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NHSN ugrades – worker flu vaccination, long-term care and dialysis

Premier Communications

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Gina Pugliese, RN, MS, editor

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NHSN upgrades – worker flu vaccination, long-term care and dialysis

CDC has launched upgrades to their National Healthcare Safety Network (NHSN) for long-term care, healthcare worker influenza vaccination and electronic submission of dialysis events.


Healthcare worker influenza vaccination module

Acute care hospitals participating in the CMS IPPS Hospital Inpatient Quality Reporting Program will be required to submit summary data on influenza
vaccination of healthcare personnel via the NHSN module beginning on January 1, 2013 for the 2012-2013 influenza season. Data must be reported for all
employees on the payroll, licensed independent practitioners (physicians, advanced practice nurses, and physician assistants affiliated with the hospital
but not on payroll), and students, trainees, and volunteers aged 18 or older. Details are available at the CDC’s NHSN vaccination module website at

Dialysis event – electronic submission capability

NHSN is now able to accept Dialysis Event numerator and denominator data electronically via a Clinical Document Architecture (CDA) file import. Dialysis
facilities interested in reporting to NHSN using the CDA import should work with their parent organizations or electronic medical record software vendors
to create properly formatted CDA files that can be submitted to NHSN. Questions can be sent to the NHSN CDA Helpdesk at

Prevention of dialysis bloodstream infections – tools and resources

CDC has made available the tools and resources for prevention of dialysis bloodstream infections that were used successfully in the Dialysis Bloodstream Infection Prevention Collaborative and resulted in a 31 percent decrease in bloodstream infections and a 53 percent decrease
in access-related infections when CDC prevention guidelines were implemented. Visit CDC website for dialysis audit tools, protocols and checklists at


Long-term care component

CDC has also released a new tracking component allowing nursing homes, skilled nursing facilities, chronic care facilities, and assisted living and
residential care facilities, to monitor healthcare-associated infections. The new NHSN component allows facilities to track Clostridioides difficile,
drug-resistant infections, such as, methicillin-resistant Staphylococcus aureus (MRSA), urinary tract infections, and healthcare worker adherence to basic
infection control procedures, including hand hygiene and glove and gown use. To access or enroll your facility in NHSN’s long-term care component, visit
CDC’s website:


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