Recently, the center for disease controls cdc national healthcare safety network nhsn revised their ssi. If you were unable to participate on this call, we hope that you will be able to participate next month. Identifying healthcareassociated infections hai for. The impact of 2015 nhsn catheterassociated urinary tract. The nhsn group functionality is a technical feature within the nhsn application that enables healthcare facilities to join a group within the nhsn framework to share some or all of their data at a single group level for a mutual purpose with another entity, such as for performance improvement, required reporting andor data sharing under a. Qsourceand the atom alliance kentucky department for public health kentucky hospital association 1 welcome and instructions for audio, join by telephone at 8775948353, participant code. In january, 2015, the nhsn definition for urinary tract infection uti. January 2015 171 surveillance definitions cdc nhsn surveillance definitions for specific types of infections note.
Purpose understand the scope and structure of national healthcare safety network nhsn data entry and analysis functions become proficient in conducting basic analyses in the application. Present on admission poa an infection is considered a hai, the date of event occurs on or after the 3 rd calendar day of admission the poa time period continues to include the day of admission, 2 before and the days after admission. Cdc definition of healthcare associated infection 2015. Guide to preventing central lineassociated bloodstream infections 15 the hai measures in domain 2 are the same measures used in the hospital iqr program and also in or being considered for hospital vbp. Infection control and epidemiology national healthcare. Stop uti initiatives nhsn uti criteria algorithm key definitions on back did the date of event occur 3 or more calendar days after the residents most recent admission to your facility. Abuti criteria will use the same pathogen list as suti. Describe major changes to nhsn reporting for cy 2015 understand and apply new definitions related to clabsi, cauti, ssi and labid events identify resources for data benchmarking and prioritizing your infection prevention efforts. This chapter contains the cdcnhsn surveillance definitions and criteria for all specific types of infections. California department of public health, healthcareassociated infections program 2. Cdcnhsn surveillance definitions for specific types of infections. This two day educational program is designed to provide an update on the 2015 nhsn surveillance definitions for reporting. Hebden rn, ms, cic clinical program manager infection prevention wolters kluwer health. Resources for nhsn hai reporting state health department.
Infection control and epidemiology national healthcare safety network nhsn training august 2728 2015 shriners hospital, makai conference room 10 punahou street, honolulu, hawaii 96826 program goal. Associated infections program coordinator identifying hais in nhsn an infection is considered a healthcare. Cdc nhsn surveillance definition of health careassociated infection and criteria. Patient has organisms identified from brain tissue or dura by a culture or nonculture based microbiologic testing method which is performed for purposes of clinical diagnosis or treatment, for example, not active surveillance culturetesting ascast. Delaware healthcareassociated infections annual report 2015.
Icd10cmpcs codes will replace icd9cm codes on october 1, 2015, however nhsn will not have the ability to receive these codes until the january 2016 release. National healthcare safety network nhsn surgical site. Healthcareassociated infections advisory committee. Cdc and cms issue joint reminder on nhsn reporting pdf icon pdf 300k september 2015. Cdcnhsn surveillance definition of health careassociated infection and criteria.
California hospitals entered clabsi and clip data into the nhsn online reporting system. Cutoff levels are now specified in 2015 nhsn definitions. Nov 27, 2015 application of the nhsn 2015 definitions joan n. Surveillance definitions cdc nhsn surveillance definitions for specific types of infections introduction.
Haiscauti applying the nhsn cauti criteria to case studies national content series for facility team leads and core team members july 16, 2015 steven j. Three examples of how to apply the hai definition are shown in table 1 utilizing the nhsn urinary tract infection uti criteria. Infection control and epidemiology national healthcare safety. National center for emerging and zoonotic infectious diseases nhsn. In 2010, an estimated 16 million operative procedures were performed in acute care hospitals in the united states1. Nhsn for specific guidance for making hai determinations. Surveillance definitions cdc nhsn surveillance definitions for specific types of infections. The nhsn 2015 rebaselinehow updating cauti risk adjustment affects the sirs.
