involving the large intestine/colon
  • Preparing the patients skin prior to the incision

Surgical Site Infection Rate for Select Surgical Procedures*

All NSLIJ Hospitals Combined Individual NSLIJ Hospitals 2013 2014 2015
2013 - 1.72
2014 - 1.85
2015 - 1.01
Forest Hills Hospital 1.78 2.14 0.81
Franklin Hospital 0.00 0.47 0.26
Glen Cove Hospital: The Mildred and Frank Feinberg Campus 0.23 0.00 0.00
Huntington Hospital 2.09 1.45 1.54
Lenox Hill Hospital 1.37 1.36 0.58
Long Island Jewish Medical Center 1.95 2.39 1.05
North Shore University Hospital: The Sandra Atlas Bass Campus 2.36 2.19 1.21
Plainview Hospital 1.49 3.24 2.01
Southside Hospital 2.35 3.47 1.94
Staten Island University Hospital 2.86 2.60 2.31
Syosset Hospital 0.88 0.44 0.00

 *Decrease is favorable.
2015 data includes January – March 2015.
Data is submitted and verified every 90 days.
Data as of June 25, 2014
Data source: NHSN

Surgical Site Infection Rates includes hip, knee, colon, hysterectomy, and cardiac procedures.

 

Hand hygiene

Hand washing prevents infection. We have made this a top priority at North Shore-LIJ Health System. Each month a random sample of employees are observed to make sure they are adhering to proper hand washing procedures. The results that you see posted are a combined rate of hand washing across all of our hospitals.

We would like everyone to wash their hands, and that includes our visitors. To help make this easier we have prominently placed kiosks with hand gels and foams in our lobbies and cafeterias, as well as in the patient care areas. Here are some of the other things that we have done to help promote hand hygiene:
• Staff education on Infection Control at orientation, annually and as appropriate
• Use of ultra-violet light and specific hand gel to assist with hand hygiene education
• Contract and competency for all staff
• Computer screen savers
• Promotional recording that plays when health system phones are placed on hold

We ensure compliance with the Joint Commission's National Patient Safety Goal for hand hygiene.

Hand Hygiene Rate*
All NSLIJ Hospitals Combined

Individual NSLIJ Hospitals

2013 2014 2015
2013 - 87.21
201489.48
2015 - 92.37
Forest Hills Hospital  83.29 88.54 77.14
Franklin Hospital 91.61 92.69 95.45
Glen Cove Hospital: The Mildred and Frank Feinberg Campus 89.59  89.87 87.36
Huntington Hospital 90.05  84.59 73.79
Lenox Hill Hospital 84.62  75.43 76.03
Long Island Jewish Medical Center 96.07  96.64 97.36
North Shore University Hospital: The Sandra Atlas Bass Campus 85.66 74.91 88.08
Plainview Hospital 90.45  86.94 83.00
Southside Hospital 85.52  93.06 100.00
Staten Island University Hospital 91.58  97.12 97.88
Syosset Hospital 90.19  94.00 85.40

*Increase is favorable.
2015 data includes January – March 2015.
Data is submitted and verified every 90 days.
Data as of June 25, 2015
Data source: NHSN

 

Patient education

North Shore-LIJ works to ensure safety and quality by maintaining standards of care in coordination with patients. The following patient information may help to reduce infection:

Influenza, or the “flu,” is seasonal. The flu is caused by a virus that can cause mild to severe respiratory illness and may cause death in especially vulnerable patients, such as infants, the elderly, and those with certain chronic diseases. Every year a new strain of flu is associated with illness, which is the reason for annual vaccination. Each hospital has an internal process to identify the need for vaccination.

The pneumococcal vaccine is recommended for select high-risk individuals. Each facility has an internal process to identify the need for vaccination.

Ensuring up-to-date vaccinations for children is especially important for infection prevention. North Shore-LIJ is working to make sure all patients receive appropriate vaccines.

Preventing clostridium difficile

Clostridium difficile (C. diff) is a type of bacteria that grows in the colon and can cause abdominal discomfort, bloating, and diarrhea. It is a spore that can be found in the environment – on places like toilet seats or doorknobs. North Shore-LIJ is committed to decreasing the occurrence of this infection.

Clostridium difficile Index*

All NSLIJ Hospitals Combined Individual NSLIJ Hospitals 2013 2014 2015
2013 - 7.78
2014 - 8.08
2015 - 6.14
Forest Hills Hospital  10.45 11.14 7.20
Franklin Hospital 6.07 4.58 3.71
Glen Cove Hospital: The Mildred and Frank Feinberg Campus 6.31 6.07 10.85
Huntington Hospital 7.22 6.55 2.85
Lenox Hill Hospital 6.85 8.73 8.73
Long Island Jewish Medical Center 9.09 9.28 6.37
North Shore University Hospital: The Sandra Atlas Bass Campus 9.88 9.56 7.07
Plainview Hospital 9.82 7.53 4.41
Southside Hospital 6.99 6.71 4.98
Staten Island University Hospital 4.78 6.62 5.78
Syosset Hospital 5.47 2.55 0.00

*Decrease is favorable.
2015 data includes January – March 2015.
Data is submitted and verified every 90 days.
Data as of June 25, 2015
Data Source: NHSN