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. Introduction this chapter contains the cdcnhsn surveillance definitions and criteria for all specific types of infections. Download application of the nhsn 2015 definitions tsicp document. Please disregard earlier guidance to identify or areassuites as inpatient or outpatient. 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. National healthcare safety network nhsn surgical site. Surgical site infections in california hospitals, 2015. Infection control and epidemiology national healthcare safety. Cdc definition of healthcare associated infection 2015. Ass will be required to submit healthcare personnel influenza vaccination summary data for the 20142015 influenza. 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. 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.
Frequently asked questions about definition changes, the sir, and the 2015 rebaseline. Secondary bsi according to nhsn must meet these requirements. Jul 22, 2015 mdhhs sharp nhsn users conference call. 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. At this time, i would like to welcome everyone to the nhsn.
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. Cdcnhsn surveillance definitions for specific types of. A i have applied the 2015 surveillance definitions to hais in my facility. 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. Angela anttila phd msn np c, cic presentation date. If you were unable to participate on this call, we hope that you will be able to participate next month. Catheterassociated urinary tract infection cauti definitions and reporting. Resources for nhsn hai reporting state health department tools. Identifying healthcareassociated infections hai for. January 2015 91 procedureassociated module ssi surgical site infection ssi event. 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. Some of the slides represent material presented at the nhsn training conference. Infection control and epidemiology national healthcare. Identifying healthcareassociated infections hai for nhsn.
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. 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. This means the measures reported into nhsn are or would be. In 2015, there were several modifications to the nhsn definition of clabsi. Mdhhs sharp nhsn users conference call wednesday, july 22nd. 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. Automated nhsn reporting for healthcareassociated infections. Associated infections program coordinator identifying hais in nhsn an infection is considered a healthcare. Cdc nhsn surveillance definition of health careassociated infection and criteria. 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.
This chapter contains the cdc nhsn surveillance definitions and criteria for all specific types of. Pdf impact of 2015 national healthcare safety network. 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. Surveillance definitions cdc nhsn surveillance definitions for specific types of infections. After the speakers remarks, there will be a question and answer session.
The january 2015 definition change for nshn inpatient and outpatient operative procedure. B i viewed part or all of the live streamed nhsn update course on 217 2192015. Utilizing nhsn 2015 definitions clinical scenarios acknowledgement. California department of public health, healthcareassociated infections program 2. Nhsn outpatient operative procedure if it is performed in an outpatient operating room or location. January 2015 171 surveillance definitions cdc nhsn surveillance definitions for specific types of infections note. The nhsn 2015 rebaselinehow updating cauti risk adjustment affects the sirs. Cutoff levels are now specified in 2015 nhsn definitions. Healthcareassociated infections advisory committee. This chapter contains the cdcnhsn surveillance definitions and criteria for all specific types of infections. Substantive changes have been made to this chapter, including edits, additions, and deletions. Abuti criteria will use the same pathogen list as suti. Delaware healthcareassociated infections annual report 2015.
Thank you to those who were able to join our bimonthly nhsn users conference call. 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. Agreement between cdcnhsn surveillance definitions and ecdc. 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. Updated 2016 icd10pcs and cpt codes plus two new mappings pdf icon pdf 80 kb july 2015. Identify changes to nhsn definitions for 2015 apply definitions to case scenarios interpret nhsn data and illustrate ways it can be used to drive. Catheterassociated urinary tract infection cauti in.
Overview of nhsn analysis quality reporting center. California hospitals entered clabsi and clip data into the nhsn online reporting system. This two day educational program is designed to provide an update on the 2015 nhsn surveillance definitions for reporting. Central line insertion practices in california hospitals, 2015. Haiscauti 7152015 1 ahrq safety program for longterm care. Network s catheterassociated u rinary tract infection definitions. Central lineassociated bloodstream infections and central line insertion practices in california hospitals, 2015. 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. Nov 27, 2015 application of the nhsn 2015 definitions joan n. 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. National center for emerging and zoonotic infectious diseases nhsn. 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. The 2015 changes in the catheterassociated urinary tract infection definition led to. Introduction this chapter contains the cdc nhsn surveillance definitions and criteria for all specific types of infections. January 2014 171 surveillance definitions cdcnhsn surveillance definitions for specific types of infections. Any healthcare facility is welcome to participate in these calls, whether they. 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. Rebaseline is a term that cdcs national healthcare safety network nhsn staff is using to describe updates to original hai baselines.
