FAQs on Reporting COVID-19 Vaccination Data - June 2024 NHSN CDC
FAQs on Reporting COVID-19 Vaccination Data – June 2024
1. Are COVID-19 long-term care facility vaccination data reporting requirements only for skilled nursing facilities? Or do other types of long-term care facilities, such as assisted living facilities and continuing care communities, also need to report COVID-19 vaccination data for residents and medical staff?
Currently, only skilled nursing facilities are required to report COVID-19 vaccination data.
2. Where can I find information about the Acute Care Center and Long-Term Acute Care Center Final Rule on COVID-19 Healthcare Worker Data Summary Reporting?
3. Where can I find information about the CMS Final Rule for Inpatient Mental Health Facilities (IPFs) regarding medical staff reporting COVID-19 Data Summary?
4. Who can I contact if I have questions about the CMS Quality Reporting Program (QRP) requirements?For specific facility types, contact the following programs:
- Hospital Quality Reporting Program (hospitals): CMS Q & A
- Cancer Hospital Quality Reporting Program: qrformssubmission@hsag. com
- Psychiatric Inpatient Facility Quality Reporting Program: ipfqualityreporting@hsag.
- Rehabilitation Quality Reporting Program: question@cms. hhs. gov
- Long-term Acute Care Reporting Program: ltchqualityQuestions@cms. hhs. gov
- Skilled Nursing Facility (SNF) QRP Help Desk: snfqualityQuestions@cms. hhs. gov
- Ambulatory Surgery Centers: CMS QualityNet Question and Answer website
- Dialysis Facilities: CMS QualityNet Question and Answer website
5. Does my facility (acute care hospital, inpatient psychiatric facility, inpatient rehabilitation facility, long-term acute care hospital) need to report data weekly or monthly through the COVID-19 weekly immunization module?
NHSN allows and encourages reporting of COVID-19 vaccination data weekly via the COVID-19 Weekly Vaccine Module.
Effective October 1, 2021, facility types participating in the CMS Nurse Quality Reporting Program (or CMS Inpatient Quality Reporting Program, CMS Rehabilitation Facility Quality Reporting Program, or COVID Inpatient Reporting Program) will report vaccination data for at least one week per month via the COVID-19 Weekly Vaccination Module to meet CMS reporting requirements.
Facilities may choose any week within the month to report data. Facilities may choose to report this data weekly.
The vaccination data of COVID-19 must be submitted by the end of the quarterly quarterly specified by CMS.
The week is defined as belonging to the month of the week. For example, reporting weekly data from September 27 to October 3 is considered to report the week's week data.
Since January 1, 2022, the outpatient surgery center is required to submit the CMS to meet the CMS report requirements for at least one week through the COVID-19 weekly vaccination module. 。
6. In a facility that is required to report at least once a month to meet the CMS report obligation, when one week spans two months, what month will it be counted?
The month of the week is determined by the date of the week. For example, weekly data reports from January 31 to February 6 are considered to be the week's week data report, not January. This is because the date of the week (February 6) is February. In a facility that selects to report multiple weeks a month, the last week of the report is shared with the CMS.
7. At the end of the public health (PHE) on May 11, 2023, the facility reports COVID-19 vaccination data during the weekly COVID-19 vaccination module at least one week a month. Is it obliged to keep doing it? Do I need to report the vaccination unit of COVID-19 for at least one week?
yes. Even after the end of the PHE on May 11, 2023, HCP's COVID-19 vaccination data report in the NHSN Staff Safety Component (HPS) is required to continue CMS certified facilities. The facility needs to report data as part of the CMS quality report.
Long-term medical treatment facilities, which have been certified by CMS, are required to continue to report the cosmetic data of residents and HCP every week. The dialysis facility reports residents and HCP's COVID-19 vaccination data every month.
8. When is the future deadline for CMS (NQF#3636), which reports the vaccination rate of medical professionals every quarter?
See the table below for the future deadline for CMS. In addition, you can find more guidance here: HAI medical facilities report complaints to CMS through NHSN Stream or proposed claims (CDC. GOV) [PD F-141 KB].
Information on the future deadline of CMS
quarter | Report period | Submission deadline |
---|---|---|
Q4 2023 | September 25, 202 3-December 31, 2023 | May 15, 2024 |
The first quarter of 2024 | January 1, 202 4-March 31, 2024 | August 15, 2024 |
The second quarter of 2024 | April 1, 202 4-June 30, 2024 | November 15, 2024 |
The third quarter of 2024 | July 1, 202 4-September 29, 2024 | February 18, 2025 |
Yes, the facility can execute a line list report to see the data submitted to the cumulative COVID-19 vaccination module per week. Use the current reports available in the NHSN application to display the percentage of updated vaccination rates, refer to the "Cumulative Vaccination Data of COVID-19" line list. There is. Our website has a quick reference guide on how to execute these reports. The resources are as follows.
See the quick reference guide: COVID-19 updated COVID-19 vaccination status: https: // www. PTODATEGUIDANCE- 508. PDF [PD F-246 KB].
Data dictionary can be used to identify the variables you are interested in. For example, TOTSUMALLUPTODATE is a variable that corresponds to the cumulative number of HCPs that latest the latest COVID-19 vaccine in question 1. Users can calculate the latest HCP percentage as TotSumalluptodate/(SumallHc p-SumallMedupTodate) x 100. https: //www. cdc. gov/nhsn/nhsn/xls/COVID-19-rpv-public-data-dictionary. XLSX [XLS-30 KB].
Note that the definition of updates may be changed every quarter based on the latest CDC guidance. The Definition of the Forty of Report can be confirmed here: COVI D-19 Major terms and Understand updated vaccinations (cdc. gov) [pd f-114 kb].
Data Reporting: General
1. Do I need to fill out all data fields in the Weekly Vaccination Modules data field of COVID-19?Yes, each data item is required or conditional.
2. Our facility started administration of COVID-19 in January 2021. Should my facility enter data in the Covid-19 NHSN week vaccination module from the first week when the vaccine was administered in January 2021?
The facility can enter (and process) data (and process) in the past, but there is no obligation.
When reporting about the calendar week, don't forget to report the total number of people in the facility of the week.
Next, out of the people at the facility that week, the COVID-19 vaccine became available in December 2020 (in this facility or other location), which has been vaccinated with COVID-19. Please report the number of people.
For information on the timeline of reporting requirements for the Quality Reporting Program, see the section entitled "Reporting Data: Requirements" under "Frequently Asked Questions."
3. What should I do if my data remains the same from one week to the next?If your data remains the same (e. g., no change in headcount or vaccination status), you will report the same figures as the previous week you reported.
Vaccination rates may change from week to week, even if no new vaccines have been administered, as new staff, residents, and patients may enter or leave the facility.
4. I entered and saved data for an incorrect week in my NHSN application. What should I do?Once Covid-19 vaccination data is imported and saved in NHSN, the week cannot be permanently deleted.
We strongly encourage NHSN application users to enter the appropriate data for the week in which data was entered incorrectly.
If you do not have this data, enter zero (0) in the data collection form for the incorrect week.
Please note that you can update and edit your data at any time.
You can proceed to enter your COVID-19 vaccination data for the correct week.
5. What documentation is acceptable if I received the vaccine outside of a healthcare facility?
Acceptable documentation includes a signed statement or form, or an electronic form or email, indicating when and where you received the COVID-19 vaccine.
Notes, receipts, vaccination cards, etc. from an external vaccination provider stating that you received the COVID-19 vaccine at this location are also acceptable.
Verbal statements are not acceptable when documenting an external vaccination for purposes of NHSN COVID-19 vaccination data reporting.
6. Why do the times displayed in the "Created" and "Last Modified" fields in the COVID-19 Cumulative Vaccination Summary system not match the local time when I submit or modify data in the NHSN application?
As of February 26, 2024, timestamps in the NHSN application (such as the "Created" and "Last Updated" fields on the COVID-19 Cumulative Vaccination Summary form) are displayed in Coordinated Universal Time (UTC). UTC is the international standard time.
The new time stamp UTC does not affect the data submission deadline. Therefore, local time is valid for the data submission deadline, and NHSN users do not need to do anything more. See the following materials for details: UTC guidance document [PD F-300 KB].
7. How to convert UTC to eastern time?To convert UTC to eastern time
- From the second Sunday of March to the first Sunday of November, it will be 4 hours from UTC to the eastern summer time (EDT).
- From the first Sunday of November to the second Sunday in March, you will get 5 hours from UTC and it will be the eastern standard time (EST).
- Alternatively, you can enter local time and calendar date in the UTC time conversion tool online.
If a facility wishes to submit data by 11:59 pm on Sunday (East Standard Time), the date field to be created will be the eastern standard. If you want to submit data by the Eastern Standard), the created date field displays the following UTC time in the NHSN application.
