RestoredCDC.org Comparison

    Original site: www.cdc.gov/nhsn/au-case-examples/tdh-au-dataquality.html | RestoredCDC.org is an independent project, not affiliated with CDC or any federal entity. Visit CDC.gov for free official information. Due to archival on January 6, 2025, recent outbreak data is unavailable. Videos are not restored. Access data.restoredcdc.org for restored data. Use of this site implies acceptance of this disclaimer.
    [More]
    About Us Report Bug Compare Content
  Skip directly to site content Skip directly to search
  Español | Other Languages
    Here's how you know
    An official website of the United States government Here's how you know
        National Healthcare Safety Network (NHSN)
        National Healthcare Safety Network (NHSN)
        Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People National Healthcare Safety Network (NHSN)
          Search
            Search Menu Navigation Menu
                × Search NHSN
                  Search NHSN All CDC
                Submit
    National Healthcare Safety Network (NHSN)
      * NHSN Login
      * About NHSN
              + BACK
                About NHSN
          + NHSN’s Stated Purposes
          + About NHSN Help Desk
          + NHSN Administrator Training
          + Data Use Agreements (DUA) with NHSN
          + DUA FAQs for Health Departments and Facilities
          + FAQs About NHSN Agreement to Participate and Consent
          + NHSN Release Management
          + FAQs About NHSN
          + About SAMS
          + SAMS NHSN User FAQs
          + FAQs About NHSN Security
          + National Healthcare Safety Network (NHSN) Home
      * Enroll Facility Here
              + BACK
                Enroll Facility Here
          + Acute Care Hospitals/Facilities
                  o BACK
                    Acute Care Hospitalsspan>
                    Acute Care Hospitals/Facilities
                  o BACK
                    Enroll Facility Here Acute Care Hospitalsspan>
                    Enroll Facility Here Acute Care Hospitals/Facilities
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Ambulatory Surgery Centers
                  o BACK
                    Ambulatory Surgery Centers
                  o BACK
                    Enroll Facility Here Ambulatory Surgery Centers
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Blood Safety Surveillance
                  o BACK
                    Blood Safety Surveillance
                  o BACK
                    Enroll Facility Here Blood Safety Surveillance
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Long-term Acute Care Facilities
                  o BACK
                    Long-term Acute Care Facilities
                  o BACK
                    Enroll Facility Here Long-term Acute Care Facilities
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Inpatient Rehabilitation Facilities
                  o BACK
                    Inpatient Rehabilitation Facilities
                  o BACK
                    Enroll Facility Here Inpatient Rehabilitation Facilities
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Inpatient Psychiatric Facilities
                  o BACK
                    Inpatient Psychiatric Facilities
                  o BACK
                    Enroll Facility Here Inpatient Psychiatric Facilities
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Long-term Care Facilities
                  o BACK
                    Long-term Care Facilities
                  o BACK
                    Enroll Facility Here Long-term Care Facilities
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Outpatient Dialysis Facilities
                  o BACK
                    Outpatient Dialysis Facilities
                  o BACK
                    Enroll Facility Here Outpatient Dialysis Facilities
              o Set-up
              o National Healthcare Safety Network (NHSN) Home
          + Home Dialysis Facilities
          + FAQs About Enrollment
          + National Healthcare Safety Network (NHSN) Home
      * CMS Requirements
              + BACK
                CMS Requirements
          + Acute Care Hospitals (ACH)
          + Inpatient Rehabilitation Facilities (IRF)
          + Long-term Acute Care Facilities (LTACH)
          + Long-term Care Facilities
          + PPS Exempt Cancer Hospitals
          + Outpatient Dialysis Facilities
          + CDC and CMS Issue Joint Reminder on NHSN Reporting
          + FAQs About CMS Quality Reporting Programs
          + FAQs About CMS Promoting Interoperability Program
          + FAQs About NHSN and CMS ESRD QIP Rule
          + National Healthcare Safety Network (NHSN) Home
      * Change NHSN Facility Admin
      * Resources by Facility
              + BACK
                Resources by Facility
          + COVID-19 Information
                  o BACK
                    COVID-19 Information
                  o BACK
                    Resources by Facility COVID-19 Information
              o Hospital Respiratory Data Dashboard
              o Nursing Home Vaccination Data Dashboard
              o Nursing Home Data Dashboard
              o Dialysis COVID-19 Data Dashboard