The 2015 rebaseline updates both the source of aggregate data and the risk adjustment methodology used to create the original baselines. Comments and reporting instructions that follow the sitespecific criteria provide. 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. The nhsn guidance for entry of surgical denominator data for the last quarter of 2015 data is to enter the nhsn procedure code e. A recent prevalence study found that ssis were the most. The 2015 psc manual as a whole is available on the left navigation. Transition to the 2015 rebaseline guidance for ltchs. From july 2014 to december 2015 both definitions were used simultaneously to identify 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 one. 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. 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. Three examples of how to apply the hai definition are shown in table 1 utilizing the nhsn urinary tract infection uti criteria. Resources for nhsn hai reporting state health department. What best describes your recent surveillance experience select all that apply. Transition to the 2015 rebaseline guidance for ltchs and irfs november 16, 2016. Haiscauti applying the nhsn cauti criteria to case studies national content series for facility team leads and core team members. B i viewed part or all of the live streamed nhsn update course on 217 219 2015. This chapter also provides additional required criteria.
The patient must meet one of the nhsn sitespecific infection definitions uti, pneu, ssi. 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. Not a longterm care facility ltcf reportable uti please inform the referring facility of the possible infection. Sir report under the 2015 baseline sirs are calculated using the updated national 2015 baseline. For hai reports, the standard population comes from data reported by the hundreds of u. 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. Only bacteria will be accepted as causative organisms of uti. 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.
The impact of 2015 nhsn catheterassociated urinary tract infection. Recently, the center for disease controls cdc national healthcare safety network nhsn revised their ssi. 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. 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.
All lines have been placed on mute to prevent any background noise. Healthcare associated infections prevention program surveillance cautidefinitions catheterassociated urinary tract. Pdf impact of 2015 national healthcare safety network nhsn. This chapter also provides additional required criteria for the specific infection types that. Cdcnhsn surveillance definition of health careassociated infection and criteria. Nhsn users were notified of this update via february nhsn release notes. Pdf the nhsn 2015 rebaselinehow updating cauti risk. 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. Cdcnhsn surveillance definitions for specific types of infections introduction. Impact of 2015 national healthcare safety network nhsn. January 2015 171 surveillance definitions cdcnhsn surveillance definitions for specific types of infections note. Surveillance definitions cdc nhsn surveillance definitions for specific types of infections introduction. 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. 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.
Major differences in definitions were found for clinically defined pn, overall bsi, and clabsi. In 2010, an estimated 16 million operative procedures were performed in acute care hospitals in the united states1. In january, 2015, the nhsn definition for urinary tract infection uti. 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. National healthcare safety network nhsn update for 2015. Cdcnhsn surveillance definitions for specific types of infections. Cdc and cms issue joint reminder on nhsn reporting pdf icon pdf 300k september 2015. 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. Agreement between cdcnhsn surveillance definitions and. From july 2011 to december 2012, the pre20 nhsn definition was used to identify vap cases. National healthcare safety network nhsn update for 2015 data submission. The impact of 2015 nhsn catheterassociated urinary tract. This chapter contains the cdcnhsn surveillance definitions and criteria for all specific types. Nhsn for specific guidance for making hai determinations.
Cdcnhsn surveillance definition of health careassociated. From january 20 to june 2014, the new vae algorithm was used to identify vaepossible vap cases. 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. This chapter contains the cdc nhsn surveillance definitions and criteria for all specific types of infections. 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. Hebden rn, ms, cic clinical program manager infection prevention wolters kluwer health. 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. Once more details are available, nhsn will post specific guidance to hopds related to this reporting requirement.
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