Part 1: In this assignment, you are asked to examine if prophylactic antibiotics are discontinued within 24 hours after end of surgery. Instead of providing you with the data, we ask that you download the data on the web so that you learn more about the source of the data and peculiar organization of the data. Hospital Compare provides information on many quality indicators. In this assignment, you are asked to focus on failure to stop use of antibiotics post surgery. The Hospital Compare web site provides the following rationale for why this measure of quality is helpful: “A goal of prophylaxis with antibiotics is to provide benefit to the patient with as little risk as possible. It is important to maintain therapeutic serum and tissue levels throughout the operation. Intra-operative re-dosing may be needed for long operations. However, administration of antibiotics for more than a few hours after the incision is closed offers no additional benefit to the surgical patient. Prolonged administration does increase the risk of clostridium difficile infection and the development of antimicrobial resistant pathogens.” To complete this assignment complete the following tasks:

1. Download Hospital Compare data for the years starting from 2015 till now. Merge the file “HQI_HOSP_TimelyEffectiveCare” across all databases for different years.

2. Select measure ID “SCIP_INF_3”; this measure refers to prophylactic antibiotic use. Select to work with data from “Southeast Alabama Medical Center”; this is provider ID “010001”.

3. Calculate rate of overuse of antibiotics. In these data, the field “Score” refers to the number of patients with overuse of antibiotics. The field “Sample” refers to all selected surgical patients with no evidence of prior infection. The ratio of Score to Sample provides the rate of overuse of antibiotics.

4. Construct a control chart showing rate of overuse of prophylactic antibiotic over time in Southeast Alabama Medical Center. Download the needed data using the following databases (if new data is available, please use them)

• You can find the solution here here – Alternative Formats .

The student peer video shows that data across the years us merged using SQL. You can do the same merger without using SQL. Open the CSV files (you can ignore access files for old years.) Filter the data by the measure you are interested in Copy the sheet with the relevant filtered data from each CSV file into a single sheet within the new Excel file. In a sheet titles “ALL” inside the Excel file, use cell reference to bring the data in different sheets to the “ALL” sheet. Do your analysis on this sheet.

Part 2: Nursing home and hospital administrators implement many initiatives to reduce falls. This problem shows how these initiatives can be measured and evaluated. Prepare a risk-adjusted control chart for data

on falls in a nursing home

• Please use the following peer video as a reference for this assignment. You can find the solution here here – Alternative Formats .

Part 3: The following data were obtained on post surgical infection rates. Are we having more infections than expected from the patients’ conditions?