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Topics Covered in this section:
NHSN Frequently Asked Questions (FAQ)
Instructions for Joining The Joint Commission NHSN Group
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NHSN Frequently Asked Questions (FAQ) |
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| title | If a hospital already belongs to NHSN does that meet the requirement? |
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Hospitals will need to join The Joint Commission NHSN Group to share data. Information on the process to join The Joint Commission NSHN Group will be distributed during late 2023 and early 2024. |
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| title | Who is the person that should join the NHSN group participation as I don't have access to NHSN data as its managed by the infection control dept. |
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The administrator of the NHSN group at your organization will be the person that will join The Joint Commission NHSN Group. |
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| title | How will we submit NHSN data...in the DDSP portal? |
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Data will be entered directly into NHSN, and organizations will give permission for The Joint Commission to access this data. Organizations will not need to enter this data in the DDSP. |
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| title | Will the NHSN data be pulled out from the NHSN, or do we have to upload it manually to the DDPS site? |
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The data will be pulled from NHSN, and you will not need to upload it manually to the DDSP site. |
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| title | Will the NHSN data be publicly reported on quality check? |
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Hospital Associated Infection data are currently displayed on the Centers for Medicare and Medicaid Services (CMS) Care Compare website. The Joint Commission does not plan to publicly report this data on Quality Check. |
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| title | What measures will be included? |
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Starting July 1, 2024, acute care hospitals and critical access hospitals will be required to allow The Joint Commission to access deidentified data on five CDC NHSN hospital-associated infection (HAI) measures from the NHSN application. These measures are all currently included in the CMS Hospital Value-Based Purchasing (VBP) Program and the Hospital-Acquired Condition (HAC) Reduction Program. Catheter-associated Urinary Tract Infection (CAUTI) Outcome Measure; Facility-wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure; Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure; Colon and Abdominal Hysterectomy Surgical Site Infection (SSI) Outcome Measure; and Facility-wide Inpatient Hospital-onset Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia Outcome Measure.
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