(From the second Sunday of the month to the first Sunday of November)
(From the first Sunday of November to the second Sunday of March)
Data Reporting: Primary Series and Up to Date Vaccination
1. What is a NovaVAX COVID-19 vaccine?The NovaVAX COVID-19 vaccine was originally approved by the Food and Drug Administration (FDA) in July 2022 as a primary series vaccine twice. Until now, it has been administered to people over 18 years old. The updated NovaVAX COVID-19 NovaVAVAX COVID-19 vaccine was approved in October 2023 and is currently for individuals over the age of 12. For more information about vaccines, see the following explanation: COVID-19 Vaccination Clinical Guidance | CDC
2. Should the facility report some primary vaccination data?On April 19, 2023, the FDA approved the number of dual vaccines and canceled the approval of the previous worthful vaccine, resulting in a simplification of the weekly COVID-19 vaccination module. For this reason, in the third quarter of 2023, all modules of lon g-term care facilities, medical staff safety management, and dialysis were deleted about some of the primary vaccination and questions about booster additives/ administration.
3. Does the facility need to report data on the complete series of primary vaccination?In the third quarter of 2023, questions about the COVID-19 primary vaccination series for long-term recupters and dialysis patients were deleted. From the first quarter of 2024, these questions have also been deleted for facilities reporting medical staff data through nursing care facility components and medical staff safety components.
4. How is a complete major series defined?For medical staff reporting between June 26, 2023 and December 31, 2023, a complete major series is defined as download:
- COVID-19 Ichigemi 2 times series
- Yansen COVID-19 vaccine single vaccination
- Yanssen's COVID-19 double-valuable vaccine administration
- Since September 25, 2023, a one-time update vaccine of COVID-19 in 2023-2024
Please note that from January 1, 2024, the main trend questions have been abolished in all items on the medical workers' report form.
5. What is the current definition of updated vaccines? What is the previous quarter definition?See CDC NHSN COVID-19: UNDERSTANDING THE BASICS AND UP-TO-DATE VACCINATE VACCINATION MODULES [PDF-672 KB]. This document describes the latest definitions and scenario examples. It includes the previous quarter definitions and examples. Always report vaccination data according to the definition corresponding to the week to report the data. For example, if it is necessary to report or modify the week data from August 7 to 13, 2023, effective for the third quarter of 2023 (June 26, 2023 to September 24, 2023). Use the updated definition.
6. What are the medical contraindications for vaccination in vaccination?NHSN's COVID-19 vaccination monitoring is the philosophical, religious, and other reasons that are currently approved or approved in the United States for the use of COVID-19 vaccination. Those that are not described as medical contraindications in clinical considerations are not considered a medical contraindicated COVID-19 vaccination, but must be described in question 3. 2. COVID-19 was recommended to vaccine, but refused.
7. Question 3. 1 Medical contraindications are required for NHSN data storage. If you do not get information on medical contraindications for patients in your clinic, how do you fill out this question?
If you do not get any medical contraindication information, the facility can enter zero (0) in this NHSN application question.
The form of LTC residents and dialysis patients will be from June 26, 2023, and the form of LTC and HPS medical staff will be questioned from January 1, 2024.the currentCOVID-19 is a medical contraindicated that hinders receiving vaccination.
Prior to January 1, 2024, question 3. 1 of the LTC and HPS healthcare worker form addressed medical contraindications that prevent receiving the Covid-19 vaccine required for completion of the Covid-19 primary vaccination series.8. A patient received the first dose of the Covid-19 monovalent vaccine but had a severe allergic reaction to that dose. As a result, they did not receive the second dose. How should this person be classified?.
Effective June 26, 2023 for LTC residents and dialysis patients and January 1, 2024 for LTC and HPS healthcare staff, question 3. 1. will classify them as having a medical contraindication that prevents them from receiving the latest dose of the Covid-19 vaccine due to a severe allergic reaction after the first dose.
LTC and HPS healthcare staff prior to January 1, 2024 are classified in question 3. 1 as having a medical contraindication to receiving the full primary series of COVID-19 vaccine due to a severe allergic reaction after a previous COVID-19 vaccine.
9. I have an individual who received COVID-19 vaccine forests but refuses to receive COVID-19 vaccine 2023-2024. How should this individual be classified?
LTC and HPS healthcare workers:
For reporting weeks from September 25, 2023 through December 31, 2023, in question #2 (full primary series), this individual should be counted as having received the bivalent series of CovID-19 vaccine. For reporting weeks after January 1, 2024, count the last Covid-19 vaccine dose as declined under question #3. 2 (Covid-19 vaccine was offered but declined).LTC Residents/Dialysis Patients
For reporting weeks after September 25, 2023, count the last Covid-19 vaccine dose as discarded under question #3. 2 (Covid-19 vaccine was offered but declined).10. How do I classify unvaccinated individuals who are exempt from Covid-19 vaccination due to religious or personal beliefs as exempted by facility policy?
Individuals who refuse vaccination for reasons other than medical contraindications listed in the interim clinical evaluation for use of a CoVID-19 vaccine approved or licensed in the United States should be classified as refusing CoVID-19 vaccination in question 3. 2.
This also applies if the facility grants exemptions to Covid-19 vaccination for religious or philosophical reasons.
11. If an individual cannot provide documentation of the first dose of the Covid-19 vaccine series received outside the facility, how should this be classified?
If an individual cannot provide documentation of vaccination, this should be reported in question 3. 3, “Unknown/Other Covid-19 Vaccination Status.”
12. How should facilities classify individuals who have not received the COVID-19 vaccine but would like to receive it?
Individuals who have not received the Covid-19 vaccine but would like to receive it should be reported in question 3. 3, “Unknown/Other Covid-19 Vaccination Status.”
For example, if an individual responds, "I have not had the opportunity to receive the vaccine, but I would like to receive it," they will be considered "Unknown/Other."
Also, if an individual states they have not received the COVID-19 vaccine outside of a medical facility, they will be considered "Unknown/Other."
Alternatively, if an individual states they have not received the COVID-19 vaccine and do not plan to receive it, please see question 3. 2 "Offered but reduced Covid-19 vaccine."
13. How do I categorize individuals who do not disclose their vaccination status?
Please report this under question 3. 3 "Unknown/Other COVID-19 vaccine status."1. What is the difference between the primary series and additional doses or boosters of the Covid-19 vaccine?
Data Reporting: Additional and Booster Doses
A primary dose series of Covid-19 vaccine received by an individual as of December 2020 includes the first and second doses of a Covid-19 vaccine that requires two doses to complete, or one dose of a Covid-19 vaccine that requires only one dose to complete.
A booster dose or booster is administered at least two weeks after completion of the primary vaccine series.
Please note that starting in Q3 2023, questions regarding booster and booster dosing have been removed from all vaccination modules in Long Term Care Facilities, Healthcare Staff Safety Component, and Dialysis Component.
2. Will facilities need to report booster and booster dose data beginning in Q3 2023?
As a result of the FDA approval of the bivalent vaccine for all doses on April 19, 2023 and the elimination of approval of the single-dose vaccine, the weekly COVID-19 vaccination modules have been simplified. As a result, for reporting weeks beginning in Q3 2023, all modules in the Long-Term Care, Personal Health Safety, and Hemodialysis components no longer have questions about booster and booster doses.
3. How are booster and booster doses defined if reporting data prior to Q3 2023?
A booster dose is a subsequent vaccine dose administered to individuals who are unlikely to develop a protective immune response after the first dose.People who are moderately or severely immunocompromised and received the Janssen COVID-19 vaccine in the initial series should receive a booster dose.
The COVID-19 bivalent vaccine consists of a component of the original virus strain and a component of the Omicron variant. Because it contains these two components, it is called a COVID-19 bivalent vaccine. A monovalent COVID-19 vaccine contains only one component of the original viral strain.
4. Can my facility enter data for booster or additional doses of COVID-19 vaccine?
Starting in Q3 2023, the booster and additional dose questions were removed in all Vaccination modules for the Long-Term Care Unit, Personal Care Safety, and Dialysis elements.In weeks prior to July 2023, facilities reported in the COVID-19 Vaccination module the cumulative number of people who received a booster or additional dose of COVID-19 vaccine after August 2021 among those who received the full primary series vaccine in question 2. 2. Refer to the instruction tables in the HCP, LTC, and Dialysis modules for how to enter data for booster and additional doses in the COVID-19 Vaccination module prior to July 2023.