              o Dialysis Vaccination Data Dashboard
              o FAQs on Transition of COVID-19 Hospital Reporting
              o Archived COVID-19/Respiratory Pathogens and Vaccination Materials
              o National Healthcare Safety Network (NHSN) Home
          + Acute Care / Critical Access Hospitals
          + Ambulatory Surgery Centers
                  o BACK
                    Ambulatory Surgery Centers
                  o BACK
                    Resources by Facility Ambulatory Surgery Centers
              o Newsletters & Archived Communications
              o National Healthcare Safety Network (NHSN) Home
          + Long-term Acute Care Hospitals
          + Inpatient Rehabilitation Facilities
          + Inpatient Psychiatric Facilities
          + National Healthcare Safety Network (NHSN) Home
      * Patient Safety Component
              + BACK
                Patient Safety Component
          + Nurse Staffing Hours Indicator
          + Annual Surveys, Locations & Monthly Reporting Plans
          + Analysis Resources
                  o BACK
                    Analysis Resources
                  o BACK
                    Patient Safety Component Analysis Resources
              o Analysis Quick Reference Guides
              o Adjusted Ranking Metric (ARM)
              o Keys to Success with the SIR
              o Keys to Success with the SAAR
              o Keys to Success with TAS
              o Data Quality
              o National Healthcare Safety Network (NHSN) Home
          + HAI Rebaseline
                  o BACK
                    HAI Rebaseline
                  o BACK
                    Patient Safety Component HAI Rebaseline
              o Charting the Course
              o Progress Tracker
              o Education & Analysis Resources
              o Archived Communications
              o National Healthcare Safety Network (NHSN) Home
          + Antimicrobial Use & Resistance
                  o BACK
                    Antimicrobial Use & Resistance
                  o BACK
                    Patient Safety Component Antimicrobial Use & Resistance
              o AU Option Case Examples
                      - BACK
                        AU Option Case Examples
                      - BACK
                        Antimicrobial Use & Resistance AU Option Case Examples
                      - BACK
                        Patient Safety Component Antimicrobial Use & Resistance AU Option Case Examples
                  - Disseminating Quarterly Data Quality Reports
                  - Tracking Multiple Interventions
                  - Reducing Fluoroquinolone Use
                  - Reducing Carbapenem Use
                  - Reducing Aztreonam Use
                  - National Healthcare Safety Network (NHSN) Home
              o National Healthcare Safety Network (NHSN) Home
          + BSI (CLABSI)
          + CLIP
          + MDRO & CDI
          + PedVAE
          + PNEU
          + SSI
          + UTI (CAUTI)
          + VAE
          + Frequently Asked Questions (FAQs)
                  o BACK
                    Frequently Asked Questions (FAQs)
                  o BACK
                    Patient Safety Component Frequently Asked Questions (FAQs)
              o Annual Surveys
              o Bloodstream Infection (BSI) Events
              o Central Line Insertion Practices (CLIP)
              o Pneumonia (PNEU) Events
              o Urinary Tract Infection (UTI) Events
              o Surgical Site Infections (SSI) Events
              o Surgical Site Procedure Codes
              o Ventilator-Associated (VAE) Events
              o Pediatric Ventilator-Associated Events (PedVAE)
              o Antimicrobial Use (AU) Option
              o Antimicrobial Resistance (AR) Option
              o MDRO & CDI
              o Nurse Staffing Hours Indicator (NSHI)
              o Analysis
              o Locations
              o Miscellaneous
              o National Healthcare Safety Network (NHSN) Home
          + Calculators & Worksheets
                  o BACK
                    Calculators & Worksheets
                  o BACK
                    Patient Safety Component Calculators & Worksheets
              o HAI & POA Worksheet Generator
              o MDRO & CDI LabID Event Calculator
              o PedVAE Calculator
              o VAE Calculator
              o National Healthcare Safety Network (NHSN) Home
          + HAI Checklists
          + Hospital Respiratory Data
          + National Healthcare Safety Network (NHSN) Home
      * Long-term Care Facility Component
              + BACK
                Long-term Care Facility Component
          + Respiratory Pathogens and Vaccination Module
          + Respiratory Pathogens Module
                  o BACK
                    Respiratory Pathogens and Vaccination Module
                    Respiratory Pathogens Module
                  o BACK
                    Long-term Care Facility Component Respiratory Pathogens and Vaccination Module
                    Long-term Care Facility Component Respiratory Pathogens Module
              o Covid-19 Module Enrollment
              o Point of Care
              o RPV Resources
