nhsn chapter 9

• Chapter 9: Surgical Site Infection Event (SSI) • Chapter 10: Ventilator-Associated Event (VAE) • Chapter 12: Multidrug-Resistant Organism& Clostridium difficile Infection (MDRO/CDI) Module • Chapter 17: CDC/NHSN Surveillance Definitions for Specific Types of Infections 300 0 obj <> endobj 12. Laboratory and admission data, 317 0 obj <>/Filter/FlateDecode/ID[<83BD3EE0238C684EB8DBE20A1397A314>]/Index[300 43]/Info 299 0 R/Length 92/Prev 458204/Root 301 0 R/Size 343/Type/XRef/W[1 3 1]>>stream h�b```�B�B!b`f`�s\`8��#P�iz�Z��u�K`�CGGG�kG\�`g`N: �� a��x�J�� V5&YFe��^�~��k��b5�}- �4Dd c�@�?`.�u� �h#% Chapter 1: NHSN Overview – January 2021 pdf icon [PDF – 150 KB] Chapter 3: Patient Safety Monthly Reporting Plan – … o��9�C*Jxƙ� 뙒�+�R0�%Jɜ��b��fb�4L(�P�Lx�'��$�$��I��L:c%��6�T �(&�'L�ʠbh=:��if�!l�9 a��ZL9��ZPųׯ�}. HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM. endstream endobj startxref Therefore procedures where the uterus is removed via the abdomen are coded abdominal hysterectomies and fall within the NHSN operative procedure category HYST. Chapter Summary of Revisions NHSN Patient Safety Manual: Chapter 9. This chapter also provides additional required criteria for the specific infection types that constitute organ space surgical site infections (Refer to Chapter 9 Appendix for specific event types Chapter 6: Pneumonia (Ventilator-associated [VAP] and non-ventilator-associated Pneumonia [PNEU]) Event Chapter 7: Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CAUTI] and non-catheter-associated Urinary Tract Infection [UTI]) and Other Urinary System Infection (USI) Events Chapter 9: Surgical Site Infection (SSI) Event NHSN Help system (must be logged in to NHSN) for the Surveillance Definitions for Specific Types of Infections chapter. endstream endobj 195 0 obj <>/Metadata 11 0 R/PageLayout/OneColumn/Pages 192 0 R/StructTreeRoot 15 0 R/Type/Catalog>> endobj 196 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 197 0 obj <>stream • Scenarios added. 3) that is included in Table 1, Chapter 9. NHSN Patient Safety Module: Chapter 9, SSI Table 4. HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM NHSN SSI Analysis Reports 26. 5 • ASA score - as proxy for underlying illness • … h�ܗko�6�� Chapter 9: Surgical Site Infection (SSI) Event Chapter 10: Ventilator-Associated Event (VAE) Chapter 11: Pediatric Ventilator-Associated Event (pedVAE) Chapter 12: Multidrug-Resistant Organism & Clostridium difficile. Chapter 9: SSI • Clarifications: – Operative code • An infection associated with a procedure that is not included in one of the NHSN operative procedure categories is not considered an NHSN SSI, although the infection may be investigated as a HAI – Denomination #9 • More than one operative procedure through same incision/surgical space Modifications affecting > 1 chapter (module) Clarifications: f]KH�tiQ�dV��* 2J0g,�$sN�!J� Д��!��te��Q�9��c��Z��Y@��:�C��Ή�Q.��s(U��0��v�hn��G��P/�+�?��9ڕ| 8�`Q�|�]��K��X�g~�k�C. h��Ymo�6�+��`�w�@ /M��͆^��x��{ ��GҒ,�|��Z�+%s�)�0��dRr�q\ HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM Adding Procedures to NHSN 24. Orphan records (a benchmarked SSI event is not linked to a procedure) Link event to a benchmarked procedure. Chapter's not listed are without significant changes. HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM. Chapter 9: Surgical Site Infection (SSI) Event Chapter 10: Ventilator-Associated Event (VAE) Chapter 11: Pediatric Ventilator-Associated Event (pedVAE) Chapter 12: Multidrug-Resistant Organism & Clostridium difficile Infection (MDRO/CDI) Module Chapter 14: Antimicrobial Use and Resistance (AUR) ;��չ��e��ve��B��a8A�x��ǋ��K�4܌�u`wTM��%P\�}��e}ז� w�.