Upload
others
View
3
Download
1
Embed Size (px)
Citation preview
Alabama Healthcare‐Associated InfectionsAlabama Healthcare Associated Infections Reporting and Prevention Program
Module 3: ADPH Chats•NHSN Enrollment
•Mapping Locations•Joining NHSN Group
Nina C. Hassell, MPH
HAI EpidemiologistHAI Epidemiologist
Alabama Department of Public Health
Facility Administrator NHSN Enrollment and Reporting Process Step 1
1a. Review and Accept Rules of Behavior < 5 min1b Register < 15 minutes1b. Register < 15 minutes
1c. Receive e‐mail Confirmation of Registration 24‐48 hours
Step 22a. Apply for Digital Certificate < 30 minutes
2b Receive e mail Confirmation of Digital Certificate Request 24 72 hours2b. Receive e‐mail Confirmation of Digital Certificate Request 24‐72 hours2c. Download Digital Certificate < 15 minutes
Step 33a. Apply for NHSN Enrollment < 5 min
3b Complete Facility Contact Information and Facility Survey forms > 60 minutes3b. Complete Facility Contact Information and Facility Survey forms > 60 minutes3c. Receive e‐mail Confirmation of Enrollment Submission 24‐48 hours
3d. Print, sign and return Consent Form to NHSN within 30 days3e. Receive e‐mail Confirmation of NHSN Enrollment Approval 24‐48 hours
Step 4Step 44a. Set Facility Group Joining Password ≤ 5 min4b. Add Users and Assign User Rights <15 min
4c. Add Locations <10 min4d. Add Surgeons <15 min
Step 66a. Join the ADPH NHSN User Group ≥ 5 min
Step 5Set up monitoring plan ≥ 5 minutes
6b. Confer Rights to ADPH NHSN User Group <15 min
Step 7Enter Infection Data ≥ 60+ minutes (Urban)
< 30 minutes (Rural)
Step 4c. Add LocationsStep 4c. Add Locations
• Decide which locations your facility will monitor. The following are d b h l b krequired by the Alabama Mike Denton Reporting Act:
– Surgical Site Infection (SSI)– Catheter Associated Urinary Tract Infections (CAUTI)
• General Medical Wards• General Medical Wards• General Surgical Wards• General Medical/Surgical Wards
– Central Line Associated Blood Stream Infections (CLABSI)• Medical Critical Care Units• Surgical Critical Care Units• Medical/Surgical Critical Care Units• Pediatric Critical Care Units
• Locations must be identified and set up before the Monthly Reporting Plan can be completed
Utilize the CDC Locations and Descriptions Manual for further assistance in determining location types
**Found in the NHSN Manual: Patient Safety Component‐Chapter 15**
Found in NHSN ManualCh 16Chapter 16
“NHSN Key Terms”
• A CDC‐defined designation given to a patient care area h i ti t h h i il di ditihousing patients who have similar disease conditions or who are receiving care for similar medical or surgical specialties. Each facility location that is monitored is “mapped” to one CDC Location. The specific CDC Location code is determined by the type of patients cared for in that area according to the 80% Rule. That is, ca ed o t at a ea acco d g to t e 80% u e at s,if 80% of patients are of a certain type (e.g., pediatric patients with orthopedic problems) then that area is designated as that type of location (in this case andesignated as that type of location (in this case, an Inpatient Pediatric Orthopedic Ward).
Choosing a CDC Location Type UsingChoosing a CDC Location Type Using the 80% Rule
• If 80% of the patients in a patient care area are p pof a certain type, then so designate that location.
• Location: The specific patient care area to p pwhich a patient is assigned while receiving care in the healthcare facility.
Enter ADPH Group #: 15339Enter ADPH Group Joining Password: adphshare1
Step 6a. Join the ADPH NHSN User GroupStep 6a. Join the ADPH NHSN User Group
• On the navigation bar, click on "Group" andOn the navigation bar, click on Group and select "Join". The Memberships screen will appear.
• Enter the Group ID (15339) and Group JoiningEnter the Group ID (15339) and Group Joining Password (adphshare1) in their respective places.
• Click "Join Group"Group Name : Alabama Department of
Public Health Group ID: 15339Click Join Group Group ID: 15339
Group Type: GOVSTATE Password: adphshare1
Step 6b Confer Rights to ADPH NHSN User GroupStep 6b. Confer Rights to ADPH NHSN User Group
On the left navigation bar, click on "Group" and select "Confer Rights".g , p g
The Memberships screen will appear. Select "Alabama Department of Public Health Group (15339)" then click Confer Rights.
The Confer Rights Patient Safety screen should appear
Under the General section, check boxes for:
Patient‐Without Identifiers
The Monthly Reporting Plan
The Annual Hospital Survey
Data Analysis.
Step 6b. Confer Rights to ADPH NHSN User Group continued….
Under the Infections and other Events section, click on Add Row to create one row for each measure required for Alabama HAI Public Reporting.
Central Line‐Associated Bloodstream Infections (CLABSI)
Medical Critical Care UnitsMedical Critical Care Units
Surgical Critical Care Units
Medical/Surgical Critical Care Units
Pediatric Critical Care Units
Surgical Site Infections (SSIs)
• Colon
• Hysterectomy‐Abdominal
C th t A i t d U i T t I f ti (CAUTI) Catheter‐ Associated Urinary Tract Infections (CAUTI)
General Medical Wards
General Surgical Wards
General Medical/Surgical WardsGeneral Medical/Surgical Wards
Click on Copy Locations to Summary Data, then click on Copy Procs to Denominator Data. A pop‐up window will appear. Click "OK" to close the pop‐up.
The Summary Data for Events and Denominator Data for Events sections should be automatically fill d i f Cli k Sfilled in for you. Click on Save.
At this stage, your facility has conferred rights to ADPH to access data required for 2011 Alabama HAI Reporting.
Remaining Questions?Remaining Questions?