The NHSN September Newsletter (https://www.cdc.gov/nhsn/pdfs/newsletters/nhsn-nl-sep19-508.pdf) has no dialysis-specific bulletins, but the section for all users includes articles on the online NHSN Educational Roadmaps such as https://www.cdc.gov/nhsn/training/roadmap/dialysis-roadmap.html, and on page 16 important changes coming in January 2020’s NHSN Release 9.4 to the CDA protocols for automating data uploads to NHSN.
The Newsletter also announces that the usual NHSN Patient Safety Annual Training will not take place in 2020 because they are deferring to the 6th International Conference on Healthcare Associated Infections, cohosted by CDC and the Society for Healthcare Epidemiology of America. This Conference, which is held only every ten years, will take place March 26-30, 2019 in Atlanta GA, with the theme Global Solutions to Antibiotic Resistance in Healthcare. See https://decennial2020.org/ for more information.
The Washington State Department of Health and CDC have signed a Data Use Agreement that allows WA DOH to routinely use NHSN data for surveillance and prevention. They have invited all Washington healthcare facilities to an October 16, 2019 webinar about this. Find more information and register at https://cc.readytalk.com/registration/#/?meeting=ain8mnvp5fqg&campaign=osmk7a2j7cjm.
CDC’S National Healthcare Safety Network will present an August 13, 2019 webinar on Introduction to the NHSN Dialysis Event Surveillance Protocol that summarizes the NHSN QIP reporting requirements and process. This webinar will be repeated August 14. A separate webinar on August 20 on Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports will include case studies and some of NHSN’s prepared reports that allow you to review your facility’s progress, including the report on BSI. For details and registration see:
Use the same web pages to join on the day of the webinar. Audio will be available through your computer’s speakers, or by telephone at 303-248-0285, access code 6393927 for all three webinars.
Self-paced interactive online training is also available, at https://www.cdc.gov/nhsn/training/dialysis/index.html. For more information on NHSN, see https://www.cdc.gov/nhsn/index.html and https://www.cdc.gov/nhsn/dialysis/event/index.html.
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:
The deadline has been extended to July 1, 2019 for entries and modifications to NHSN data on events occurring from January through March 2019, that will be reported to CMS. Entries and modifications completed after July 1 will not be reported to CMS for use in calculating QIP scores.
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.
Help Desk: NHSN is now using a help desk management system for all NHSN inquiries. Each message will now be assigned a ticket number for tracking. When you contact NHSN@cdc.gov, you will receive a notification that your incident has been assigned a ticket number and all correspondence on that subject will be tracked by that number. The appropriate subject matter expert will respond to your message as soon as possible.
Training Needs Assessment: If you have already taken the NHSN Dialysis Event Module Training Needs Assessment, and the survey only allowed you to complete the ‘Demographics’ section, please retake the Assessment, at https://www.surveymonkey.com/r/DialysisEventTNA, by May 31, 2019.
Training Webinars: NHSN will provide free webinars for new and experienced NHSN users. CDC subject matter experts will be available to answer your questions about NHSN Dialysis Event Surveillance.
- Introduction to the NHSN Dialysis Event Surveillance Protocol: NHSN Dialysis Event Surveillance reporting is required for the CMS ESRD QIP. This session will introduce NHSN Dialysis Event reporting requirements, and define the surveillance terms necessary to complete accurate monthly reporting. The May 15 webinar is a repeat of the May 14 session.
- Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports: Learn how to apply NHSN Dialysis Event Surveillance through case studies that address common reporting questions. The session also will introduce running and interpreting the most popular NHSN reports so you can review your facility’s data, including Dialysis Event BSI rates. The May 22 webinar is a repeat of the May 21 session.
For any of the webinars, Listen-only audio will be available through your computer speakers. For dial-in audio access, call 303-248-0285 and use Access Code 6393927. Please contact NHSN@cdc.gov with “Dialysis” in the subject line with any questions.