��e�'�(w5�� Chapters not listed are without significant changes. HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM Add an SSI Event to NHSN 25. It may describe a desirable or undesirable event. %PDF-1.5 %�� adjusted SSI rate to the NHSN SSI rate. This chapter also NHSN Patient Safety Manual: Chapter 9. Chapter 9: Surgical Site Infection (SSI) Event – January 2021 pdf icon [PDF – 1 MB] 2021 Summary of Updates pdf icon [PDF – 200 KB] Supporting Chapters. • Any infection reported to NHSN must meet the definition of an NHSN healthcare-associated infection (HAI), that is, a localized or systemic condition resulting from adverse reaction to the presence of an infectious agent(s) or its toxin(s). CHAIN: Hospital NHSN User Group The Hospital NHSN User Group provides a venue for MN hospitals to discuss NHSN use and is facilitated by Minnesota Hospital Association (MHA), Stratis Health, MDH, and the Minnesota Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC MN). NHSN Patient Safety Manual: Chapter 9, Table 4 28 AND AND. to NHSN Patient Safety Reporting • Layout and display Patient Safety Manual • Forms, tables of instructions , and key terms moved to relevant chapter. Chapter 9 pg 16 excerpts ... fully meets a CDC/NHSN site-specific infection criterion **Day of discharge is Day 1. %%EOF 194 0 obj <> endobj Infection Prevention and Control: Module 9, Chapter 1 3 Outcome measure indicates the result of the performance (or non-performance) of a function or a process. However, when ASCs are able to participate in the OPC (tentatively 2014), only the The mapping documents include a and CPT NHSN operative procedures is found in the ^Supporting Materials section of the SSI Protocol on the NHSN website. • Hyperlinks included in text • Ventilator-Associated Events (VAE) added (Chapter 10). Ventilator Associated Event (VAE ) • Daily minimum PEEP and FiO. %%EOF NHSN procedure required fields Enter data or correct invalid data. The NHSN surgical site infection (SSI) criteria to be adopted for the Outpatient Procedure Component (OPC) are the same as those currently used for the NHSN, SSI Event chapter (Jan 2013 version). h�bbd```b``�"k�d7�d; "YrA$�10�� f��y`2 L��Q@d1�4��\c`bd`��0(��^ �N Infection (MDRO/CDI) Module Chapter 15: CDC Locations and Descriptions and Instructions for Mapping Patient Care Locations 0 NHSN Patient Safety Module: Chapter 10. Chapter 9: CLABSI Prevention in the Setting of Renal Disease ..... 62 Chapter 10: Preventing Infection during Long-Term Device Use ..... 67 Appendix: Major Interdisciplinary Resources for CLABSI Prevention ..... 71. endstream endobj startxref HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM SSI Surveillance Period • Post-operative monitoring period for most NHSN procedures is 30 days • Regardless of presence of an implant • 8 California-required procedure types have 90-day NHSN This chapter also provides additional required criteria for the specific infection types that constitute organ space surgical site infections (Refer to Chapter 9 Appendix for specific event types available for organ The mapping for ICD-10-PCS. This chapter contains the CDC/NHSN surveillance definitions and criteria for all specific types of infections. l�@�py��sS��q��x��V�q^�T��>�8��L��h��q&�P4�5�N��z��j�4��O��zR��xIK��xZ��ͧ_��8�/�� ]6�h��l5�Է��I�x1ZUӿ� �.�+�E��j�(>�}�l=�"kˢ��0��9�9��b��-N.q��% �>߬��E �J��W`땶�� %PDF-1.5 %�� Further, any subsequent infection is not considered a procedure-associated A facility (acute care hospital, ambulatory surgery center, outpatient dialysis center) may use one, two, or all three NHSN components concurrently. 342 0 obj <>stream ?��*�~� �4k��t ��b��0G6$�m��C)�� 0 9 - 4 • Current Procedural Terminology (CPT), as defined by the American Medical Association (AMA). When the uterus is removed via the vagina, the procedure is coded as a vaginal PA benchmarked procedures include: CARD, CBGB, CBGC, COLO, HPRO, KPRO, HYST 9 vAll in-plan FacWideIN healthcare facility-onset (HO) MRSA bacteremia and C. difficile LabID Event aggregate data from participating acute care ... Protocol LabID Event protocol in Chapter 12 of NHSN manual Site-specific protocol in NHSN manual (e.g., CLABSI, CAUT…) Signs & Symptoms NONE. 0 The NHSN SSI rate and adjusted SSI rate for laminectomies were 0.50 and 0.72, respec-tively, which represents a 30.6% increase. NHSN v8.6 Revisions •Chapter 9 (SSI) Additions “Summary of Operative Procedure Code Changes” which outlines status of each procedure code •Chapter 9 (SSI) Changes Emergency definition for the denominator for procedure was updated so field will match facility documentations ICD-10 and CPT codes reviewed and updated NHSN v8.6 Revisions h�b```�rVnG``f`B� g.