CMS will publish in the Federal Register on August 6, 2019 a Proposed Rule that includes changes to the CY2020 ESRD PPS, ESRD QIP, AKI payments, and many other details, including adjustments to the PY2022 NHSN and STrR measures, and provisions for new and innovative treatments. The Proposed Rule also includes requests for public comment on the case-mix adjustment model and wage indices. Comments will be due by September 27, 2019. Find:
NHSN was updated to Version 9.3 on April 27, 2019. There have been many additions and changes with this release, including the following updates to the Dialysis Component:
CDA Dialysis Monthly Summary – the CDA for version R3D3 of the Dialysis Monthly Summary was updated to allow “Report No Events”. The functionality is available for both manual CDA import and Direct CDA submissions.
Analysis and Reporting:
Updated dialysis aggregate data from 2016-2017 for rate tables and run charts.
Created a new TAP report type and changed report icon for Excess Infections. A new Excess Infections report type allows for modifications to the TAP report without disturbing functionality used by other NHSN components.
In 2018, the Dialysis Component began collecting data using an AKI location. Now that some data have been collected, data reported to that AKI location are included in dialysis rate tables and run charts so facilities and groups can review AKI-specific rates for the various dialysis event measures.
In order to use any of the new analysis output options you must first regenerate datasets. As always, send all questions to the NHSN Helpdesk at NHSN@cdc.gov.