NHSN has published their September NHSN Newsletter.  Dialysis-related news is found on pages 15-16, but some of the general NHSN information on pages 17-20 also applies to dialysis.  News includes:

  • A revised “NHSN Agreement to Participate and Consent” (“Re-Consent” for short) will be published in December, and all facilities must respond by February 24, 2018.
  • After January 1, 2018, including AKI patients will be mandatory, but they will be entered into a separate “AKI Location.”  Some information is included below, but full details will be included with release of Version 8.8.
  • NHSN Version 8.8 is scheduled to be released in December 2017.  Two webinars will introduce it:
  • Volunteers are solicited for beta testing of Version 8.8 with simulated data.
  • A plea for NHSN users to keep their User Contact Information current (pp.18-20).

Find a copy of the Newsletter at https://www.cdc.gov/nhsn/newsletters/index.html .

In a separate bulletin, CDC has published some instructions for dealing with AKI patients in NHSN in 2018:

Beginning January 1, 2018, dialysis facilities should include AKI patients in NHSN Dialysis Event Surveillance.  Reporting AKI patient data to a new, separate NHSN location will enable CDC to exclude AKI patient data from NHSN BSI information shared with CMS for purposes of the ESRD QIP.

The “AKI Location” should be used to report Dialysis Events and denominator data for patients who have AKI and do not have an ESRD diagnosis at the time of the Event, or denominator data collection.  The “AKI Location” will be released as part of the NHSN version 8.8 update.  Instructions for using the “AKI Location” are forthcoming.

Among patients included in the NHSN Dialysis Event Surveillance population, the following criteria should be used to identify patients who have acute kidney injury:

  • No diagnosis of ESRD in the patient medical record, or through the ESRD Medical Evidence Form (Form CMS-2728-U3)  AND
  • Physician-diagnosis of AKI listed in the patient medical record (e.g., nephrologist consult or referral form)  AND
  • The event date or date of denominator data collection is not more than 6 months after the date the patient initiated outpatient hemodialysis.

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