              o RP Resources
              o National Healthcare Safety Network (NHSN) Home
          + Nursing Home Data Dashboard
          + State Veterans Homes COVID-19 Tool
          + MDRO & CDI
          + UTI
          + Prevention Process Measures
          + HCP Flu Vaccination
          + LTCF Data Validation Guidance
          + Newsletters & Archived Communications
                  o BACK
                    Newsletters & Archived Communications
                  o BACK
                    Long-term Care Facility Component Newsletters & Archived Communications
              o December 2020 LTCF Newsletter
              o July 2020 LTCF Newsletter
              o March 2020 LTCF Newsletter
              o December 2019 LTCF Newsletter
              o September 2019 LTCF Newsletter
              o June 2019 LTCF Newsletter
              o March 2019 LTCF Newsletter
              o 2018 LTCF Email Updates
              o December 2018 LTCF Newsletter
              o September 2018 LTCF Newsletter
              o June 2018 LTCF Newsletter
              o March 2018 LTCF Newsletter
              o 2017 LTCF Email Updates
              o December 2017 LTCF Newsletter
              o September 2017 LTCF Newsletter
              o National Healthcare Safety Network (NHSN) Home
          + National Healthcare Safety Network (NHSN) Home
      * Dialysis Component
              + BACK
                Dialysis Component
          + Dialysis COVID-19 Module
          + Patient COVID-19 Vaccination
          + Dialysis Event
                  o BACK
                    Dialysis Event
                  o BACK
                    Dialysis Component Dialysis Event
              o Dialysis Event Reporting FAQs
              o National Healthcare Safety Network (NHSN) Home
          + Prevention Process Measures
          + CLIP Adherence
          + Monthly Newsblast Archive
          + National Healthcare Safety Network (NHSN) Home
      * Biovigilance Component
              + BACK
                Biovigilance Component
          + Blood Safety
          + Hemovigilance Module FAQs
          + National Healthcare Safety Network (NHSN) Home
      * Healthcare Personnel Safety Component (HPS)
              + BACK
                Healthcare Personnel Safety Component (HPS)
          + HCP Flu Vaccination
          + HCP Exposure
          + HCP COVID-19 Vaccination
          + COVID-19 Vaccination Data FAQs
          + Weekly Influenza Vaccination Data Reporting FAQs
          + HCP Influenza Vaccination Summary Reporting FAQs
                  o BACK
                    HCP Influenza Vaccination Summary Reporting FAQs
                  o BACK
                    Healthcare Personnel Safety Component (HPS) HCP Influenza Vaccination Summary Reporting FAQs
              o Newsletters & Archived Communications
              o National Healthcare Safety Network (NHSN) Home
          + National Healthcare Safety Network (NHSN) Home
      * Neonatal Component
              + BACK
                Neonatal Component
          + Quick Reference Guides
          + LOS/MEN Events
          + LOS/MEN FAQs
          + National Healthcare Safety Network (NHSN) Home
      * Outpatient Procedure Component
              + BACK
                Outpatient Procedure Component
          + SSI
          + Same Day Outcome Measures
          + Frequently Asked Questions (FAQs)
          + Newsletters & Archived Communications
          + National Healthcare Safety Network (NHSN) Home
      * NHSN and Social Determinants of Health
      * NHSNCoLab
      * NHSN Digital Quality Measures (dQMs)
              + BACK
                NHSN Digital Quality Measures (dQMs)
          + About FHIR and NHSNLink
          + Digital Quality Measures (dQMs) FAQs
          + National Healthcare Safety Network (NHSN) Home
      * NHSN Reports
              + BACK
                NHSN Reports
          + Coronavirus Disease - 2019 (COVID-19)
          + HAI Progress Reports
          + HAI Pathogens and Antimicrobial Resistance (AR)
          + Antibiotic Use and Resistance (AUR) Module
          + Long-term Care Facility (LTCF)
          + Patient Safety Annual Facility Survey
          + Device-Associated (DA) Module Data Summary
          + HCP Influenza Vaccination
          + Dialysis Event
          + Miscellaneous
          + National Healthcare Safety Network (NHSN) Home
      * Group Users
      * Newsletters
      * Data Validation Guidance
              + BACK
                Data Validation Guidance
          + 2023
          + 2022
          + 2021
          + Validation FAQs
          + Archived Validation Documents
          + National Healthcare Safety Network (NHSN) Home
      * Email Updates
      * Quality Measure Endorsement
      * HIPAA Privacy Rule
              + BACK
                HIPAA Privacy Rule
          + Facility/Provider Communications Under HIPAA
          + National Healthcare Safety Network (NHSN) Home
      * National Healthcare Safety Network (NHSN) Home
          National Healthcare Safety Network (NHSN)
    National Healthcare Safety Network (NHSN) Home
    CDC's website is being modified to comply with President Trump's Executive Orders.
