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Hospitals in Missouri perform surveillance and external reporting for a number of hospital-acquired infections (HAI). We are required to do so variously by the stateof Missouri, the Centers for Medicare and Medicaid Services (CMS) and for those of us reporting to a Patient Safety Organization (PSO). Hospital-acquired infectionsare recognized as typically preventable with optimal infection prevention andcontrol practices. In the context of the National Quality Strategy required by the Affordable Care Act, reducing HAI is part of the priority of "Making care safer by reducing harm caused in the delivery of care."