Amendments to the Hospital Management regulation under the Public Hospitals Act filed in July 2008 impose new reporting requirements for patient safety indicators, including Clostridium difficile associated disease (CDAD).

Under the amendments, all Ontario hospitals will be required to disclose indicators of the quality
of health care provided by the hospital relating to the diagnoses of hospital-acquired infections, and activities undertaken by the hospital to reduce hospital-acquired infections and mortality. This information must be disclosed through the hospital’s website and any other means directed by the Minister of Health and Long-Term Care.

The following eight public reporting elements were announced earlier this year by the Ministry: CDAD, Hospital Standardized Mortality Ratio, Methicillin-Resistant Staphylococcus aureus, Vancomycin-Resistant Enterococci, surgical site infection, central line infection, ventilator-associated pneumonia and hand hygiene.

The reporting requirements will be rolled out in three stages, the first of which will be the reporting of CDAD. All Ontario hospitals are now required to publicly report on their own websites the rates of new nosocomial CDAD cases associated with the reporting facility, separately for each hospital site. The Ministry will also report these statistics on its website.