12. NHSN Group for The Joint Commission

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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.

The following table provides the timeline of sign-up tasks.

April 2024	Hospitals will receive a survey via e-mail to indicate their appointed NHSN facility administrator and provide contact information for that individual. This survey should be completed no later than April 29, 2024.

April 2024	Hospitals will receive a survey via e-mail to indicate their appointed NHSN facility administrator and provide contact information for that individual. This survey should be completed no later than April 29, 2024.
May 2024	An e-mail with NHSN Group joining instructions will be sent to the designated NHSN facility administrator; instructions also will be posted on the hospital’s Joint Commission Connect extranet site or the ORYX Performance Measurement Resources page.
May–June 2024	Hospitals will 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.

Topics Covered in this section:

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

NHSN Frequently Asked Questions (FAQ)

Organizations were notified of the requirement to join The Joint Commission NHSN Group via the CY2024 ORYX Performance Measurement Requirements on October 5, 2023, as well as the November 2023 Perspectives® Newsletter.

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.

In April 2024, The Joint Commission will e-mail the primary accreditation contact on file for the organization to determine the appropriate contact person to correspond with regarding the Joint Commission NHSN Group. After the contact has been identified, detailed instructions for joining the Group will be provided, and onboarding will take place May through June 2024.

After rights are conferred, users should see a confirmation stating “Conferred Rights saved successfully for group”. When the template is accepted, data sharing is complete. If additional action is needed, we will reach out to you directly with more information.

The administrator of the NHSN group at your organization will be the person that will join The Joint Commission NHSN Group.

Instructions for Joining The Joint Commission NHSN Group

Instructions to join The Joint Commission’s Center for Disease Control and Prevention (CDC)
National Healthcare Safety Network (NSHN) Group, including the group ID and joining password,
can be found within your organization's secure Joint Commission Connect® site. Continuous
Compliance>ORYX Performance Measurement Resources and Related Links>Instructions to Join
The Joint Commission NHSN Group

JC Connect site indicating the continuous compliance tab and the ORYX Performance Measurement Resources and Related Links menu item.

The ORYX Performance Measurement Resources and Related Links page highlighting the Instructions to join the Joint Commission NHSN Group.

Please follow the instructions provided by the CDC 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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The Joint Commission

Sign-Up Milestones and Troubleshooting

NHSN Frequently Asked Questions (FAQ)

Instructions for Joining The Joint Commission NHSN Group