      Disseminating Quarterly Data Quality Reports for NHSN AU Option Users in the State of Tennessee
        Disseminating Quarterly Data Quality Reports
        Print
      Key Take Away Points
        * Health Departments can establish access via the NHSN Group function and assist acute care and critical access hospitals with their NHSN AU Option data.
        * Routine quality validation of AU Option data can be automated and performed regularly to identify common flags warranting investigation.
        * Common flags that can be identified without electronic medical record data include drug-route mismatch, antibiotic use reported without denominator data, significant changes in AU rate or days present, sum of route errors, and common drugs not being utilized where expected (e.g., cefazolin in the OR).
      The Tennessee Department of Health (TDH) Healthcare Associated Infections and Antimicrobial Resistance Program seeks to protect, promote and improve the health and prosperity of people in Tennessee, in part, through tracking and improving antibiotic use across the healthcare continuum. The stewardship team consists of a medical director, two pharmacists, and an epidemiologist whose primary focus is antimicrobial stewardship.
      In 2018, Tennessee announced that all acute care hospitals would be required to report into the NHSN’s Antimicrobial Use (AU) Option in a phased approach based on bed size, with the largest hospitals to beginning in 2022. TDH has long standing relationships with acute care hospitals’ infection prevention programs. TDH developed a user group within NHSN which hospitals may use to share their healthcare associated infection and AU Option data. Since that time, 53 of Tennessee’s 109 acute care and critical access hospitals have reported at least one month of AU data into NHSN and shared their data with TDH.
      The Need
      A significant barrier to analyzing and intervening on AU data is ensuring high quality data input. CDC recommends that data validation for NHSN AU Option data occur at implementation [PDF – 459 KB] and at least annually [PDF – 876 KB] thereafter. TDH does not have access to electronic medical record or surveillance software data from reporting hospitals. Therefore, TDH wanted to assist hospitals with their validation efforts as much as possible and to help them ensure that high quality data were being uploaded into NHSN.
      The Intervention
      After discussions with the NHSN AU Option Team and various stewardship partners and pharmacists across the state, TDH identified fifteen scenarios that, when identified within the NHSN AU Option data, should be assessed further. Some of these flags (e.g., antimicrobial days reported for any drug when days present reported as zero) are situations that should never occur and would warrant investigation with a facility’s vendor and/or IT departments to find potential solutions. Others (e.g., drug-route mismatch and changes in AU rates or days present from previous quarters’ data) simply warrant further investigation by the stewardship team. TDH developed an automated data quality report that analyzes NHSN AU data and identifies these flags and to create facility reports as a way for the State to assist with the facility validation efforts. Data are analyzed and reports disseminated on a quarterly basis. This report complements, but does not replace, NHSN’s AU Option Data Quality Line List [PDF – 531 KB] .
      The Result
      The first TDH NHSN AU Option Quality report was created for 53 facilities based on the first quarter of 2021 and was disseminated to facility stewardship contacts in May 2021. In this first report, 647 flags were identified. The vast majority (72%) were significant changes in either AU rate or days present for the facility-level or unit-specific data. TDH identified one facility where a never-event occurred which was antimicrobial days was reported when days present were reported as Zero. The facility was notified and corrected this error.
