NW16 5/25+ Continued Flooding in WA, ID

The National Weather Service warns that flooding is expected to continue through at least June 1, 2018 in the Pend Oreille watershed of Northern Idaho and Northeastern Washington.  For details see https://forecast.weather.gov/showsigwx.php?warnzone=IDZ001&warncounty=IDC017&firewxzone=IDZ101&local_place1=4%20Miles%20ESE%20Kootenai%20ID&product1=Flood+Warning&lat=48.2778&lon=-116.4423.

For Western Montana, the Weather Service provides a new map of counties and rivers, at https://www.weather.gov/mso/flooding.  Click on your county name on the top of the page to see graphs of current and expected flooding conditions in your area.

See also https://nwrnbulletins.wordpress.com/2018/05/11/nw16-5-18-flooding-in-wa-id-mt/.

MBI Lookup, RRB Cards

CMS hasn’t mailed the New Medicare Cards to the west coast yet, but you may encounter patients transferring or visiting from areas that already have their new Medicare Beneficiary Identifiers or MBIs. You may also have Railroad Retirement Board patients, whose cards have been mailed.  There’s a sample of RRB cards at https://www.rrb.gov/sites/default/files/2017-10/New%20Medicare%20Card%20Sample_0.pdf.

CMS’s top priorities in moving to new Medicare cards and numbers are to make sure that Medicare patients have continuous access to care, and that providers have the tools and information needed to make the change.  To look up a Medicare patient’s new Medicare number, see https://www.cms.gov/Medicare/New-Medicare-Card/Providers/New-Medicare-Card-Provider-Letter.pdf.

NHSN Errors: Reports, Dataset Generation

Issues with NHSN Dataset Generation began after the April 28, 2018 release of v8.9.  The issues have compounded as heavier than normal Dataset Generation occurred around the May 15, 2018 CMS reporting deadline.

Not all NHSN users who have generated datasets have experienced issues; see below for details:

  • If you attempted to generate datasets after April 28, 2018, can currently run reports, and those reports reflect the correct date and time of dataset generation in the footnotes section, then you were not impacted by the issue.  Note that if you attempt to regenerate datasets prior to May 20, 2018 you may lose access to your existing reports.
  • If you attempted to generate datasets after 4/28/18 and either received an “Error generating datasets” message or have not been able to access the “Reports” screen, then you were impacted by the issue.  Please wait until May 20, 2018 to regenerate datasets.

Please note that while the Dataset Generation process is used as one way to confirm all data are complete, it is not required in order for data to be submitted to CMS.

If necessary, information about ESRD deadline extensions can be found on the NHSN Extraordinary Circumstance Exception website at https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228776130457.

NHSN is currently targeting a fix to the Dataset Generation issue on May 19, 2018, after which you will be able to generate datasets as normal.

NHSN v8.9 Release Notes

CDC has detailed changes made in the April 28, 2018 v8.9 upgrade to NHSN.  Changes to the Dialysis module are listed below.

Changes to the Dialysis Component:

Dialysis Summary

(1773) A new calculator has been created to help users determine the first two working days of the month when reporting Denominators for Dialysis Event Surveillance.  The calculator is available on the Dialysis Event homepage under the ‘Calculators’ tab: https://www.cdc.gov/nhsn/dialysis/event/index.html.

Analysis and Reporting

(1726) To obtain accurate rates, p-values, and incidence density percentiles, the dialysis rate tables and run charts have been updated with 2016 aggregate data

(1977/2007) The previous “TAP Report – Bloodstream Infection (BSI) Data” has been renamed to “Excess Infections – Bloodstream (BSI) Data” and updated to allow group users to view the number of excess infections grouped by summary year (summaryYr), summary quarter (summaryYQ), and summary half year (summaryYH).

Changes to All Components:

Group rights

(1577) This change provides functionality for a group administrator to allow or restrict a group user’s access to only a subset of the group’s facilities. “Edit User Rights” functionality within groups has been updated to provide the ability to select and update user rights for a subset of a user’s facilities.

Medicare Beneficiary Identification Number

(1863) For this change the input rules have been relaxed for submitting the Medicare Beneficiary Identification (MBI) number; NHSN allows any combination of letters and numbers and a hyphen. An error message will be displayed if the MBI is not between 6 and 12 characters, excluding hyphens/dashes

Analysis and Reporting

(1749) This change provides functionality for Group users to create a subgroup of facility orgIDs, and limit the analysis reports to the pre-defined subgroups.

(1823) This change provides functionality to “export” the entire set of analysis datasets using modifications (i.e., the output datasets) for all reports in a Custom Report Set. When the Report Set is modified, a new button at the bottom of the Modify screen allows for the Export of analysis datasets using modifications for the entire Report Set.