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Quality, readmissions, and hospital-acquired conditions among the performance measures in CMS FY 2013 hospital inpatient payment final rule

Premier Communications


8/30/2012
From the Premier Safety Institute®
Gina Pugliese, R.N., M.S., editor


Safety Share®

CMS healthcare personnel flu vaccination reporting via NHSN begins January
1, 2013.

Beginning January 1, 2013 for the 2012-2013 influenza season, acute care hospitals participating in the Centers for Medicare & Medicaid Services (CMS)
Inpatient Prospective Payment System (IPPS) Hospital Inpatient Quality Reporting Program will be required to submit summary data on influenza vaccination
of healthcare personnel via the Centers for Disease Control and Prevention's
National Healthcare Safety Network
(NHSN). (Note: Use of this measure for payment determination will not begin until FY 2015) 


CDC's NHSN module available on September 14, 2012

The NHSN module for reporting these data will be available on September 14, 2012.
Note: The module availability date was moved from September 8 to September 14. Corresponding training materials, protocol, forms and instructions will be
available on the NHSN website on September 7, 2012.

Data from October 1 to December 21, 2012 is voluntary
Healthcare facilities may begin reporting data for the 2012-2013 influenza season prior to January 1, 2013; however, these data submissions are voluntary
and will not be publicly reported on Hospital Compare.

Data required for all employees and affiliated practitioners
Hospitals will be asked to report vaccinations received by healthcare personnel at the facility, vaccinations received outside the facility, medical
contraindications and declinations. Data must be reported for all employees on payroll, licensed independent practitioners (who are physicians, advanced
practice nurses, and physician assistants affiliated with the hospital but not on payroll), and students, trainees, and volunteers aged 18 or older. Only
healthcare personnel physically working in the facility for at least 30 days between October 1 and March 31 should be counted.

Activate NHSN Healthcare Personnel Safety Component
Acute care hospitals planning to report healthcare personnel influenza vaccination summary data should make sure their facility is enrolled in NHSN, the
Healthcare Personnel Safety Component is activated, and that personnel who will be entering these data for the hospital (e.g. employee health staff) are
given user rights to the component. Within the Healthcare Personnel Safety Component, monthly reporting plans must be created or updated to include
healthcare personnel influenza vaccination summary reporting before data can be entered.

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