      Initial feedback from facilities has been positive. One facility acknowledged their changes in AU rates and days present for a specific unit that was flagged was due to a known change in patient population, warranting no further investigation, which helped to validate that the report is identifying flags appropriately.
      TDH will continue to assess results from these quarterly reports and will be eliciting feedback on our flag selections in the future.
      For more information contact: Christopher Evans, PharmD, BCPS
      Pharmacist
      Tennessee Department of Health Healthcare Associated Infections and Antimicrobial Resistance Program
      Christopher.evans@tn.gov
      Note: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
                Training
                Newsletters / Members Meeting Updates
                E-mail Updates
                Health Department HAI/AR Programs
      Last Reviewed: March 30, 2023
        Source: Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP)
        * Facebook
        * Twitter
        * LinkedIn
        * Syndicate
        home NHSN Home
        * NHSN Login
        * About NHSN plus icon
            + NHSN’s Stated Purposes
            + About NHSN Help Desk
            + NHSN Administrator Training
            + Data Use Agreements (DUA) with NHSN
            + DUA FAQs for Health Departments and Facilities
            + FAQs About NHSN Agreement to Participate and Consent
            + NHSN Release Management
            + FAQs About NHSN
            + About SAMS
            + SAMS NHSN User FAQs
            + FAQs About NHSN Security
        * Enroll Facility Here plus icon
            + Acute Care Hospitals/Facilities plus icon
                o Set-up
            + Ambulatory Surgery Centers plus icon
                o Set-up
            + Blood Safety Surveillance plus icon
                o Set-up
            + Long-term Acute Care Facilities plus icon
                o Set-up
            + Inpatient Rehabilitation Facilities plus icon
                o Set-up
            + Inpatient Psychiatric Facilities plus icon
                o Set-up
            + Long-term Care Facilities plus icon
                o Set-up
            + Outpatient Dialysis Facilities plus icon
                o Set-up
            + Home Dialysis Facilities
            + FAQs About Enrollment
        * CMS Requirements plus icon
            + Acute Care Hospitals (ACH)
            + Inpatient Rehabilitation Facilities (IRF)
            + Long-term Acute Care Facilities (LTACH)
            + Long-term Care Facilities
            + PPS Exempt Cancer Hospitals
            + Outpatient Dialysis Facilities
            + CDC and CMS Issue Joint Reminder on NHSN Reporting
            + FAQs About CMS Quality Reporting Programs
            + FAQs About CMS Promoting Interoperability Program
            + FAQs About NHSN and CMS ESRD QIP Rule
        * Change NHSN Facility Admin
        * Resources by Facility plus icon
            + COVID-19 Information plus icon
                o Hospital Respiratory Data Dashboard
                o Nursing Home Vaccination Data Dashboard
                o Nursing Home Data Dashboard
                o Dialysis COVID-19 Data Dashboard
                o Dialysis Vaccination Data Dashboard
                o FAQs on Transition of COVID-19 Hospital Reporting
                o Archived COVID-19/Respiratory Pathogens and Vaccination Materials
            + Acute Care / Critical Access Hospitals
            + Ambulatory Surgery Centers plus icon
                o Newsletters & Archived Communications
            + Long-term Acute Care Hospitals
            + Inpatient Rehabilitation Facilities
            + Inpatient Psychiatric Facilities
        * Patient Safety Component plus icon
            + Nurse Staffing Hours Indicator
            + Annual Surveys, Locations & Monthly Reporting Plans
            + Analysis Resources plus icon
                o Analysis Quick Reference Guides
                o Adjusted Ranking Metric (ARM)
                o Keys to Success with the SIR
                o Keys to Success with the SAAR
                o Keys to Success with TAS
                o Data Quality
            + HAI Rebaseline plus icon
                o Charting the Course
                o Progress Tracker
                o Education & Analysis Resources
                o Archived Communications
            + Antimicrobial Use & Resistance plus icon
                o AU Option Case Examples plus icon
                    - Disseminating Quarterly Data Quality Reports
                    - Tracking Multiple Interventions
                    - Reducing Fluoroquinolone Use
                    - Reducing Carbapenem Use
                    - Reducing Aztreonam Use
            + BSI (CLABSI)
            + CLIP
            + MDRO & CDI
            + PedVAE