5. How do I determine who is eligible for a booster dose?
Facilities should refer to the CDC Interimical Clinical Considerations for use of COVID-19 vaccines currently approved or authorized in the U. S. to determine who is eligible to receive a booster dose after receiving a full course of the first dose.Please note that starting in Q3 2023, the booster and booster dose questions have been removed from all vaccination modules in Long Term Care Facilities, Medical Staff Safety Component, and Dialysis Component.
2. Will facilities need to report booster and booster dose data beginning in Q3 2023?
Individuals are counted only for the doses they have received. The facility counts this staff member in question 2. 1 (only one of the two-dose primary series of COVID-19 vaccine). At this time, do not include this staff member in any booster or booster dose questions. Also, do not count this staff member in question 5 because they are not considered up to date.
Please note that beginning in Q3 2023 (week of June 26, 2023 - July 2, 2023), HCPs who received a single dose will be counted as Other/Unknown vaccination status in question 3. 3. This is because the partial primary line question was removed from the form beginning in Q3 2023.
7. What is the definition of update for purposes of reporting COVID-19 vaccination data in the NHSN COVID-19 Weekly Immunization Module?
NHSN's updated definitions for COVID-19 vaccination data monitoring are based on the CDC Clinical Evaluation and Update Definitions.
NHSN's surveillance definitions are designed to assess population trends and inform public health responses.NHSN should standardize criteria to ensure these definitions are applied in a consistent manner. Therefore, for surveillance purposes, NHSN surveillance definitions should remain stable for one reporting quarter and will not be updated until the next quarter as CDC clinical evaluations or updated definitions change.
For definitions of key CovID-19 vaccination terms and the most up-to-date vaccination-related definitions for NHSN public health surveillance purposes, see the COVID-19 Vaccination Module: Understanding Key Terms [PDF-212KB].
8. Is age required to determine COVID-19 vaccination status?
The update definition of NHSN's COVID-19 vaccination data in Survay Lance is based on the CDC's clinical estimation and the first day of the report on the first day of the report.
2022The third quarter of 2022
(June 27, 202 2-September 25, 2022) andThe second quarter of 2024(April 1, 202 4-June 30, 2024), the renewal definition of vaccination status by NHSN's tracking surveys varies from age to age.In other reports, the definition of renewal of NHSN Survay lance vaccination is the same for all individuals regardless of age.Don't forget to report the updated definitions related to the calendar week to report the data.
9. COVID-19 Why is the NHSN follow-up definition of the vaccination update changed to the beginning of the new area?
The update definition of NHSN's COVID-19 vaccination data in Survay Lance is based on the CDC's clinical estimation and the first day of the report on the first day of the report. Even if the definition guidance is announced in the middle of the previous quarter, a new definition will be applied from a new quarter to avoid the unevenness of data reports within the quarter.
For the definition of major terms related to vaccination for vaccination for the purpose of NHSN Public Health Surveyance, see COVID-19 vaccination: Understanding the main terms [PDF-212 KB] section.
1. Which medical staff should be included in the weekly COVID-19 vaccination data?
The facility must report the COVID-19 vaccination data of a medical professional who was qualified to work in the medical facility at least one day in the data collection week, regardless of clinical responsibility or contact with patients.
Data Reporting: Healthcare Personnel
In order to save data records in the NHSN application, the facility must enter data about the four categories of medical workers: an employee, an independent expert with a license (no n-employee doctors, senior nurse) , Doctor assistant), adult students / trainees over 18 years old, volunteers, and other contract staff.2. What kind of medical staff is considered to have work experience at medical facilities?
Medical staff with employment qualifications include those who are planning to work in a facility for at least one day every week.
For example, data is included in the data every Monday in the facility.However, the data is not included in the data once a month.
He is considered to have worked for one day, anywhere a day.
The facility should include the staff, even if the medical staff has a temporary vacation in the data collection week.
A temporary vacation refers to something with a period of two weeks or less.
If the vacation is more than two weeks, do not include it in the data collection week.
3. What nurses are considered independent practitioners?
Advanced practical nurse includes nurse practitioners, midwives, specialized nurses, and anesthesia nurse.
Advanced practical nurse who receives salaries by contract should be listed in the "Independent Specialist" category.However, advanced practical nurse, an employee of the facility, must report in the category of employees (salary staff).
Note that business trip nurse should be included in the "Other Contract Staff" if the salary is paid by the contract, not considered an advanced practical nurse.
4. Should an ambulance worker be included in the data?
Emergency workers who do physical labor
meansThose who are qualified to work at the facility at least one day at the facility (such as patient transportation) (such as patients) (if the salary is paid through contracts or contractors, other contract staff or facilities are directly employed by facilities. Entered the category of employees).However, it does not include an ambulance driver that does not work in the facility regularly on a weekly basis.5. Sales and sales representatives may visit my facilities and facilities, and may be present during surgery or other patient care activities. Should such a company be included in the category of other contracted staff?
Yes, if you are working in a facility regularly (weekly), regardless of clinical responsibilities or contact with patients, you should be included in other contract staff categories.
6. What are the examples of the contract HCP and the contractor HCP to be included in the vaccination report of NHSN COVID-19.
The following list includes an example of an HCP that provides patients directly or no n-patients with contract providers and provider s-based providers. This list does not cover everything. < SPAN> However, data is not included in the data once a month.
He is considered to have worked for one day, anywhere a day.
The facility should include the staff, even if the medical staff has a temporary vacation in the data collection week.
A temporary vacation refers to something with a period of two weeks or less.
- If the vacation is more than two weeks, do not include it in the data collection week.
- 3. What nurses are considered independent practitioners?
- Advanced practical nurse includes nurse practitioners, midwives, specialized nurses, and anesthesia nurse.
- Advanced practical nurse who receives salaries by contract should be listed in the "Independent Specialist" category.
- However, advanced practical nurse, an employee of the facility, must report in the category of employees (salary staff).
- Note that business trip nurse should be included in the "Other Contract Staff" if the salary is paid by the contract, not considered an advanced practical nurse.
- 4. Should an ambulance worker be included in the data?
- Emergency workers who do physical labor
- means
- Those who are qualified to work at the facility at least one day at the facility (such as patient transportation) (such as patients) (if the salary is paid through contracts or contractors, other contract staff or facilities are directly employed by facilities. Entered the category of employees).
- However, it does not include an ambulance driver that does not work in the facility regularly on a weekly basis.
- 5. Sales and sales representatives may visit my facilities and facilities, and may be present during surgery or other patient care activities. Should such a company be included in the category of other contracted staff?
- Yes, if you are working in a facility regularly (weekly), regardless of clinical responsibilities or contact with patients, you should be included in other contract staff categories.
- 6. What are the examples of the contract HCP and the contractor HCP to be included in the vaccination report of NHSN COVID-19.
- The following list includes an example of an HCP that provides patients directly or no n-patients with contract providers and provider s-based providers. This list does not cover everything. However, the data is not included in the data once a month.
- He is considered to have worked for one day, anywhere a day.
- The facility should include the staff, even if the medical staff has a temporary vacation in the data collection week.
- A temporary vacation refers to something with a period of two weeks or less.
- If the vacation is more than two weeks, do not include it in the data collection week.
- 3. What nurses are considered independent practitioners?
- Advanced practical nurse includes nurse practitioners, midwives, specialized nurses, and anesthesia nurse.
- Advanced practical nurse who receives salaries by contract should be listed in the "Independent Specialist" category.
- However, advanced practical nurse, an employee of the facility, must report in the category of employees (salary staff).
- Note that business trip nurse should be included in the "Other Contract Staff" if the salary is paid by the contract, not considered an advanced practical nurse.
- 4. Should an ambulance worker be included in the data?
- Emergency workers who do physical labor
- means
- Those who are qualified to work at the facility at least one day at the facility (such as patient transportation) (such as patients) (if the salary is paid through contracts or contractors, other contract staff or facilities are directly employed by facilities. Entered the category of employees).
- However, it does not include an ambulance driver that does not work in the facility regularly on a weekly basis.
- 5. Sales and sales representatives may visit my facilities and facilities, and may be present during surgery or other patient care activities. Should such a company be included in the category of other contracted staff?
- Yes, if you are working in a facility regularly (weekly), regardless of clinical responsibilities or contact with patients, you should be included in other contract staff categories.
- 6. What are the examples of the contract HCP and the contractor HCP to be included in the vaccination report of NHSN COVID-19.
- The following list includes an example of an HCP that provides patients directly or no n-patients with contract providers and provider s-based providers. This list does not cover everything.
- Contract providers and HCP providers include no n-employee care providers that are involved in patient care or not involved:
- Admission Staff / Graphic Support / Metro Gjist
- Agent nurse
- An ambulance driver (driver entering the facility to assist in transportation)
- Biomedical engineer (driver entering the hospital to pick up patients to the hospital
- Central supply staff (staff to enter the hospital (medical engineers who pick up patients to the hospital, etc.)
