LabID Submission

Transcription

LabID Submission

LabID Submission
with MedMined®
HAI Event
Facility Type
Reporting Start Date
MRSA Bacteremia
Acute Care Hospitals
January 2013
C. Difficile LabID Event
Acute Care Hospitals
January 2013
Advantage of Submitting Electronically:
When you submit electronically, the data is automatically verified. If there is
missing or erroneous data, you will receive an error message.
Although you may be using MedMined® to report electronically, it is
always the responsibility of the NHSN user to ensure that the
reporting requirements are met according to your state-specific and
national regulations.
• http://www.cdc.gov/nhsn/newletters.html
• http://www.cdc.gov/nhsn/Training/course-catalog/psc-catalog-da-intro.html
*
*
* Results reflect the University of Chicago Medicine‟s NHSN reporting process in combination with MedMined services.
2
© 2012 CareFusion Corporation or one of its subsidiaries. All rights reserved.
NHSN: C. difficile Infection
Patient Safety
Component
DeviceAssociated
Module
ProcedureAssociated
Module
MedicationAssociated
Module
MDRO and
CDAD Module
High-Risk
Inpatient
Influenza
Vaccination
Module
NHSN: C. difficile Infection
Reporting Options
If you choose to
• Infection Surveillance
• Proxy Infection measures:
◦ Laboratory-Identified (LabID) Event
monitor C. difficile
infection, you must
select at least one
of these two
reporting options.
• Prevention Process Measures:
◦ Monitoring Adherence to Hand Hygiene
◦ Monitoring Adherence to Gown and Gloves Use
• Monitoring Adherence to Active Surveillance Testing
• Active Surveillance Testing (AST) Outcome Measures
Not used
for
C. difficile
LabID Event: Purpose
• To calculate proxy measures of CDI events,
exposures, and healthcare acquisition, facilities may
choose to monitor Laboratory-identified (LabID) CDI
Events. The main proxy measures are included in a
table at the end of this presentation.
• Populates a smart-form that will help them submit to
NHSN and comply with January 1 CMS requirements
with minimal IP time.
• ICHE, June 2012: Identified the population (MRSA, VRE, C.
diff.) as a proxy measure for HAI that have a shorter
median time to hospital readmission and increased
frequency of readmission within 30 days.
C. Difficile LabID Event:
Requirements
• Reporting Methods:
A. Facility-wide by location
B. Selected locations
C. Overall facility-wide
• Settings:
1. Inpatient locations
2. Outpatient locations – where care provided to patients postdischarge OR prior to admission
• No Neonatal Intensive Care Units (NICU)
• No outpatient dialysis centers
Identifying a LabID Event
Testing on unformed stool sample
Positive for
C. difficile?
NO
Not LabID
Event
YES
Prior C. difficile
positive in ≤2
weeks?
YES
Duplicate
Test
NO
Not LabID
Event
NHSN Reporting
MDRO & Clostridium difficile Reporting
References
Centers for Disease Control and Prevention (CDC)
National Healthcare Safety Network (NHSN)
• Home Page:
http://www.cdc.gov/ncidod/dhqp/nhsn.html
• Document Library (main link to all specific forms):
http://www.cdc.gov/ncidod/dhqp/nhsn_documents.html
• MDRO and CDAD Module:
http://www.cdc.gov/ncidod/dhqp/nhsn_MDRO_CDAD.ht
ml
Still Have Questions?
• For further information about the CMS reporting rules
please refer to the following link:
https://www.cms.gov/AcuteInpatientPPS/FR2012/list.as
p#TopOfPage
• Non-NHSN questions about the CMS reporting should
be directed to your local QIO:
http://www.qualitynet.org/dcs/ContentServer?c=Page&
pagename=QnetPublic%2FPage%2FQnetTier2&cid=114
4767874793
• Questions about reporting in NHSN should be directed
to the NHSN Helpdesk: nhsn@cdc.gov.
LabID NHSN Reporting
MedMined® services
NHSN Reporting
Events Currently Supported via NHSN CDA
• Laboratory-Identified Events:
A. Multi-drug Resistant Organisms:
• MRSA
• MSSA
• VRE
B. Clostridium difficile
•
•
•
•
•
Central line-associated Bloodstream Infection (CLABSI)
Central Line Insertion Practices (CLIP)
Catheter-associated Urinary Tract Infection (CAUTI)
Surgical Site Infection (SSI)
Denominators
◦ Patient Days, Admissions, Central Line days, Urinary Catheter days, and
NICU locations
◦ Procedure Denominator
NHSN Reporting
Seven Steps
1. Request Object Identifier (OID) from NHSN
2. Confirm NHSN Location Classification for all
locations for which you intend to submit LabIDs
3. Create Monthly Reporting Plan(s)
4. Review and update all „Incomplete‟ LabID forms
5. Enter Denominator Data (Patient Days &
Admissions for LabIDs in NHSN)
6. Generate CDA
7. Upload CDA to NHSN
NHSN Reporting
MDRO & Clostridium difficile – LabID
NHSN Reporting
MDRO & Clostridium difficile – LabID
LabID
Form
NHSN Reporting
Generate the CDA
Save the CDA on the NHSN Certified
Computer
Log In and Import CDA to NHSN
Navigate to NHSN at https://sdn.cdc.gov.
NHSN Homepage
NHSN Reporting
Step 6: Upload CDAs to NHSN
Success
Additional Training
Medmined Customer Support Center
888.742.1108
clinsupport@carefusion.com
NHSN Major Changes in Release 7.0
Late September 2012
• All Components:
◦ Emergency notification screen added on users home page
◦ New Home Page Alerts screen specific to each component
◦ Alerts Enhancements
• Highlight the “active” alert tab
Questions
Thank you
Reporting Protocols and Event Form
Completion Instructions
• Reporting Protocols
http://www.cdc.gov/nhsn/psc.html
• Event Form Completion Instructions
http://www.cdc.gov/nhsn/forms/Patient-Safety-forms.html#gen

LabID Submission

Transcription

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