            + PNEU
            + SSI
            + UTI (CAUTI)
            + VAE
            + Frequently Asked Questions (FAQs) plus icon
                o Annual Surveys
                o Bloodstream Infection (BSI) Events
                o Central Line Insertion Practices (CLIP)
                o Pneumonia (PNEU) Events
                o Urinary Tract Infection (UTI) Events
                o Surgical Site Infections (SSI) Events
                o Surgical Site Procedure Codes
                o Ventilator-Associated (VAE) Events
                o Pediatric Ventilator-Associated Events (PedVAE)
                o Antimicrobial Use (AU) Option
                o Antimicrobial Resistance (AR) Option
                o MDRO & CDI
                o Nurse Staffing Hours Indicator (NSHI)
                o Analysis
                o Locations
                o Miscellaneous
            + Calculators & Worksheets plus icon
                o HAI & POA Worksheet Generator
                o MDRO & CDI LabID Event Calculator
                o PedVAE Calculator
                o VAE Calculator
            + HAI Checklists
            + Hospital Respiratory Data
        * Long-term Care Facility Component plus icon
            + Respiratory Pathogens and Vaccination Module plus icon
            + Respiratory Pathogens Module plus icon
                o Covid-19 Module Enrollment
                o Point of Care
                o RPV Resources
                o RP Resources
            + Nursing Home Data Dashboard
            + State Veterans Homes COVID-19 Tool
            + MDRO & CDI
            + UTI
            + Prevention Process Measures
            + HCP Flu Vaccination
            + LTCF Data Validation Guidance
            + Newsletters & Archived Communications
                o December 2020 LTCF Newsletter
                o July 2020 LTCF Newsletter
                o March 2020 LTCF Newsletter
                o December 2019 LTCF Newsletter
                o September 2019 LTCF Newsletter
                o June 2019 LTCF Newsletter
                o March 2019 LTCF Newsletter
                o 2018 LTCF Email Updates
                o December 2018 LTCF Newsletter
                o September 2018 LTCF Newsletter
                o June 2018 LTCF Newsletter
                o March 2018 LTCF Newsletter
                o 2017 LTCF Email Updates
                o December 2017 LTCF Newsletter
                o September 2017 LTCF Newsletter
        * Dialysis Component plus icon
            + Dialysis COVID-19 Module
            + Patient COVID-19 Vaccination
            + Dialysis Event plus icon
                o Dialysis Event Reporting FAQs
            + Prevention Process Measures
            + CLIP Adherence
            + Monthly Newsblast Archive
        * Biovigilance Component plus icon
            + Blood Safety
            + Hemovigilance Module FAQs
        * Healthcare Personnel Safety Component (HPS) plus icon
            + HCP Flu Vaccination
            + HCP Exposure
            + HCP COVID-19 Vaccination
            + COVID-19 Vaccination Data FAQs
            + Weekly Influenza Vaccination Data Reporting FAQs
            + HCP Influenza Vaccination Summary Reporting FAQs plus icon
                o Newsletters & Archived Communications
        * Neonatal Component plus icon
            + Quick Reference Guides
            + LOS/MEN Events
            + LOS/MEN FAQs
        * Outpatient Procedure Component plus icon
            + SSI
            + Same Day Outcome Measures
            + Frequently Asked Questions (FAQs)
            + Newsletters & Archived Communications
        * NHSN and Social Determinants of Health
        * NHSNCoLab
        * NHSN Digital Quality Measures (dQMs) plus icon
            + About FHIR and NHSNLink
            + Digital Quality Measures (dQMs) FAQs
        * NHSN Reports plus icon
            + Coronavirus Disease - 2019 (COVID-19)
            + HAI Progress Reports
            + HAI Pathogens and Antimicrobial Resistance (AR)
            + Antibiotic Use and Resistance (AUR) Module
            + Long-term Care Facility (LTCF)
            + Patient Safety Annual Facility Survey
            + Device-Associated (DA) Module Data Summary
            + HCP Influenza Vaccination
            + Dialysis Event
            + Miscellaneous
        * Group Users
        * Newsletters
        * Data Validation Guidance plus icon
            + 2023
            + 2022
            + 2021
            + Validation FAQs
            + Archived Validation Documents
        * Email Updates
        * Quality Measure Endorsement
        * HIPAA Privacy Rule plus icon
            + Facility/Provider Communications Under HIPAA
          email_03 Get Email Updates
          To receive email updates about this page, enter your email address:
              Email Address
              What's this?
