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.

Recall: Roche Accu-Chek Aviva/Performa Test Strips

Certain lots of Accu-Chek Aviva and Performa test strips have been recalled by Roche Diabetes Care because some strips may give error messages or incorrect readings, which could result in treatment errors.  Lots recalled include:

  • Accu-Chek Aviva 10 test strip pots, lots #497344, 497392
  • Accu-Chek Aviva 50 test strip pots, lots #496802, 496807, 496809, 496915, 497391, 497392
  • Accu-Chek Performa 10 test strip pots, lots #476597, 476646
  • Accu-Chek Performa test strips in Nano blood glucose kits, lots #10153111, 10153112, 10153114, 10153115, 10153116

For more information see https://www.diabetes.co.uk/news/2018/may/roche-announces-urgent-recall-on-certain-accu-chek-aviva-and-performa-test-strips-91431166.html.

5/13-19 Women’s Health Week

HHS has declared May 13-19, 2018 to be National Women’s Health Week:

All three links provide extensive resources on women’s health.

5/14-15 Advanced NHSN Trainings

CDC has announced a May 14, 2008 NHSN training on Advanced NHSN Dialysis Event Surveillance Reporting, and Introduction to NHSN Reports.  The training will be repeated on May 15, 2008.  It will show how to apply NHSN Dialysis Event Surveillance definitions through case studies that address common reporting questions. The session will also include an introduction to running and interpreting the most popular NHSN reports so you can review your facility’s data, including Dialysis Event BSI rates.  Pre-registration is required, for the May 14 webinar at https://cc.readytalk.com/r/p5zna81z7cox&eom, and for the May 15 webinar at https://cc.readytalk.com/r/69dkytpcemmj&eom.

RSN Audio on Surviving Kidney Disease

The Renal Support Network is presenting a KidneyTalk audio by Dr. Michael Fisher on Surviving Kidney Disease: Where There Is Hope, Anything Is Possible.  Find the podcast at https://www.rsnhope.org/kidneytalk/surviving-kidney-disease-where-there-is-hope-anything-is-possible/.  Dr. Fisher’s website, at http://michaelfishermd.com/kidney-patients-organizer/, includes links to many useful resources.

NW16 <5/18 Flooding in WA, ID, MT

The National Weather Service has warned of spring flooding in Northern and Northeastern Washington, Northern Idaho, and Western Montana, through May 17, 2018.  For details, type in your location (“Town, ST” or zip code) at https://forecast.weather.gov/MapClick.php?CityName=Tonasket&state=WA&site=OTX&textField1=48.7053&textField2=-119.438&e=0 and look for links under “Hazardous Weather Conditions” near the top of the page.

Networks are required by CMS to track the status of facility operations and patient access to treatment during emergency events.  If the operations of your facility, or ability for patients to have access to dialysis are impacted by emergency events, please let your Network know right away.  Contact Lisa Hall or Ashley Thomsen at 206-923-0714 or by email at LHall@nw16.esrd.net or athomsen@nw16.esrd.net.  The Network office is closed on weekends, but we monitor phones remotely, so leave a message.  We also ask that you fill out and submit the Network 16 Disaster Reporting Form, at https://nwrn.org/files/E/Interruptions.pdf.

5/18 CDC Infection Prevention Webinar

CDC and the Making Dialysis Safer for Patients Coalition will present a May 18, 2018 webinar on Tools to Prevent Infections in Hemodialysis.  For more information and registration see https://cc.readytalk.com/registration/#/?meeting=tdwf20mp3egq&campaign=yx8cp6t6p9z5The audio for this webinar will come through your computer speakers.  For related resources, see the Coalition webpage at https://www.cdc.gov/dialysis/coalition/index.html.