NHSN Notice Indicates Some Facilities Not Reporting Data According to Monthly Reporting Plans

July 26, 2011

A recent electronic mail notice provided by the National Healthcare Safety Network (NHSN) of the Centers for Disease Control and Prevention (CDC) indicates “that a large number of facilities have not reported device-associated denominator data for those locations and events indicated in their monthly reporting plans.”

The notice reminds facilities that they are required to enter data in accordance with their monthly surveillance reporting plans.

The notice provides the following instruction regarding the reporting requirement:

Note that if your facility participates in the CMS Hospital IQR Program, you are required to report CLABSI data to NHSN, according to the NHSN protocols. This includes the following:

1. Indicating in your monthly reporting plans that you are following CLABSI in all adult, pediatric, and neonatal ICUs in your hospital.

2. Reporting to NHSN denominator data (i.e., patient days and device days) each month for each adult, pediatric, and neonatal ICU indicated in your monthly reporting plans. These data can be entered using the Summary Data > Add option in NHSN.

3. Reporting to NHSN all CLABSIs identified for each adult, pediatric, and neonatal ICU indicated in your monthly reporting plans. CLABSIs can be entered using the Event > Add option in NHSN.

The notice warns that if the above steps are not completed, the hospital facility could be at risk of not receiving the annual payment update under the Hospital Inpatient Quality Reporting program (CMS Reporting Program).

Click here to read the full notice.

For more information about reporting CLABSI data for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting Program, click here.

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