Agreement between cdcnhsn surveillance definitions and ecdc. The nhsn guidance for entry of surgical denominator data for the last quarter of 2015 data is to enter the nhsn procedure code e. Haiscauti 7152015 1 ahrq safety program for longterm care. B i viewed part or all of the live streamed nhsn update course on 217 2192015. Identifying healthcareassociated infections hai for nhsn surveillance to standardize the classification of an infection as present on admission poa or a healthcareassociated infection hai, the following objective surveillance definitions and guidance will be used for nhsn surveillance. A central lineis a catheter inserted into a vein or artery that terminates at or close to the. Please disregard earlier guidance to identify or areassuites as inpatient or outpatient. Catheterassociated urinary tract infection cauti in. Delaware healthcareassociated infections annual report 2015 background healthcareassociated infections hais are infections that patients develop during the course of receiving treatment for other conditions within a healthcare setting. A recent prevalence study found that ssis were the most. Ass will be required to submit healthcare personnel influenza vaccination summary data for the 20142015 influenza. The 2015 changes in the catheterassociated urinary tract infection definition led to. January 2015 1 identifying healthcareassociated infections hai for nhsn surveillance to standardize the classification of an infection as present on admission poa or a healthcare associated infection hai, the following objective surveillance definitions and guidance will be used. Comments and reporting instructions that follow the sitespecific criteria provide.
Some of the slides represent material presented at the nhsn training conference. Central line insertion practices in california hospitals, 2015. Resources for nhsn hai reporting state health department tools. To coincide with the new, fiveyear 2015 2020 goals stated in the hai action plan, the 2015 baseline will be used for all hai measures beginning with data reported to nhsn in 2015. From january 20 to june 2014, the new vae algorithm was used to identify vaepossible vap cases. Lab testing data without clinical evaluation attributed to the unit where specimen was collected considered hospitalonset ho on day 4 admission to inpatient unit is counted as day. Cdcnhsn surveillance definition of health careassociated. Automated nhsn reporting for healthcareassociated infections. Nhsn users were notified of this update via february nhsn release notes.
Therefore, for 2015, the nhsn ssi protocol will refer to inpatient and outpatient operative procedures, rather than operative procedures that are performed on inpatients or outpatients. Nhsn surveillance definitions msipc fall 2015 interactive breakout session allison murad, mph michigan department of health and human services disclosures i have nothing to disclose. Nhsn outpatient operative procedure if it is performed in an outpatient operating room or location. National healthcare safety network nhsn the nhsn is a secure, internetbased surveillance system that integrates former cdc surveillance systems, including the national nosocomial infections surveillance system nnis, national surveillance system for healthcare workers nash, and the dialysis surveillance network dsn. National healthcare safety network nhsn update for 2015. Agreement between cdcnhsn surveillance definitions and. Impact of 2015 national healthcare safety network nhsn. Central lineassociated bloodstream infections and central line insertion practices in california hospitals, 2015.
Nhsn collects and analyzes healthcareassociated infections hai data reported from across the nation to help track hai incidence, identify opportunities to eliminate hais, and measure the progress of hai prevention efforts. In 2015, there were several modifications to the nhsn definition of clabsi. January 2015 11 nhsn overview national healthcare safety network nhsn overview the nhsn is a secure, internetbased surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the division of healthcare quality promotion dhqp at the centers for disease control and prevention. Pdf impact of 2015 national healthcare safety network. For hai reports, the standard population comes from data reported by the hundreds of u. Now what were doing is, we are going to be using the 2015 nhsn data as a new baseline, and so that will be across the board for all facility types and all hais for which we are measuring and that means that youll also have some new sirs available to you and ill show you that in a moment. The impact of 2015 nhsn catheterassociated urinary tract infection. Any healthcare facility is welcome to participate in these calls, whether they. Oct 04, 2018 in conclusion, excellent concordance between cdc nhsn and ecdc definitions was observed for primary bsi and laboratory confirmed pn and microbiologicallyconfirmed symptomatic uti. Updated 2016 icd10pcs and cpt codes plus two new mappings pdf icon pdf 80 kb july 2015. Train on use of definitions based on the january 2015 nhsn patient safety manual learn to accurately apply definitions optimize consistency in the application of the definitions improve data quality surveillance. Sir report under the 2015 baseline sirs are calculated using the updated national 2015 baseline. Frequently asked questions about definition changes, the sir, and the 2015 rebaseline.
National healthcare safety network nhsn surgical site infection surveillance ssi surgical site infection ssi surveillance is a part of the infection control program of ambulatory surgery centers ascs. This chapter contains the cdc nhsn surveillance definitions and criteria for all specific types of infections. Identify changes to nhsn definitions for 2015 apply definitions to case scenarios interpret nhsn data and illustrate ways it can be used to drive. Download application of the nhsn 2015 definitions tsicp document. Cdcnhsn surveillance definitions for specific types of. Identifying healthcareassociated infections hai for nhsn. The patient must meet one of the nhsn sitespecific infection definitions uti, pneu, ssi. Catheterassociated urinary tract infection cauti definitions and reporting. What best describes your recent surveillance experience select all that apply. Introduction this chapter contains the cdc nhsn surveillance definitions and criteria for all specific types of infections.
