Has Rate of Changed for Southeast Alabama Medical Center? Farrokh Alemi, Ph.D.

Download, Unzip, Rename Data To H-YYYY-MM

Import Tables into New Database From 2015 01 Database From 2015 04 Database From 2015 05 Database From 2015 07 Database From 2015 10 Database From 2015 12 Database From 2016 05 Database From 2016 08 Database From 2016 11 Database

Select Hospital & Measure ID for 2013-2014 Provider ID Measure Start Date Measure End Date Score Sample SCIP_INF_3 010001 04/01/2013 03/31/2014 98 324 Select Measure Data & Database Dates Differ Select Provider

Repeat for All Time Periods Measure ID Provider ID Measure Start Date Measure End Date Score Sample SCIP_INF_3 010001 04/01/2013 03/31/2014 98 324 07/01/2013 06/30/2014 330 10/01/2013 09/30/2014 329 01/01/2014 12/31/2014 332 04/01/2014 03/31/2015 99 337 07/01/2014 06/30/2015 340 10/01/2014 09/30/2015 100 256 01/01/2015 170 Ignore Duplicated Data Time Period

Calculate Control Limits Midway Point Rate of Overuse Upper Limit Lower Limit 9/30/2013 0.302 0.377 0.275 12/30/2013 0.297 0.276 4/1/2014 0.298 7/2/2014 0.295 9/30/2014 0.294 0.376 12/30/2014 0.291 4/1/2015 0.391 0.384 0.269 5/17/2015 0.582 0.397 0.256 Midway Point = DATE(YEAR(start), MONTH(start), DAY(start)+(start-end)/2) Grand Rate = SUM(Score)/SUM(Sample) Upper Limit =Grand Rate + 1.96*SQRT((Grand Rate*(1-Grand Rate))/Sample)

Plot the Control Chart Limits spread wider, due to small sample Make each line as separate scatter plot; then copy into a single plot

Overuse of Prophylactic Antibiotics in Southeast Alabama Medical Center