Cafe
Construction worker (work in the facility)
Meal/ Nutrition staff
Nutritionist
Dialysis engineer
Electrocardiogram
Muscl e-diagram inspection technician
Home helper
Cleaning staff
IT staff
Inspection room phlehotometer
Inspection room technician
Landscape Decorator (working in the facility)
Laundry staff
Maintenance staff / mechanical engineering
Nursing assistantIndustrial therapist
Patient care engineer
Patient transfer staff
Locations and Enrollment
pharmacist
Pharmacy/ pharmacist
Physiotherapist
Psychologist
Psychology engineer/ mental health worker
Radiation engineer X-ray engineerRecreation/ music therapist
- Respiratory therapistGuardsSocial worker / case manager
Language therapist
- Surgical engineer
- Touring nurse
- Ultrasonic engineer
Usage examination nurse
7. There is no contact with the patient, but should the medical staff in the facility be counted at a staff meeting?
Regardless of clinical liability or contact with patients, you should count a qualified medical staff to work in a facility.
- For example, medical workers who are officially responsible for the facilities, such as attending regular meetings and necessary training, should count.
- However, during the reporting period, medical professionals who are not officially staying in facilities for specialized duties (for example, come to the facility for lunch) do not need to be counted.
- 8. Is it necessary to include of f-site, remote, or employees working outside the state, such as employees who are practicing remote medicine, in data reports?
no. no. Only medical professionals in physique suitable for working at medical facilities are included.
9. Is the weekly vaccination data of COVID-19 need to include medical workers on sick leave?
The facility should also include the staff if the medical staff has a temporary vacation during the data collection week.
A temporary vacation refers to a period of two weeks or less.
- Examples of temporary vacation include illness and vacation.
- If temporary leave has been more than two weeks for the past two weeks, medical professionals should not be included in the question 1 of the week of data collection.
- Therefore, those who have been sick for three days a week will be included in the office.
However, the data is not included in the data for two months.
10. If some people are working in multiple facilities, do my facilities need to report their weekly vaccination data on their Covid-19 through NHSN?
yes. Since these reports describe the vaccination rate of individuals working in specific facilities, it is necessary to count all the target individuals at each facility working in the week of data collection.
11. How should medical workers who stop working at the facility report be reported?
Regardless of clinical liability or contact with patients, it includes qualified medical professionals who worked at this medical facility at least one day in the week of data collection.
For example, if a person worked at a facility from Monday to Thursday, but was fired on Friday of this report, the data of this report will include that person.
9. Is the weekly vaccination data of COVID-19 need to include medical workers on sick leave?
1. Should separate facilities share a single CCN (CMS authentication number) be registered separately in NHSN?
If the facility is a physically separate building and crosses the same premises or multiple campuses, it should be registered separately in NHSN.
Each facility should have a unique NHSN Orgid.
If CCN is shared in multiple facilities, the CDC ties data from all applicable NHSN Orgid and sends it to CMS with a single CCN for CMS reports.
For accurate tracking, public health surveillance, and for analysis purposes, each individual Orgid is required to be tracked and reported on COVID-19 vaccination individually.
2. How should acute medical facilities report summary data on the vaccination of medical professionals?
As part of the CMS HOSPITAL INPATIENT Quality Reporting (IQR) program, when reporting on COVID-19 medical staff vaccination summer data to NHSN, when deciding which area of acute medical facilities, the following guidance is the following guidance. Follow Should be:
Including all hospitalization wards / departments in the acute care facility, share the same CMS [CCN] certification number (100 %) as the acute care facility. This includes an inpatient rehabilitation ward and a behavioral hygiene hospital ward.
Not
Data Reporting: Resources
It includes a hospital rehabilitation ward without a CMS certification and has no CCN and a behavioral medical hospital ward.
Example 1: A rehabilitation ward in the acute period treatment that shares the same CCN as the acute care facility
- The rehabilitation ward has a CCN 337766, not a CMS certified i n-hospital facility (IRF).
- Acute treatment facilities have CCN 337766.
- The ward is located in the wall of acute medical facilities.
Guidance rehabilitation facilities and acute care facilities share the same CCN and are in the same building, so the data in the rehabilitation ward is integrated with the acute care facility data and reports through one institution.
Includes all outpatient wards / categories in the acute period treatment building, which share exactly the same CCN (100 %) as the acute care facility.Example 2: Outpatient department in the acute period treatment building that shares the same CCN as the acute care facilityThe outpatient radiation image diagnostic division has CCN 441122.Acute treatment facilities have CCN 441122.
- Both facilities are in the same building.
- The guidance radiation image diagnostic department and the acute care facilities share the same CCN and are in the same building, so the dutt of this department is integrated with the acute treatment facility data and reports in Orgid.
When the hospitalization or outpatient unit / segment of an acute care facility has a CCN different from the acute care facility (even if it is one character or the number one number) (even if it is one character or the number one) (CMS Certified Psychiatric ward or hospitalization rehabilitation facility, etc. ), The CMS certified unit is mapped as an acute care facility unit, and the data must be reported separately.
- The rehabilitation ward has a CCN 337766, not a CMS certified i n-hospital facility (IRF).
- Acute treatment facilities have CCN 337766.
- The ward is located in the wall of acute medical facilities.
The CCN of the acute treatment facility is 556688.The facilities are physically in the same building.Guidance IPF units should be mapped as acute facilities on NHSN. Since IPF has a different CCN from the acute facility, rehabilitation data should be reported in the Orgid of the NHSN acute period, but weekly IPF vaccination records should be created separately.
- 3. In the hospital IPF, facilities that have a CMS authentication number (CCN) different from acute facilities and critical access facilities are usually not necessary to register with NHSN, but why are independent psychiatric facilities (IPFs)? Is it necessary to register with NHSN?
- IPFs, unless the affiliated acute care facilities or critical access facilities are not yet registered with NHSN, or if the IPF unit is not located in the wall of acute and critical access facilities that are physically affiliated. The unit does not need to register or activate medical workers' security (HPS) components.
The IPF unit in the hospital can be mapped as a position of the already registered or severe access facility.
- When an IPF module is added as a installation location, the CCN specific to the IPF module is linked to this installation location, and the data is reported individually.
- 4. 4. Report the data of the i n-hospital rehabilitation facility (IRF) that is physically installed in the acute medical facility of our hospital. The IRF unit has the same CCN as the hospital, but the third position is "R" or "T". How should IRF ward data be reported to NHSN?
- When the hospitalization or outpatient unit / segment of acute care facilities has a CCN different from the acute care facility (even if it is one character or the number one number) (CMS certified psychiatric unit or hospitalization rehabilitation) (Facilities, etc.), CMS certified units are mapped as a unit for acute care facilities, and the data must be reported separately.
The ward shares the same Orgid as an acute phase hospital, but NHSN has a separate record (at its own CCN and embassy).
Exception: The bed in the unit is reported with the acute phase hospital.
5. You must report the COVID-19 medical staff summer data of the IPF and/ or IRF unit. How can I add these units to an existing NHSN facility as a site?
6. Can the COVID-19 vaccination data of the IPF and/ or IRF ward be submitted in the same . csv file as the COVID-19 vaccination data in the related acute ward or severe access ward?
yes. All IRF, IPF, and hospital data can be uploaded to one . csv file.7. If the IRF or IPF unit has exactly the same CCN as an acute care or critical access facility, is it necessary to report the data of the IRF or IPF unit separately from the facility?
Data Reporting: CSV Upload
If the IRF or IPF facility CCN is 100 % the same as CCN in acute medical or critical access facilities, CMS does not need to report the vaccination data of COVID-19 by medical workers individually.Therefore, the number of medical professionals working in IRF or IPF facilities can be included in the number of acute medical facilities or the entire critical access facility.
However, if the IRF or IPF CCN is only one character or 1 number of the acute or critical access facility (for example, if there is "T" or "R" in the third position). You must assign it as a location or register as another NHSN facility, and report the data separately.1. Where can I get the teaching materials for reporting COVID-19 vaccination data through NHSN?
NHSN has created many materials for facilities. The facility can access teaching materials on reporting of vaccination data through NHSN from the following website:
Data Reporting: Dialysis Facilities
Lon g-term care facilities reporting data of medical staff and residents
Facilities other than lon g-term medical treatment reporting data of medical workers and residents
A dialysis facility that reports data about patients
These websites include data collection forms, data report instructions, training slides, reports and analysis guides, data tracking worksheets, . csv file ten plates and instructions.
2. How can my facility submit a COVID-19 vaccination data through NHSN?
All facilities can submit COVID-19 vaccination data through NHSN.