Not a longterm care facility ltcf reportable uti please inform the referring facility of the possible infection. From july 2011 to december 2012, the pre20 nhsn definition was used to identify vap cases. Network s catheterassociated u rinary tract infection definitions. Jul 22, 2015 mdhhs sharp nhsn users conference call. Secondary bsi according to nhsn must meet these requirements. B i viewed part or all of the live streamed nhsn update course on 217 219 2015. Lab testing data without clinical evaluation attributed to the unit where specimen was collected considered hospitalonset ho on day 4 admission to inpatient unit is counted as day one. Transition to the 2015 rebaseline guidance for ltchs. Once more details are available, nhsn will post specific guidance to hopds related to this reporting requirement. Mdhhs sharp nhsn users conference call wednesday, july 22nd. The nhsn is a secure, internetbased surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the division of healthcare quality promotion dhqp at the centers for disease control and prevention.
Regulatory agencies in the united states require hospitals use of the national healthcare safety network nhsn definitions for central line associated bloodstream infection clabsi surveillance. Major differences in definitions were found for clinically defined pn, overall bsi, and clabsi. January 2014 171 surveillance definitions cdcnhsn surveillance definitions for specific types of infections. A i have applied the 2015 surveillance definitions to hais in my facility. Introduction this chapter contains the cdcnhsn surveillance definitions and criteria for all specific types of infections. Pdf on dec 1, 2016, lydia grimes and others published impact of 2015 national healthcare safety network nhsn definition changes on intensive care unit icu central lineassociated bloodstream. So if we do an inpatient surgery in an outpatient or it is an outpatient surgery in 2015 do not report incidental appy procedures since this code is not in the current appy icd9 cm procedure group. Transition to the 2015 rebaseline guidance for ltchs and irfs november 16, 2016. Theradoc hl7standard software is configured to allow exportation of data to the nhsn by incorporating nhsn standards for case definitions, format, terminology, and business rules. After the speakers remarks, there will be a question and answer session. This chapter contains the cdc nhsn surveillance definitions and criteria for all specific types of.
Pdf impact of 2015 national healthcare safety network nhsn. This chapter also provides additional required criteria. From july 2014 to december 2015 both definitions were used simultaneously to identify cases. This means the measures reported into nhsn are or would be. After three national point prevalence studies pps of healthcare associated infections hai conducted in serbian acute care hospitals using us cdcnhsn surveillance definitions, serbia is about to switch to european ecdc criteria for the purpose of the fourth hai pps.
January 2015 171 surveillance definitions cdcnhsn surveillance definitions for specific types of infections note. This chapter also provides additional required criteria for the specific infection types that. The 2015 psc manual as a whole is available on the left navigation. Healthcare associated infections prevention program surveillance cautidefinitions catheterassociated urinary tract. To assist surveillance personnel in making these decisions consistently, each module in this manual contains a listing of specific infections sites used in the module and the criteria for determining the presence of an infection at each of those sites. Rebaseline is a term that cdcs national healthcare safety network nhsn staff is using to describe updates to original hai baselines. Overview of nhsn analysis quality reporting center. Surgical site infections in california hospitals, 2015. This chapter contains the cdcnhsn surveillance definitions and criteria for all specific types. At this time, i would like to welcome everyone to the nhsn.
Utilizing nhsn 2015 definitions clinical scenarios acknowledgement. The 2015 rebaseline updates both the source of aggregate data and the risk adjustment methodology used to create the original baselines. Haiscauti applying the nhsn cauti criteria to case studies national content series for facility team leads and core team members. Substantive changes have been made to this chapter, including edits, additions, and deletions. Angela anttila phd msn np c, cic presentation date. Cdcnhsn surveillance definitions for specific types of infections introduction.
Pdf the nhsn 2015 rebaselinehow updating cauti risk. Thank you to those who were able to join our bimonthly nhsn users conference call. All lines have been placed on mute to prevent any background noise. Nhsn in 2015 only urine cultures with a colony count of at least 100,000 cfuml for at least one bacteria will be used to meet nhsn uti criteria. Resources for nhsn hai reporting facility staff performing hai surveillance via nhsn should, at a minimum, complete all relevant selfguided training courses, read all relevant protocols, and become familiar with all relevant forms and. Transition to the 2015 rebaseline guidance for ltchs and irfs. Ass will be required to submit healthcare personnel influenza vaccination summary data for the 20142015 influenza season oct 1, 2014 march 31, 2015 to nhsn. Only bacteria will be accepted as causative organisms of uti. January 2015 91 procedureassociated module ssi surgical site infection ssi event. National healthcare safety network nhsn update for 2015 data submission. The january 2015 definition change for nshn inpatient and outpatient operative procedure.