The California Department of Public Health (CDPH), Center for Health Care Quality, Licensing and Certification (L&C) Program licenses and certifies more than 30 types of healthcare facilities. The Electronic Licensing Management System (ELMS) is a CDPH data system created to manage state licensing-related data and enforcement actions.

This dataset provides a California healthcare facilities interdepartmental crosswalk using the Department of Health Care Access and Information (HCAI) assigned licensed facility identification numbers linked with matched California Department of Public Health (CDPH), Licensing and Certification facility lists based on license number housed in the Electronic Licensing Management System (ELMS) and/or the CMS Certification Number (CCN) from the Federal Automated Survey Process Environment (ASPEN) databases. This is not a comprehensive matched list, facility identification numbers that did not match are also included from both the HCAI and CDPH lists. Facility Status or Facility Level designations may explain some HCAI non-matches, for additional information contact HCAI directly. Please contact CDPH directly for more information regarding un-matched facility identifiers that do not have corresponding OSHPD identifiers.

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

Health and Safety Code section 1288.7(a) requires California acute care hospitals to offer influenza vaccine free of charge to all healthcare providers (HCP) or sign a declination form if a HCP chooses not to be vaccinated. Hospitals must report HCP influenza vaccination data to the California Department of Public Health (CDPH), including the percentage of HCP vaccinated. CDPH is required to make this information public on an annual basis [Health and Safety Code section 1288.8 (b)].

California acute care hospitals are required to offer free influenza vaccine to HCP. Hospital HCP must receive an annual vaccine or sign a declination form. Hospitals collect vaccination data for all HCP physically working in the hospital for at least one day during influenza season, regardless of clinical responsibility or patient contact. Hospitals report HCP vaccination rates to the California Department of Public Health (CDPH) and CDPH publishes the hospital results annually. CDPH reports data separately for hospital employees, licensed independent practitioners such as physicians, other contract staff, and trainees and volunteers (Health and Safety Code section 1288.7-1288.8).

Detailed information about the variables included in each dataset are described in the accompanying data dictionaries for the year of interest.

For general information about NHSN, surveillance definitions, and reporting requirements for HCP influenza vaccination, please visit: https://www.cdc.gov/nhsn/hps/vaccination/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 personnel influenza vaccinations in California hospitals, please visit: https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/HealthcarePersonnelInfluenzaVaccinationReportingInCA_Hospitals.aspx