Use COVID-19 cumulative vaccination summary form.There are two ways to enter the COVID-19 vaccination data in the cumulative vaccination summary form of COVID-19
COVID-19 directly input to the vaccination cumulative summary form
Upload the . csv file to the cumulative summary form of the vaccination in the vaccination and enter the data directly in the cumulative summer form.The method of uploading the template of the . csv file and the vaccination data of the COVID-19 is described in the "Import CSV Data" section on the following web page:
Lon g-term nursing facilities that report data of medical staff and residents
Non-long-term care facilities reporting data on health care workers
Dialysis facilities reporting data on patients
Long-term care facilities and facilities reporting COVID-19 vaccination data in the Individual Health Security (HPS) component can also report data using the COVID-19 Individual-Level Vaccination Form. These forms are an expanded version of the Excel documents used for data submission in the past. There are two ways to enter COVID-19 vaccination data into the COVID-19 Individual-Level Vaccination Form:
Direct Entry into the Individual-Level COVID-19 Vaccination Form
Uploading a . CSV file into the Individual-Level COVID-19 Vaccination Form.
For more information on how to submit data using the COVID-19 Cumulative Vaccination Summary Form or the COVID-19 Individual-Level Vaccination Form, please visit the following websites:
Long-term care facilities
HPS facilitiesDialysis facilities
Patient Vaccination
3. Why does my facility need to report data through NHSN when vaccination data is already submitted through other systems such as the Immunization Information System (IIS)? NHSN collects COVID-19 vaccination data at the facility level, so facilities are encouraged to report data through NHSN (in addition to other data reporting systems).
Most state immunization information systems do not include the information necessary to determine whether vaccinated individuals are nursing home residents, dialysis patients, or health care workers.The NHSN COVID-19 Vaccination Module allows facilities to track vaccination rates for residents, patients, and health care staff in their facilities.
4. Who do I contact with questions about NHSN COVID-19 vaccination data reporting?
Submit questions to the NHSN Help Desk using NHSN-ServiceNow. Submit questions to the NHSN Help Desk using NHSN-ServiceNow. Use this link instead of nhsn@cdc. gov, nhsntrain@cdc. gov, or nhsndua@cdc. gov. ServiceNow helps NHSN teams answer your questions more quickly. Users are authenticated through CDC's Secure Access Management Service (SAMS) the same way they access NHSN. If you do not have a SAMS connection or access to ServiceNow, you can still email the NHSN Help Desk at nhsn@cdc. gov.
1. What is the maximum file size for uploading a . CSV vaccination data file for COVID-19?
We recommend that facilities submitting COVID-19 vaccination data in large . csv files upload files with a maximum of 500 rows to ensure successful file upload.
2. Does the . csv file have built-in warnings to prevent mathematical errors?
The . csv upload has built-in notifications in the report grid so that a message appears when the upload is successful.
NHSN automatically populates the uploaded data. If errors are detected during the upload, a window is generated with a description of these errors.
1. Does my facility need to report vaccination data for healthcare workers and COVID-19 patients through NHSN?
The Centers for Medicare and Medicaid Services (CMS) End-Stage Renal Disease (ESRD) Network Program (CMS) has established COVID-19 vaccination reporting requirements through March 2021.
Data reporting requirements are determined by the ESRD Network Program, so we recommend contacting your ESRD Network.
Your ESRD network can provide relevant information regarding COVID-19 vaccination data reporting through NHSN for medical staff and dialysis facility patients.
2. What is the reporting week for COVID-19 vaccination data reporting for dialysis patients and medical personnel?
For patients, it is Wednesday through Tuesday. The reporting week for staff is Monday through Sunday. | 3. Which patients should be included in question 1 of the data collection form? | All patients who received dialysis from the facility during the reporting week should be included, whether they received it at the facility or at home. |
Home dialysis patients also include patients receiving dialysis or peritoneal dialysis at home. | 4. How do I count patients who receive care from the facility every week? | If a patient receives care from a dialysis facility for multiple weeks, count them for each week they receive care. |
For example, if a patient received care from a dialysis facility for 5 weeks, you would include that patient in the facility data for each 5 weeks. | 5. When reporting the number of patients receiving dialysis from the facility during the current reporting week, do I include lapsed patients? | Yes, if a patient received care at the facility one or more days during the reporting week, it will be counted in question 1 of the data collection form for that week. |
However, these patients are not included in the weekly data report. | 6. Is it necessary to report the data of patients who received dialysis treatment from other facilities during recent hospitalization? | Report, including patients treated from dialysis facilities at least one day. |
If the patient receives only dialysis treatment during hospitalization, it is not necessary to report the patient data. | However, if the patient is hospitalized that week and is treated at your dialysis facility at least one day in the week, it is necessary to report the patient data. | 7. How do I report the data of patients with chronic or acute diseases? |
Include all patients who have received dialysis from facilities that week, including patients with chronic or acute diseases. | 8. In the case of hospita l-based programs, should medical staff report both hospital facilities and dialysis data? | If a medical professional has a qualification in a hospital and a dialysis facility, each facility should include the personnel in the data. |
9. Can multiple teams upload . csv files in COVID-19 vaccination data files? | NHSN users can belong to multiple groups. | Users need to confirm that NHSN is uploading and/ or browsing COVID-19 vaccination data of the correct group. |
Users must log in to medical staff security components to upload and/ or display the COVID-19 vaccination data of medical staff. | To upload and view COVID-19 vaccination data for dialysis patients, you need to use a dialysis element. | Note that the facility needs to decide which group to upload data among the groups that have allowed NHSN to view their own data. |
If the data of a facility is uploaded from one group or Supergroup to NHSN via Upload. csv Bulk, the data will be overwritten by the second data upload group for the facility later or after the date changes. It may be done. | Therefore, NHSN recommends that the facility provides access only to one group/ super group to upload data. | Groups or super groups can include the health department. |
It is also important to note that if the facility enters the data independently, it will not be overwritten by a collective upload from a group / super group. In this case, it should be noted that, unlike group uploading, facilities can overwrite previously loaded data. | 10. What is the new report rate of COVID-19 vaccination data of dialysis facilities now, after an emergency in public health? | After May 11, 2023, patients and staff's COVID-19 vaccination reports are required. The dialysis facility must continue reporting COVID-19 vaccination for NHSN's COVID-19 patients and medical staff. However, since May 11, 2023, the facility must report only the patient and staff's COVID-19 vaccination data every month. |
Note that the week is defined as belonging to the month, including the date of the week. For example, the week from May 29, 2023 to June 4, 2023 is counted as the week of June. For patients and medical staff, the data for the previous month is submitted on Friday of the first business day. | 11. What is the deadline for reporting patient data and medical workers in dialysis facilities? | Patient report week |
Staff reporting week | due date | 12/20/2023-12/26/2023 |
12/25/2023-12/31/2023 | January 5, 2024 (Friday) | 1/24/24/2024-1/30/2024 |
1/22/2024-1/28/2024 | February 9, 2024 (Friday) | 2/21/21/2010-27/27/2024 |
Reporting COVID-19 Healthcare Personnel Vaccination Data
March 8, 2024 (Friday)3/20/2024-3/26/2024
- 3/25/2024-3/31/2024
- April 5, 2024 (Friday)
- 4/24/24/2024-4/30/2024
- 4/22/2024-4/28/2024
- May 10, 2024 (Friday)
- 5/22/2024-5/28/2024
- 5/20/2024-5/26/2024
- June 7, 2024 (Friday)
6/24/24/2024-6/30/2024
July 5, 2024 (Friday)
7/24/24/2024-7/30/2024
7/22/2024-7/28/2024For specific facility types, contact the following programs:
- Ambulatory Surgery Centers: CMS QualityNet Question and Answer website
- 8/19/2024-8/25/2024
- Hospital Quality Reporting Program (hospitals): CMS Q & A
- Cancer Hospital Quality Reporting Program: qrformssubmission@hsag. com
- Psychiatric Inpatient Facility Quality Reporting Program: ipfqualityreporting@hsag.
- Rehabilitation Quality Reporting Program: question@cms. hhs. gov
- Long-term Acute Care Reporting Program: ltchqualityQuestions@cms. hhs. gov
- 10/21/224-10/27/2024November 8, 2024 (Friday)
11/18/2024-11/24/2024
December 6, 2024 (Friday)
12/25/2024-12/31/2024
12/23/2024-12/29/2024
January 10, 2025 (Friday)
End date of personal data report of patients and medical workers in dialysis facilities
1. Where is the information about the CMS report program that suits the type of your own facility?The facility can find the exact language of the CMS report program that corresponds to the CMS website from the following link:
CMS Hospital Quality Report Program (IQR)CMS Hospital Quality Reporting Program (OQR)
CMS Long Term Care Reporting Program (LTCHQR)
CMS Rehabilitation Facility Quality Reporting Program (IRFQR)
CMS End-of-Life Rehabilitation (ESRD) Quality Incentive Program (QIP)
CMS Hospital Quality Reporting Program (PPS) (PCHR)
Data Reporting: Long-term Care Facilities
CMS Surgical Center Quality Reporting Program
CMS Psychiatric Facility Quality Reporting Program (IPFQR)
2. How does my data get sent from NHSN to CMS?
CMS will provide CDC with a list of CMS Certification Numbers (CCNs) that are expected to receive data for required reporting.
