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  • NHSN Frequently Asked Questions (FAQ)

  • Instructions for Joining The Joint Commission NHSN Group

NHSN Website: https://www.cdc.gov/nhsn/index.html https://www.cdc.gov/nhsn/index.html

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NHSN Frequently Asked Questions (FAQ)

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titleOur organization is exempt from ORYX Requirements; do we have to participate in The Joint Commission NHSN Group?

No; Exempt programs as indicated on the CY2024 ORYX Performance Measurement Requirements are currently excluded from NHSN participation requirement.

Per CMS' “Hospital-Acquired Condition Reduction Program Frequently Asked Questions Fiscal Year 2024” regarding program eligibility:

INCLUDES:

  • General acute care hospitals paid under the Inpatient Prospective Payment System (IPPS)

EXCLUDES:

  • Critical access hospitals

  • Rehabilitation hospitals and units

  • Long-term care hospitals (LTCH)

  • Psychiatric hospitals and units

  • Children’s hospitals

  • Prospective Payment System (PPS)-exempt cancer hospitals

  • Veterans Affairs hospitals

  • Short-term acute care hospitals in U.S. territories (American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands)

  • Religious nonmedical health care institutions

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Instructions for Joining The Joint Commission NHSN Group

Additional information pending

The CDC provides a guide on joining an NHSN Group, available via their website: https://www.cdc.gov/nhsn/pdfs/groups-startup/JoinGroup-current.pdf

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