Nursing Home COVID-19 NHSN Reporting

Nursing Home COVID-19 NHSN Reporting

 

 

 

June 5, 2020

TO:             Nursing Home Administrators
FROM:      M. Norman Oliver, MD, MA, State Health Commissioner
CC:             VDH Healthcare-Associated Infections and Antimicrobial Resistance Program
RE:             Reporting into the National Healthcare Safety Network per CMS Rule

 

On May 8, 2020, and effective immediately, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule with comment period that requires CMS-certified nursing homes to report COVID-19 facility data at least weekly to the Centers for Disease Control and  Prevention (CDC). CMS memo QSO-20-29-NH outlines the new COVID-19 reporting requirements for nursing homes.

The weekly reports are to be submitted via the CDC National Healthcare Safety Network (NHSN) COVID-19 module. Please refer to the CDC NHSN website for an overview of the reporting module and instructions on how to register in NHSN. For NHSN questions, please email NHSN@cdc.gov and add “LTCF” in the subject header.

Per the Code of Virginia (§32.1-35.1), data required to be reported to the NHSN to meet CMS requirements should be shared with the Virginia Department of Health (VDH) through the NHSN system. In order for VDH to view data from Long-Term Care Facilities (LTCFs) reporting in  NHSN, each facility has to join the VDH NHSN group. You can find instructions on how to do that here. Licensed but not certified nursing homes are not required to report data to CMS, but they may report to NHSN and are encouraged to confer rights to VDH. Reporting through NHSN is one of many criteria for a nursing home to enter Reopening Phase I.

These CMS NHSN reporting requirements are in addition to, and do not take the place of, state reporting requirements. Per the Virginia Regulations for Disease Reporting and Control (12 VAC 5-90-80), licensed nursing homes should report suspected and confirmed cases of COVID-19 to their local health department.

CMS will publicly post data from NHSN, including the names of specific facilities, the number of COVID-19 cases (suspected and confirmed), and deaths. The COVID-19 public use file will be available on https://data.cms.gov/.  For questions related to how CMS may use these data, please reach out to the appropriate CMS help desk for further interpretation and guidance. For CMS enforcement-related questions, email DNH_Enforcement@cms.hhs.gov.  For other questions or concerns regarding CMS memo QSO-20-29-NH, email DNH_TriageTeam@cms.hhs.gov.

Thank you for all you are doing on the front lines to prevent infections and provide care for nursing home residents in Virginia.

HAI Reporting Requirements for Virginia Healthcare Facilities in Response to COVID-19 (May 4, 2020)

 

HAI Reporting Requirements for Virginia Healthcare Facilities in Response to COVID-19 (May 4, 2020)

 

May 4, 2020

TO:         All Virginia Healthcare Facilities

FROM:   M. Norman Oliver, MD, MA, State Health Commissioner

CC:         VDH Healthcare-Associated Infections and Antimicrobial Resistance Program

RE:         HAI Reporting Requirements for Virginia Healthcare Facilities

 

Per the Code of Virginia (§32.1-35.1), requirements for reporting healthcare-associated infections (HAIs) align with the existing Centers for Medicare and Medicaid Services (CMS) reporting requirements.  Data required to be reported to the National Healthcare Safety Network (NHSN) to meet CMS requirements should be shared with the Virginia Department of Health (VDH) through the NHSN system.

As you know, on March 22, 2020, CMS announced relief for clinicians, providers, hospitals, and facilities participating in quality reporting programs in response to COVID-19.  As partners in public health and healthcare, we know that most facilities have redirected current resources to supporting the COVID-19 response and caring for affected patients.  We understand that there is an immense burden placed on our healthcare facilities to not only care for patients, but also to report timely data to multiple entities.

Please consider that as facilities see an increase in their inpatient population, tracking HAIs becomes even more important.  Surveillance of certain events related to COVID-19 can provide valuable information for HAI prevention efforts.  While submitting HAI data for October 1, 2019 through December 31, 2019 (Q4) by the May 15 deadline and submitting HAI data for January 1, 2020 through June 30, 2020 (Q1-Q2) are optional per CMS, VDH strongly encourages facilities to continue to report the data they are able to collect accurately in accordance with NHSN surveillance protocols and definitions.  We realize this may present some challenges, and we are available to answer any questions you may have.  VDH still will be sending 2019 Q4 data cleaning reports to hospitals this week to review and verify data are accurate ahead of the May 15 reporting deadline.  Q4 data submission will allow VDH to close out 2019 data and produce statewide annual statistics.

For questions related to how CMS may use these data, including scoring or payment questions, please reach out to the appropriate CMS help desk for further interpretation and guidance.  Any questions regarding the impact of removing data from NHSN should be sent to the appropriate program’s help desk:  CMS IQR (iqr@hsag.com) or HACRP (HACRP@mathematica-mpr.com).

Thank you for all you are doing on the front lines to prevent infections and provide care for all residents of Virginia.


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