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Effective July 1, 2024: Acute Care Hospitals already required through a CMS program to participate in NHSN will be required to participate in The Joint Commission NHSN Group.
Schedule
April 2024: Hospitals received a survey via e-mail to indicate their appointed
NHSN facility administrator and provide contact information for that
individual. The deadline to complete that survey was April 29,
2024.May 2024: An e-mail with NHSN Group joining instructions was sent to the
designated NHSN facility administrator; instructions also were posted
on the hospital’s Joint Commission Connect extranet site or the ORYX
Performance Measurement Resources page.May–June 2024: Hospitals join the Joint Commission NHSN group and accept the
Confer Rights Template.July 1, 2024: Enrollment in the Joint Commission NHSN Group must be complete.
Goals:
Improve timeliness of facility-level performance data available to hospitals and surveyors.
Provide Joint Commission facility-level performance data for use in the design and evaluation of improvement programs.
Minimize time and effort required to report data to The Joint Commission.
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Preventing healthcare-associated infections (HAIs) is a priority for The Joint Commission. Despite being largely preventable, an estimated 633,300 patients contract HAIs each year, and they result in about 72,000 annual deaths and have an estimated direct medical cost of $28.4 billion per year. The HAI infection rate increased significantly between 2019 and 2021, according to data from the Centers for Disease Control and Prevention (CDC). We have prioritized the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) system as a data source to evaluate to evaluate patient safety and clinical quality performance by Joint Commission-accredited hospitals. The majority of Joint Commission accredited hospitals already participate in NHSN as a requirement under CMS programs. There are several measures collected through NHSN applications that are currently included in the Accelerate PI dashboards. However, these data come from the publicly available CMS Compare website where the data can be 18-24 months old. Sharing NHSN data will allow us to include more recent data in Accelerate PI dashboards and identify quality improvement opportunities more efficiently |
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Facilities participating in the group can not cannot see each other’s data. No PHI will be shared with Joint Commission. |
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Effective July 1, 2024, joining the Joint Commission NHSN Group is mandatory for acute care hospitals with ORYX requirements who are also required to participate in NHSN for a CMS program. REQUIRED:
Effective July 1, 2024, joining the Joint Commission NHSN Group is optional for hospitals who are not required to participate in NHSN for a CMS program: OPTIONAL:
Effective July 1, 2024, joining the Joint Commission NHSN Group does not apply to entities that are exempt from ORYX requirements: EXCLUDES:
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