CDC will receive that list and extract the appropriate data from each NHSN facility for the CCNs on the CMS list.
The data will be "frozen" at midnight on the reporting due date, and CDC will send the data to CMS according to the CCN on the next business day.
- 3. CMS Who do I contact if I have further questions about submitting data for reporting?
- For specific facility types, please contact the following programs:
Ambulatory Surgery Centers: CMS QualityNet Q& A Site
Dialysis: CMS QualityNet Q& A Site
Healthcare Quality Reporting Program (Hospitals). A
Cancer Hospital Quality Reporting Program: qrformssubmission@hsag. comPsychiatric Inpatient Facility Quality Reporting Program: ipfqualityreporting@hsag. com
Rehabilitation Quality Reporting Program: question@cms. hhs. gov
Long-Term Acute Care Reporting Program: ltchqualityQuestions@cms. hhs. gov
Skilled Nursing Facility (SNF) QRP Help Desk:
SnfqualityQuestions@cms. hhs. gov
4. What COVID-19 Vaccination Facility Data is Submitted to CMS?
COVID-19 Healthcare Professional (HCP) COVID-19 Summary Summary data submitted to NHSN is provided by the CDC to CMS by facility by CMS Certification Number (CCN). CDC will provide HCP CoVID-19 vaccination coverage rates for each reporting CCN.For facilities that report one or more weeks per month, data for the last week of the reporting month will be shared with CMS.
CDC will provide HCP CoVID-19 vaccination coverage rates for each reporting CCN.
Each quarter, CDC will calculate the quarterly HCP CoVID-19 vaccination coverage rate for each CCN by taking the average of the three weekly coverage rates data submitted by facilities for that quarter.
2. Will facilities need to report booster and booster dose data beginning in Q3 2023?
COVID-19 HCP, which has a medical contraindication specified by NHSN for vaccination, is excluded from the denominator.5. What kind of procedure should the facility take to submit data to CMS?
Tips for submitting COVID-19 medical professional vaccination data through medical workers components (HPS) are described in hints to submit COVID-19 medical workers (HCP) vaccination data. [PD F-249KB]
6. How to verify the COVID-19 medical worker vaccination data of the facility?
Check the COVID-19 Weekly Vaccination Summary (COVID-19 weekly vaccination summary) form.
After changing the data, click the "Save" button.
Data Reporting: Long-term Care Facilities - Optional Reporting of Influenza and Respiratory Syncytial Virus Vaccines
See here for how to execute a row report to check the saved weekly data, see here: Weekly vaccination report COVID-19-Hospitalization facility [PDF-250 KB].
In order to predict the quarterly or monthly vaccination rate of data submitted for medical professionals, guidance on how to execute the CMS COVID-19 vaccination rate is available: 2024-CMS Quick Guide CMS table [PDF-250 KB].
7. Is there any data quality control to be considered when reviewing vaccination data of your own facility?
1. Long-term medical treatment facilities must report the vaccination data through NHSN, but what level is the safe access management service (SAMS) access?
Long-term nursing homes can access the NHSN Weekly COVID-19 vaccination module with SAMS level 1 access.
However, level 1 access is a provisional measure that restricts access to the NHSN application.
NHSN continues to encourage facilities to obtain level 3 access when registration of level 1 is completed.
The difference between Level 3 and Level 1 is the safety measures for data security because level 3 provides more secure data upload.
If you do not have a level 3 user, please contact Sams Help Desk. Please contact the following from 8:00 am to 8:00 pm from Monday to Friday (excluding US Federal holidays) in the eastern United States from Monday to 8:00 pm:
Free dial: 877-681-2901Email: Samshelp@cdc. govAdditional information is also posted on the SAMS user FAQ posted on the SAMS website (https: // sams. Cdc. Gov).
Users with a level 1 SAMS access right can use the new optional event level (human level) COVID-19 vaccination form to summarize and submit data to the weekly COVID-19 vaccination module. Please note that you cannot.For more information on how to register the facility, please refer to registration of nursing care facilities. 2. How do I report the weekly vaccination data of COVID-19 through NHSN?COVID-19 vaccination data for medical staff and residents must be reported to NHSN every day, and must be standard weekly data from Monday to Sunday.
For example, the vaccination data for the week from October 5 (Monday) to May 16, 2021 (Sun) will be reported to NHSN from the following week (May 17, 2021 to May 23, 2021). You can.
As another example, a nursing home reports NHSN the vaccination data of COVID-19 every Wednesday.The data reported on May 26 (Wednesday) is a typical vaccination data from May 17 (Mon) to May 23 (Sun).
If you wish, you can report the current standard week data. Data can be updated at any time.
For other specific questions regarding the CMS report requirements and the deadline for submitting data of the lon g-term medical treatment facility, please send it to the following e-mail address: dnh_triageteam@cms. Hhs. Gov.
3. How do you report the residents who have received all the primary vaccinations and have been vaccinated twice or more?
When reporting COVID-19 vaccination data before June 26, 2023, in question 4. 1 and question 4. 2, they received only one booster inoculation (question 4. 1) and two additional booster inoculation (question 4. 2). We are asking users to report the cumulative number of residents.
In the scenario above, the person is counted in question 2 that he received all primary vaccinations, counted in question 4 that he received additional inoculation, and was counted as having more than twice in question 4. 2.
COVID-19 Vaccination Sections: Understanding The Basic Terms Up-TO-Date Vaccination (Cover-19 Vaccination Section: Understanding basic terms and the latest vaccination) [PDF-250 kb] Refer to report the data Based on the updated definitions related to the calendar week, determine whether the residents are considered up to date in COVID-19 vaccination.
It should be noted that in the third quarter of 2023, in the lon g-term medical ward elements, personal health and safety elements, and all vaccination modules of dialysis elements, no questions of additional and inoculation have been given.
4. How do you report the residents who have been discharged from the facility?
Include at least one day (at least 24 hours) in the bed in the facility in the data collection week.
For example, if a resident remains in a facility for two days a week but is released, the resident will be included in the current report data.
However, the subsequent report will be deleted from the data.
5. If the pharmacy performs a vaccination clinic for COVID-19 at my facility, does the pharmacy report vaccination data to NHSN, or my facility reports data?It is important for long-term medical treatment facilities to report this data to NHSN, as pharmacies and other vaccinations do not report the vaccination data of COVID-19 to NHSN.
- 1. Is the lon g-term nursing care facility needed to report the influenza of residents and RSV vaccination data to NHSN?
- NHSN Respiratory pathogen Vaccination vaccination units are irresponsible to report flu and RSV vaccination data. If a lon g-term recuperation facility chooses to report influenza and RSV vaccination data to the NHSN respiratory pathogen vaccination unit, the data may report only the residents of the lon g-term medical treatment facilities. Participating facilities selected to report influenza and RSV vaccination data are outlined in the 202 3-t o-2023 respiratory pathogen vaccination protocol [PD F-414 KB], as the data is reported in all facilities. Data must be reported using the definition.
2. If a lon g-term medical treatment facility chooses to report influenza and RSV vaccination data in the NHSN respiratory pathogen vaccination section, how often should the facility report this data?
Person-Level Vaccination Reporting: General
Influenza and RSV vaccination summary data forms are set on a weekly basis. Users can select the frequency and week to report the influenza/RSV vaccine data. Ideally, it is reported in the same "week" as COVID-19 vaccine. The report on NHSN is defined from Monday to Sunday. Furthermore, the standard week is defined as belonging to the month of the week. For example, the weekly reporting data from September 25 to October 1 is considered to be the weekly report data.3. Where can I report the influenza and RSV vaccination data of NHSN's lon g-term care facility residents?
Influenza and RSV vaccination data can be reported on the NHSN optional Weekly Cumulative Chronic Influenza/RSV Vaccination Summary for Long-Term Care Facilities form [PDF - 182 KB]. To find this form in the NHSN app, hover over the COVID-19/Respiratory Pathogens tab in the left menu of the NHSN homepage and click Immunization - Residents. From the Weekly Vaccination Calendar view, there are three tabs for each reporting week:
Click the FLU/RSV: Residents tab to complete the Weekly Cumulative Influenza/RSV Vaccination Summary for Long-Term Care Facilities form. Note that the FLU/RSV: Residents tab is only accessible if the Resident Flu/RSV Cumulative Vaccination Summary for Long-Term Care Facilities form has already been saved and submitted to NHSN.
