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The National Nursing Home Quality Care Collaborative (NNHQCC) in Florida

Florida Clostridium difficile Infection (CDI) Cohort Monthly Update
March 2018 CDI Data is Due by April 10.
Be sure to review the "Alerts" tab in the NHSN and complete missing and/or incomplete data for previous months in order for your facility to receive credit for data submission.
New Resource!
7 Easy Steps to Generate Your Facility Monthly
CDI Rates in the NHSN
This tool provides 7 easy to follow directions on how to use NHSN to generate your facility monthly CDI rates.
NHSN Deadlines
PAST DUE-- January 31, 2018
2017 NHSN Annual Facility Survey for Long-Term Care Facilities (LTCFs)

If you haven't already done so ( due January 31, 2018 ), please submit your 2017 NHSN Annual Facility Survey in the NHSN web application.
  • Table of Instructions
  • Print a copy of your previously completed 2016 NHSN Annual Facility Survey to use as a reference when completing the new 2017 Annual Survey.
  • To print, go to 'Survey', then 'Find', and Survey Year=2016.
  • Add your 2017 Annual Survey.
  • To add, go to 'Survey', then 'Add'. Using your 2016 as a reference complete all the items with an asterisk (*). Please note: Questions 23-25 are new, optional, and do not need to be completed.
  • Important: The 2017 NHSN Annual Facility Survey must be completed in its entirety before the NHSN web application will save the information.
  • After completing your 2017 Annual Facility Survey, please add Monthly Reporting Plans for January 2018 through December 2018.
DUE April 30, 2018
2018 NHSN Re-Consent to Participate

All CDC Cohort members must complete an electronic Re-consent and Agreement to Participate form to replace the previously submitted paper version uploaded at the beginning of this project. The Re-consent and Agreement to Participate is now available via your NHSN LTCF Component home page, above the Alerts tab and takes no more than one minute to complete.
  • Either the NHSN primary contact for the facility or the assigned NHSN facility administrator will need to log into NHSN and accept the new Agreement to Participate and Consent (or re-consent).
  • If a nursing home fails to re-consent, its NHSN functionality will be suspended until the consent form is accepted.
For more information, please watch the CDC NHSN Agreement to Participate and Consent Video [5 minutes] at https://www.youtube.com/watch?v=Amf6x8yNl-s
Monthly Reporting Plans (MRPs) for January 2018 –December 2018 
Prior to submitting your February –December Monthly Summary data, a Monthly Reporting Plan (MRP) must be completed for each month.
To enter an MRP for each month:
  • Select "Reporting Plan" > "Add" > Month > Year
LabID Event Module Only:
  • Under "Specific Organism Type", select "CDIF-C. difficile" and make sure the "Lab ID Event All Specimens" box is checked, then select "Save".
Add Additional NHSN Users
Why do I Need an Additional NHSN User?
  • Health Services Advisory Group (HSAG) and the Centers for Disease Control and Prevention (CDC) highly recommend that each facility add at least one additional active user in the event that the primary user is on vacation or no longer with the facility.
Reassign Role if NHSN Facility Administrator (FA) is Leaving the Nursing Home
How do I Reassign the NHSN FA Role?
The NHSN Administrator is the only person who has the authority to reassign the role to another user in the nursing home for reasons such as planning to leave the nursing home, taking an extended leave, or a change in duty. The role reassignment must be done before the person leaves the facility.
 