              Submit
          NHSN Helpdesk
          Questions about NHSN?Contact us: nhsn@cdc.gov
          Manuals & Protocols
            * 
                + 
                    o 2023 LTCF Resident Weekly COVID-19/Respiratory Pathogens Vaccination Module Protocol [PDF – 414 KB]
                    o 2025 Patient Safety Component Manual [PDF – 8 MB]
                    o 2024 Patient Safety Component Manual [PDF – 8 MB]
                    o 2023 Patient Safety Component Manual [PDF – 7 MB]
                    o 2024 Long-term Care Facility Manual [PDF – 2 MB]
                    o 2024 Outpatient Procedure Component Manual [PDF – 1 MB]
                    o 2025 Outpatient Procedure Component Manual [PDF – 1 MB]
                    o 2023 Outpatient Procedure Component Manual [PDF – 1 MB]
                    o 2024 Outpatient Procedure Component Manual [PDF – 1,002 KB]
                    o Coming Soon: 2023 Healthcare Personnel Safety Component Manual
                    o 2025 HCP Weekly COVID-19 Vaccination Module Protocol [PDF – 359 KB]
                    o 2024 HCP Weekly COVID-19 Vaccination Module Protocol [PDF – 350 KB]
                    o 2023 HCP Weekly COVID-19 Vaccination Module Protocol [PDF – 348 KB]
                    o 2022 HCP Weekly COVID-19 Vaccination Module Protocol [PDF – 348 KB]
                    o 2025 Dialysis Patient Weekly COVID-19 Vaccination Module Protocol [PDF – 292 KB]
                    o 2023 Dialysis Patient Weekly COVID-19 Vaccination Module Protocol [PDF – 382 KB]
                    o 2023 Combined LTCF Resident and Dialysis Patient Weekly COVID-19 Vaccination Module Protocol [PDF – 421 KB]
                    o 2025 HCP Vaccination Module: Influenza Vaccination Summary Protocol [PDF – 350 KB]
                    o 2022 HCP Vaccination Module: Influenza Vaccination Summary Protocol [PDF – 596 KB]
                    o 2021 Biovigilance Component Protocol [PDF – 600 KB]
              * About CDC
              * Contact Us
              * 800-232-4636
              Facebook Twitter Instagram LinkedIn Youtube Pinterest Snapchat
              Facebook Twitter Instagram LinkedIn Youtube Pinterest Snapchat RSS
          * CONTACT CDC
                    Contact Us
                    Call 800-232-4636
                    Email Us
          * ABOUT CDC
                  + About CDC
                  + Jobs
                  + Funding
          * POLICIES
                  + Accessibility
                  + External Links
                  + Privacy
                  + Policies
                  + Web Policies
                  + No Fear Act
                  + FOIA
                  + OIG
                  + No Fear Act
                  + Nondiscrimination
                  + Vulnerability Disclosure Policy
                  + CDC Archive
                  + Public Health Publications
                  + HHS.gov
                  + USA.gov
          * CONNECT WITH US
                    + Facebook
                    + Twitter
                    + Instagram
                    + LinkedIn
                    + Youtube
                    + Pinterest
                    + Snapchat
                    + Email
          * LANGUAGES
                  + Español
                  + 繁體中文
                  + Tiếng Việt
                  + 한국어
                  + Tagalog
                  + Русский
                  + العربية
                  + Kreyòl Ayisyen
                  + Français
                  + Polski
                  + Português
                  + Italiano
                  + Deutsch
                  + 日本語
                  + فارسی
                  + English
          * U.S. Department of Health & Human Services
          * Accessibility
          * External Links
          * Privacy
          * Policies
          * Web Policies
          * FOIA
          * OIG
          * No Fear Act
          * FOIA
          * Nondiscrimination
          * OIG
          * Vulnerability Disclosure Policy
          * CDC Archive
          * Public Health Publications
          * HHS.gov
          * USA.gov
        Content Credential
        ×
        This image was edited or created using GenAI (generative artificial intelligence).
        Our experts review all images in an effort to ensure accuracy and quality before use.
        Learn more about CDC's usage of GenAI.