4. What data fields must be completed on the Influenza/RSV Vaccination Cumulative Summary form for Long-Term Care Facilities to store and submit influenza and RSV vaccination data?
- If a long-term care facility chooses to report influenza and RSV vaccination data to NHSN, the following questions must be answered:
- Question #1 (Number of residents who stayed at this facility for 1 or more days during the data collection week). Question #1 is asked for at least 1 day during the survey week.
From the totals saved and submitted by Question #1 on the Resident COVID-19 “Cumulative Summary of Vaccination for Long-Term Care Facilities” form.
Users may report data for the Influenza section only (Question 2-2. 3), the RSV section only (Question 3-3. 3), or both sections. Questions 2-2. 3 ή 3-3. 3
(Influenza and
RSV Vaccination
Module) must be manually completed. If you enter at least one value in either Question #2- 2. 3 or Question #3- 3. 3, you must also enter values in the remaining data fields in the Influenza and RSV Vaccination Module. If you enter at least one value in either Question #3- 3. 3, you must also enter values in the remaining data fields in the Influenza and RSV Vaccination Module. Therefore, if there are no facility residents who fall into a particular category, the facility should enter a "0" in the data field.For influenza and RSV vaccination data to be successfully saved and submitted, the sum of Question #2-2. 3 ή 3-3. 3 must be greater than or equal to the sum of Question #1.
5. Who should be counted as a current recipient of influenza and RSV vaccination?
Residents who received the influenza vaccine between September 2023 and May 2024 should be counted as a current recipient of influenza vaccination.
- 3. CMS Who do I contact if I have further questions about submitting data for reporting?
- For specific facility types, please contact the following programs:
7. Is it necessary to prove the receiving an influenza or RSV vaccine to count the resident in the updated category?
If the resident lives in a lon g-term nursing home, if an influenza or RSV vaccine is vaccinated, documents from the facility are sufficient, and the residents can count as the latest state of influenza or RSV vaccination.If an influenza vaccine or an RSV vaccine is vaccinated in a no n-lon g-term nursing home where the resident resides, to be counted as the latest influenza vaccine and RSV vaccine, report it in a letter (paper or electronic medium). , You must submit a document proving that you have been inoculated elsewhere.If you cannot submit a document that proves that any vaccine has been inoculated in a lon g-term care facility where the residents live, the verbal remarks are not recognized as evidence, so the residents are "Other / vaccination. It is counted in the category of "situation unknown".
8. How do I check if I submitted data on influenza vaccine and RSV vaccination to NHSN?
NHSN's NHSN NHSN NHSN NHSN vaccination calendar when your lon g-term care facility reports and submits the influenza/RSV vaccination layout for lon g-term care facilities formatting and submits and submits the residents The "Influenza/RSV: Resident" tab in the weekly view is displayed in green, indicating that it has been recorded and submitted.9. Where is the information about influenza vaccine and respiratory cell virus (RSV) vaccine?
Influenza virus and respiratory cell virus (RSV) are common viruses that cause light cold symptoms. However, people living in nursing homes and lon g-term nursing care facilities are at a high risk of serious illness and health complications due to these pathogens. For the first time, vaccines for flu, RSV, and COVID-19 have been available, and have been able to protect themselves from serious illness. For more information, see the 2023-2024 Fall / Winter Vaccination Outline.10. How to report the cumulative data?
Unlike incident vaccination data, which is a new new influenza vaccination in one week, the cumulative vaccination data is the influenza vaccine since the use of influenza vaccine. The total number of people who received vaccination. For weekly influenza reports, the facility shall report cumulative data. The example is the following: 1st week: 10 residents were influenza vaccination.Week 2: Five more residents were influenza vaccination.
The facility must report 15 residents who have been vaccinated with influenza at the facility by the end of the second week.1. Is the personal-level COVID-19 vaccination slip required for data input to NHSN?
COVID-19-level vaccination form is an optional tool that can be used to report COVID-19 vaccination data. The personal-level form is replaced by the optional Excel data tracking worket, which has been provided to the facility to support the weekly COVID-19 vaccination module report.
Since March 28, 2022, long-term nursing facilities use these COVID-19 vaccination forms at the COVID-19 level, select the "View Reporting and Submission" button and select HCP and resident data in weekly modules. There is an option to report.
Since September 11, 2023, the facility reporting COVID-19 vaccination data in the medical worker security (HPS) component will also use individual COVID-19 vaccination forms to use the HCP Master's weekly vaccination module. You will be able to report the data. It is recommended that all LTC and HPS facilities use these forms to simplify the concentration data of the weekly vaccination module of COVID-19.
If the facility does not choose to use the COVID-19 vaccination form at the COVID-19 level, you can continue to submit summary level data in the following method:
Directly on the vaccination unit data input screen of COVID-19.
COVID-19 Input directly into the COVID-19 vaccination week module through the online data input screen of the vaccination module.
Users with SAMS level 1 access rights can use the optional Covid-19 vaccination form at the COVID-19 level of the LTC component to summarize and submit data into weekly COVID-19 vaccination modules. Please be careful.2. When using an optional COVID-19 vaccination form at the COVID-19 level, is it no longer needed to fill in COVID-19 HCW and resident unit?
The COVID-19 vaccination form, an option at an individual-level option, is a tool that can support HCP and resident core-19 vaccination data management and reporting facilities on a weekly basis.If the facility chooses to use this tool, select "Display reports and submissions" and select the week of interest, at least once a week in lon g-term care facilities, at least in other facility types. Once, you need to submit data to the HCP vaccination COVID-19.
3. Do I need level 3 SAMS access to use a personal level COVID-19 vaccination form?Level 3 access is required to use the optional COVID-19 vaccination form at the COVID-19 level.If the personal-level vaccination form is not displayed under the COVID-19 tab, you may not be able to access the SAMS level 3.
If you apply for access to level 3, please contact Sams Help Desk. Please contact the following from 8:00 am to 8:00 pm from EST Monday to Friday (excluding US Federal holidays):
Free dial: 877-681-2901
Email: Samshelp@cdc. gov
4. How long can the vaccination data be reported at the individual level?
The COVID-19 vaccination form at the COVID-19 level of LTC residents and staff will report data in the weekly COVID-19 vaccination module from March 28, 2022 to April 3, 2022. It can be used for it.
From September 11, 2023, personal-level COVID-19 vaccination formMedical worker safety (HPS) component medical professionals
Weekly COVID-19 can be used for data reports on vaccination modules. Users can save and submit data for the report week after June 26, 2023 to July 2, 2023.
Click the "First Day Data Collection Week" menu to display all reports after the perso n-level vaccination form is available. Also, information about the week's data may be displayed in text next to the date. The meaning of each label is as follows.
Not to submit using a huma n-level vaccination form:
COVID-19 Weekly Summary セクションで Weekly Summary Form または Weekly Summary CSV アップロードを使用してすでに報告された週は、Individual-level Vaccination Form を使用して提出することはできません。 Instead, go directly to the COVID-19 Weekly Summary section and update the Weekly Summary form to update these weeks.
Not submittedThe data has not been submitted in this report.
Change from submission using personal level formsPersonal level form
The summary indicator of one or more questions in this report has been changed since this week was submitted last time using a persona l-level form. Use the "resubmitted week" button (next to the data collection week's dro p-down menu) to resubmit all weeks where the measurement criteria have been changed at the same time.
If only the date is displayed and there is no corresponding text
This indicates that the data of the week has been submitted from the form at the individual level, and the data of the week has not been updated after submission. You don't have to do anything!
5. COVID-19 Is the report automatically completed based on the data entered in the personal level vaccination form, or do you need to enter a weekly vaccination report?
Person-Level Reporting: Data entry
The total is calculated in the summary form, but check the data, click the "Summary Display and Report Submit" button (red frame below), select the week you want to submit the data, and "Save and submit data". Please click. Note that when you submit data to the HPS component, you need to select the vaccination site and week to be submitted.After that, you need to check the calendar view and confirm that the week is displayed in green, so you need to check the data saved in the weekly form.
- 6. Is it necessary to check the Weekly Vaculation Summary of COVID-19 and submit data every time I add data to the personal-level vaccination form of COVID-19?
- You need to check and submit data at least once a week for all the updated or affected updated data.
- Even if the data is not changed, it is necessary to submit lon g-term medical treatment facilities once a week and other facilities once a month. If you do not submit data for a week, it will not be reported in the Weekly Immunization Module in COVID-19.
- 7. What should I do if there is no change in the data from the previous week?