If the current FA has not left the nursing home:
  • Before leaving, the current FA must log in to reassign the role to another active user at the nursing home.
  • From the navigation bar, select Facility, then Facility Info
  • From the Edit Facility Information screen, click the Contact Information link
  • From the drop-down list, select “FADMIN – Facility Administrator as the contact type and click on Reassign
  • You will be asked to find and select an existing NHSN user who will be reassigned this role. NOTE: The existing user must be assigned as an administrative user
  • Once selected, remember to save the updated information on the Facility Information page
What happens if the current FA is no longer available?
  • If the role assignment was not done prior to the previous NHSN Administrator leaving, a signed letter from the nursing home’s leadership must be sent to NHSN with a request to reassign role of the NHSN Facility Administrator. 
  • Identify previous assigned NHSN Facility Administrator and include name of new NHSN Facility Administrator along with their email address using the attached FA Reassignment Template.
  • Send letter to NHSN via email nhsn@cdc.gov or fax to NHSN at 404.929.0131.
  • After the CDC receives the reassignment letter and the role has been assigned to a new user, the user will receive a “Welcome to NHSN” email that will have instructions for him/her to start the process for gaining access to NHSN. If the newly assigned NHSN facility administrator does not have a SAMS account, he/she will need to complete the SAMS registration process.
Please notify HSAG if the NHSN FA admin is leaving the facility!
Gazelle Zeya, MS, MBA, RAC-CT, 813.865.3188 | gzeya@hsag.com
Jo Ann Bukovinsky, RN, BSN, MBA, LHCRM, RAC-CT, 813.865.3196 | jbukovinsky@hsag.com


Getting Help
For SAMS Partner Portal Questions please contact the SAMS Help Desk at samshelp@cdc.gov . NHSN questions may be directed to NHSN@cdc.gov .
Deactivate NHSN Users That Have Left the Nursing Home
It is important to deactivate NHSN users that have left the nursing home to restrict access to confidential NHSN facility data.
Only the NHSN Facility Administrator can deactivate users (e.g., when a staff member leaves).
  • From the NHSN navigation bar, select User and then select Find.
  • On the User Information page, enter the person's user information and select Find.
  • When the user is located on the User List page, select the user and click Deactivate.
Questions? We Can Assist You!
Gazelle Zeya, MS, MBA, RAC-CT, 813.865.3188 | gzeya@hsag.com
Jo Ann Bukovinsky, RN, BSN, MBA, LHCRM, RAC-CT, 813.865.3196 | jbukovinsky@hsag.com
Resources
CDI Cohort Monthly Update Newsletter Archive
This website is an introduction to a set of training sessions aimed to provide nursing home leaders with training materials that can be used to enhance the understanding of important concepts and practices that promote stewardship and C. difficile prevention, and provide information, tools, and resources.
A  vailable to you at no-cost on the Train Florida website!
  • An Overview of Infection Control
  • Infection Control for Certified Nursing Assistants in Nursing Homes and Ambulatory Care
  • Infection Control for Registered Nurses and Licensed Practical Nurses in Ambulatory Care
  • Infection Control for Registered Nurses and Licensed Practical Nurses in Nursing Homes
  • Infection Control for Registered Nurses and Licensed Practical Nurses in Hospitals
These trainings can be found on fl.train.org by searching for FDOH Infection Control and more in-depth instructions are posted at http://wwww.floridahealth.gov/ict
CDC March 2018 NHSN LTCF Newsletter
Inside this issue–information regarding the NHSN LTCF Annual Training Date, Reminder: NHSN Re-Consent Is Due!, the 2017 LTCF Annual Survey, editing NHSN annual facility survey guidance, SHEA Spring 2018 conference, and more.
NHSN Data Reporting Resources
HSAG-developed NHSN resources and training videos are available at: https://www.hsag.com/nh-nhsn-resources
Upcoming Events
NNHQCC and CDI Initiative (Learning Session 3)
CDI Tracer and Assessment Tool Introduction Webinar
Thursday, April 19, 2018 | 2 to 3 p.m. ET | 1 to 2 p.m. CT

Objectives
After attending this webinar, you should be able to:
  • Interpret HSAG’s new CDI Tracer and Assessment Tool for LTCFs.
  • Recognize gaps in your LTCF’s policies and procedures.
  • Utilize the CDI Tracer and Assessment Tool in your existing QAPI program.
Missed a Webinar? Recorded Webinars are Available!
 
Webinar materials and the recorded webinars are available on the HSAG website!
Go to www.hsag.com/events and search by date to locate a past event.
WEBSITE  |  EVENTS
This material was prepared by Health Services Advisory Group, the Medicare Quality Improvement Organization for Florida, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. FL-11SOW-C.203282018-02