NATIONAL HEALTHCARE SAFETY NETWORK (NHSN)

Healthcare associated infections (HAIs) are costly to society and can be deadly. Accurate surveillance and reporting of HAIs can lead to improved patient outcomes and changes to healthcare processes related to the reduction and elimination of HAIs. The National Healthcare Safety Network (NHSN), which is managed by the Centers for Disease Control and Prevention (CDC), is a secure, internet-based surveillance system which collects and analyzes data from healthcare facilities in the United States, including outpatient dialysis facilities.

The Centers for Medicare and Medicaid Services (CMS) published the final rule for the ESRD Quality Incentive Program (QIP) measures in November 2011. Included in the measures to be used for performance year 2012, which is tied to payment year 2014, is the National Healthcare Safety Network (NHSN) Dialysis Event reporting measure which is comprised of two items that providers/facilities must successfully complete:

(i) enrollment in the NHSN and completion of the required training…(as verified by a digital certificate obtained from CDC)…; and

(ii) submission of at least three-consecutive months of dialysis event data gathered during the performance period

To meet this requirement, facilities must complete required training, complete all enrollment steps, and report data according to NHSN protocols.

The ESRD Network of Texas, Inc. has developed tools and resources and placed direct links to NHSN pages on CDC’s website to assist dialysis facilities with enrollment and participation in NHSN. Including this Overview Section, this toolkit is comprised of five sections below:

    • OVERVIEW
    • ENROLLMENT
    • MONTHLY FORM SUBMISSION & REPORTING DIALYSIS EVENTS
    • REPORTS & ANALYSIS
    • HAI IMPROVEMENT

The toolkit is a work in progress so check back frequently to see updates. If you have questions, contact Aparna (abiradar@nw14.esrd.net) or Kelly (kshipley@nw14.esrd.net )

Overview

NHSN v8.5 (January 2016) Release Notes

Enrollment

CDC Enrollment Checklist: In-center Facility 

CDC Enrollment Checklist: Home only facility

CDC Enrollment Flow-Chart

Training

Webinar Slides 

CDC Training

Training for Facility Administrators (Individual Completing the NHSN Enrollment Process):

Training for Users with Administrative Rights:

Training for All Users

Registration

Submit Required Forms

Sign & Fax Consent to CDC

Join Network 14 Group

****How to Enroll Multiple Facility

HAI IMPROVEMENT

National Action Plan to Prevent Healthcare-Associated Infections: Roadmapy to Elimination. from the U.S. Department of Health & Human Services. June 2013

Reducing Bloodstream Infections in an Outpatient Hemodialysis Center - New Jersey, 2008 - 2011 - Centers for Diseae Control and Prevention -MMWR - March 16, 2012

DRAFT: National Action Plan to Prevent Healthcare-Associated Infections: Roadmap to Elimination. Part 5: End-Stage Renal Disease Facilities, April 2012

CDC Continuing Education Course for Nurses and Technicians - this FREE course provides 1 contact hour of Continuing Nursing Education (CNE) and 0.1 Continuing Education Units (CEU)

 
Checklists
Audit Tools
Professional Education
Patient Education
Catheter Connection

NOTICE

CDC

 
Catheter Disconnection

NOTICE

CDC

 
AVF/AVG Cannulation

NOTICE

CDC

CDC

   
AVF/AVG Decannulation

NOTICE

CDC

CDC

   
Hand Hygiene  

WHO Poster

WHO Brochure

CDC HH Protocol

CDC

 

Medication Prep & Admin      
Cleaning the Dialysis Station      
Supply Mgmt & Contamination Prevention      

 

HAI News