8. Will data reported on the individual-level immunization form be reported to CMS?
Vaccination data is not reported to CMS at the individual level.
- However, if the facility reports data as part of the CMS quality reporting program, it will be reported to CMS,
and
If the facility uses the COVID-19 individual-level immunization form to submit data to the COVID-19 weekly immunization module (select "view reporting summary and submit"), this aggregated (summarized) weekly COVID-19 immunization data will be reported to CMS. This meets CMS reporting requirements.
9. How should a facility classify if there are medical contraindications after COVID-19 vaccination?
Please provide the individual's single dose and medical contraindication information on the individual-level COVID-19 vaccination form.
In the report summary, we see that individuals who have a medical contraindication after receiving COVID-19 vaccination will be classified as a medical contraindication.
This is consistent with the general guidance on the Weekly Summary form that if you have a severe allergic reaction to the vaccine after receiving COVID-19 vaccination, you should classify it as a medical contraindication according to the CDC definition of COVID-19 vaccine contraindication.
Beginning in Q4 2023, if you have a medical contraindication after receiving COVID-19 vaccine 2023-2024, you will be classified as updated with COVID-19 vaccine and will not be a medical contraindication. This is because the individual subsequently received the latest COVID-19 vaccine despite having a medical contraindication and should be up to date with COVID-19 vaccination.10. Can I sort columns on this form?Yes. Click on any column to sort ascending. Click on the same column again to sort descending.
11. At the individual level on the COVID-19 Vaccination Form, is it possible to hide rows for residents who have been discharged from the hospital or medical staff who are no longer working at the health care facility?
Click the button "Hide all HCP with the end date" button in the COVID-19 COVID-19 COVID-19 for medical staff will hide all the medical staff registered in the HCP end date:
Click the "Hide all separated residents" button at the COVID-19 level of the COVID-19 vaccination form for residents to hide all the residents registered in the discharge date of the residents. You can:
Note: You can delete the row by clicking the same button above. In the COVID-19 personal-level vaccination form for medical staff, the "Unside All HCP with Expiration Date" button is displayed. In the COVID-19-level vaccination form for the resident, the "UNSHIDE ALL DEARCHED PATIENTS" button is displayed.
12. Where should I enter religious exemptions in the personal-level COVID-19 vaccination form?Such people are considered to have refused vaccination. The personal-level Covid-19 vaccination form has a column to enter the reasons for exemption, including religious exemption.
13. Where is the detailed information about the meaning and entry items in each column?
Details of the personal-level COVID-19 vaccination paper and how to use it are described in the description. These are in the following places:
14. Why can't IPF and IRF select IPF and IRF in the vaccination location column in the HPS component?Free Narrow's IPF and IRF should select a hospital when selecting the HCP vaccination area type.
IPF and IRF, which have a unique CCN that share the facility ID and map it as a location in the parent facility, can select IPF or IRF in the vaccine location field.
Compare the location displayed in the NHSN calendar's weekly summary view to check the target location type.
1. How to add information to COVID-19 vaccination form at NHSN's personal level?
COVID-19 To add a new medical worker or resident to the personal-level vaccination form, follow the following steps:
- Step 1: Click the + Add LINE button.
- Step 2: A new yellow section is displayed at the top of the form to enter the person's data.
- Step 3: Enter the required items and the applicable items.
- Step 4: Click "Save Row".
- 2. Which HCP should I include in the COVID-19 level vaccination form?
- You need to report all HCP vaccine data at least once a week. This is an individual who works on a weekly basis at a facility.
- See below for the explanation of Question 1:
- See LTCF instruction [PD F-340 KB] HPS instruction table [PD F-355 KB].
If you report the vaccination data of medical professionals in the HPS element, you can specify which unit you work for in the Immunization Position Type column. You can select hospitals, IPF units, and IRF units, and only the facility type already associated with the NHSN facility ID is displayed and can be selected. For more information about vaccine location, see Frequently Asked Questions Location and Registration.
If you click and submit the report of the report, you can see the report week in each section, and you can select to save and submit the data in the section. If the facility is registered in the site type, only the site type is displayed.
The data reported about the individual modules is counted in the summary/ aggregation data of the module. For example, if an employee works in both hospitals and IPF units, the data is reflected in both hospital and IPF weekly summary forms.
4. Is it necessary to delete an individual whose vaccination status has changed over time from the personal-level COVID-19 vaccination form?
- Step 1: Click the + Add LINE button.
- Step 2: A new yellow section is displayed at the top of the form to enter the person's data.
- Step 3: Enter the required items and the applicable items.
- Step 4: Click "Save Row".
- 2. Which HCP should I include in the COVID-19 level vaccination form?
- Later, the resident decided a vaccination on 2022/3/6.
- See below for the explanation of Question 1:
- This allows you to accurately grasp the data over time.
The records stored earlier can be updated directly at the NHSN personal level by clicking on the renewal cell and entering the change directly on the recording grid.
Note: Be sure to click on the changed cells to share new information on all weeks affected by the change in the vaccination week module, and click "View Summary and Submit Report".
If you do not save and submit all the changed weeks by clicking on the report and submission of the report, this changed information will not be reflected in the COVID-19 vaccination week module.
6. How do you count if medical workers (HCW) take a vacation?
If HCW will continue to take a vacation and return to work within two weeks (14th), the series will not change, and that information can be maintained in the original series.
If HCW continues to take a vacation for more than 2 weeks (14 days) and return to work more than two weeks, you need to enter the end date on the vacation start date.
When you return to work, you need to copy the line (use the + button next to the line) and enter a new start date in the new line.The new start date of the new series will be the return date.
Note This is consistent with the weekly summary foam guidance, which continues to be a temporary leave (within two weeks), including HCP, exceeding 2 weeks, excluding HCP.
Return to work within 2 weeks (14th)
If you enter the end date and return within two weeks, you only need to delete the end date and repeat the order.- Reset within one week (7 days)
- If you enter the date of leaving the company and return within one week, delete the date of leaving and order again.
- If you return to work after 2 weeks (14 days)
- The new work start date must be more than two weeks slower than the end date of the previous series.
- R e-schedule after one week (7 days)
- The new start date must be more than a week later than the previous series discharge.
- 7. How do you calculate the residents discharged or r e-moved in afterwards?
- If the resident is discharged or discharged for some reason and returns or decides within one week (7 days), the order should not be changed, and the information will be stored in the original order. You can continue.
- If the resident is discharged or discharged for more than one week (7 days) for some reason, and returns or returns after one week or more, it is necessary to enter the discharge date or remaining date.
- If a resident is readmitted, you must copy the row (using the + button next to the row) and enter the new admission date on the new row.
- Note This is consistent with the guidance on the Weekly Summary form to count all residents who sleep in the facility for at least one day (at least 24 hours) during the data collection week.
- Return within 2 weeks (14 days)
- If you enter an end date and return within 2 weeks, delete the end date and resave the row.
- Re-entry within 1 week (7 days)
- If you enter a rejection date and return within 1 week, delete the rejection date and resave the order.
- Return after more than 2 weeks (14 days)
- The new start date must be more than 2 weeks later than the expiration date of the previous series.
- Re-entry after more than 1 week (7 days)
- The new admission date must be more than 1 week later than the departure date of the previous series.
- If the resident is discharged or discharged for more than one week (7 days) for some reason, and returns or returns after one week or more, it is necessary to enter the discharge date or remaining date.
- No. Once data is entered and saved, the row cannot be deleted. We recommend that you do one of the following:
- Edit the row/replace it with someone else's data.
Change the departure date to a date prior to the event level form available for submission dates (e. g., before 3/28/2022). This will ensure that unauthorized individuals do not contribute to submittable data.
Note: In this case, you should also change the name and ID to avoid confusion. Also, add a note in the far right "Comments" column indicating that this is an error.
- 9. Should the Resident ID/Staff ID be the same as that used for the Point of Care (POC) test result form?
- Yes. Use the same identifiers for individuals throughout your NHSN application and make sure each individual has a unique identifier. When you enter an individual that matches an identifier on a POC form, the name, sex, date of birth, ethnicity, and race will be automatically populated. Note that while the series will auto-populate the individual's demographics, vaccination information must be entered before saving the series for that individual.
- 10. How do I upload COVID-19 vaccination ticket data at the individual level in CSV?
- First, click "Upload CSV".
- Second, click "Browse" to find the file you saved.
- Third, once the selected file appears in the "Browse" box, click "Upload CSV".
11. COVID-19 I would like to know more about personal level vaccination paper?
Information on LTCF's COVID-19 COVID-19 vaccination paper is published in "Weekly HCP & Residents COVID-19 Vaccin vaccination | LTCF | NHSN | CDC".