Long-term acute care hospitals are acute care hospitals that provide services and treatment for patients who are generally very sick and stay, on average, more than 25 days. There are five long-term acute care hospitals in Virginia.
In February 2019, the Virginia General Assembly passed House Bill 2425, which amended the Code of Virginia (§32.1-35.1) to expand statewide surveillance for HAIs to additional healthcare settings. Under this bill, long-term acute care hospitals (LTACHs) are required to share data with VDH as of July 1, 2019. Data required to be reported to NHSN to meet CMS requirements should be shared with VDH through the NHSN system. See Table 1 for measures that are part of the state reporting requirements for LTACHs. Note that the table lists the current reporting requirements. VDH reporting requirements will expand as CMS reporting requirements expand.
Table 1. HAI Reporting Requirements for Long-Term Acute Care Hospitals in Virginia
|CMS Reporting Program||HAI Event||Applicable Units||Reporting Start Date|
|Long-Term Care Hospital Quality Reporting (LTCHQ) Program||Central line-associated bloodstream infections (CLABSI)||Adult and pediatric long-term acute care intensive care units and wards||October 2012|
|LTCHQ Program||Catheter-associated urinary tract infections (CAUTI)||Adult and pediatric long-term acute care intensive care units and wards||October 2012|
|LTCHQ Program||Clostridioides difficile (C. difficile) laboratory-identified events||Facility-wide inpatients (FacWideIN)||January 2015|
|LTCHQ Program||Healthcare personnel influenza vaccination||All inpatient healthcare personnel||October 2014|
- Surveillance Tools for Enrolled Long-term Acute Care Hospitals (CDC) – NHSN protocols and resources specific to long-term acute care hospitals
- CMS Requirements for Reporting via NHSN (CDC) – current or proposed CMS requirements including particular HAI event data and reporting specifications
- CMS Reporting Resources for Long-term Acute Care Hospitals (CDC) – operational guidance and monthly checklists for reporting for long-term acute care hospitals
- CMS Long-Term Care Hospital Compare – public information about the quality of care at long-term care hospitals; use to find long-term care hospitals and compare the quality of care between different facilities
- Virginia Regulatory Town Hall – source of information about proposed changes to Virginia’s regulations; includes online forums where the public can make comments on proposed regulations
Opens pdf to download
Opens document to download
Opens in a new window