�i�u,��b``�>+��"��#��302��6�3�p%�.��t�놮C$�%��53+��6@�p20��c ;�� ^F��@�� ,!� 2 . NHSN Operative Procedure Codes Each NHSN operative procedure category is defined by a group of ICD-9-CM procedure codes CPT codes do not take precedence over ICD-9 codes when categorizing NHSN operative procedures. This system is provided for Government-authorized use only. �*:Ձt�1�x��LK&R�R)%2��d��r��)�'L��BtR�0rJ�04�. 22. This chapter contains the CDC/NHSN surveillance definitions and criteria for all specific types of infections. AND. Comments and reporting instructions that follow the site-specific criteria provide further explanation and are integral to the correct application of the criteria. Hospital NHSN User Group. assign ICD-9-CM hysterectomy codes based on the manner in which the uterus is removed. See NHSN Chapter 9 and SSI form for instructions. 1/16/2013 12 Even if a facility is using more than one NHSN component, endstream endobj 301 0 obj <>/Metadata 13 0 R/Pages 298 0 R/StructTreeRoot 23 0 R/Type/Catalog>> endobj 302 0 obj <>/MediaBox[0 0 612 792]/Parent 298 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 303 0 obj <>stream The Chapter 9 (Surgical Site Infection [SSI] Event) Appendix contains a list of the specific event types available for SSI attribution by NHSN procedure category. 9. Procedure Risk Factor Data • Gender • Age • Height • Weight • Surgical wound class • clean, clean-contaminated, contaminated, or dirty. • Chapter 17 (criteria for infections) reformatted – … Warning: This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. NOTE: If the skin incision edges do not meet because of wires or devices or other objects extruding through the incision, the incision is not considered primarily closed and therefore the procedure is not considered an operation. HEALTHCARE-ASSOCIATED INFECTIONS PROGRAM Organ/Space SSI Sites Criteria for these sites can be found in the . h�bbd``b`:$[AD�� %��@�E�b� [A��C ��?$�6��N �k@"�#X��Fݷ F� I applied in ASCs who are not enrolled in NHSN SSI surveillance. The NHSN SSI rate and adjusted SSI rate for rectal surgeries was 0.95 and 2.30, which represents a 58.7% … values are defined as the lowest value set on the ventilator during a calendar day (and maintained for at least 1 hour) 235 0 obj <>stream NHSN users do however, access and participate in the Patient Safety, Healthcare Personnel Safety, and Biovigilance Components of NHSN. CDC/NHSN Patient Safety Component Manual Summary of Revisions, January 2018 Below is a summary of significant modifications for the NHSN Patient Safety Component Manual, which will go into effect January 1, 2018. This chapter contains the CDC/NHSN surveillance definitions and criteria for all specific types of infections. NHSN Patient Safety Module Chapter 9, SSI, Table 3, January 2014 *Not a required CA-reportable procedure . There must be no evidence that the infection was present or incubating at the time of hospital admission. ��f^��]g��G�eu�$w`��ׯ��wբ�ݿ:��f�z��W|��j��n~S��Ϗ��j The NHSN is a secure, Internet-based surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Prevention. S,�p�i��B`/)q�7��=Y��.-��G��j� =��&;�) mskUs�]��ʂ�o�'ēs��zZ-�y��}�Oǳ�6��1�?�O��ue�F]׍��Փ'/��lY��z�\?�l=� �� !�iݿ�\]�8��w��s��H��2)f��E1 �$d:��yo �K@;�i��cϑWj��u��kclg�H>��6e�H��a�x�ǓN8��2@|z(p:��#�{��Y��ЖL��O�n��V0 C DBc� N�j��1�� CDC/NHSN Patient Safety Component Manual Summary of Revisions, January 2017 Below is a summary of significant modifications for the NHSN Patient Safety Component Manual which will go into effect January 1, 2017. 4. 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