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

Florida Clostridium difficile Infection (CDI) Cohort Monthly Update May 2018
National Healthcare Safety Network (NHSN) Cohort Alert:
The Centers for Medicare & Medicaid Services (CMS) deadline for the first six months of 2018 data is July 19.
To prepare for the CDI post-baseline data analysis, the first CMS project review will occur in late July. Therefore, June data will need to be entered as early in July as possible to show complete up-to-date data for this measurement.
Be sure to review the "Alerts" tab in the NHSN and complete missing and/or incomplete data for previous months for your facility to receive credit for data submission.
May 2018 CDI Data is Due by June 10.
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
Important Reminders  
  • All NHSN users with a SAMS grid card, be sure to access your account at least every 60 days to update your password.
  • If a NHSN user does not access SAMS in a 12-month period from their last successful login, their SAMS account will be terminated and the user will not be able to access NHSN applications via SAMS until they re-register for SAMS.
  • After their re-registration process has been completed, they will have access to NHSN again via SAMS. They’ll remain active users in NHSN as long as they successfully login during a 12-month period or until their Facility Administrator deactivates them.
  • Since NHSN users will be prompted to change their password every 60 days, all users should be reminded to at least set a reminder to login every 60 days to at least change their password.
  1. On the navigation menu to the left of the screen, click "Users," and then click "Find.”
  2. On the Find User screen, click the "Find” button. (search criteria are not required).
  3. Select the checkbox next to the name of the user to be deactivated and click “Deactivate.”
  4. Once deactivated, a confirmation message will display in the upper left corner of the screen.
  5. Click the “Save” button to assign the selected rights to the user.
  • KEEP IN MIND: After deactivating user, their name and information will remain on the user list; however, their "Active" status (far right column) will change from 'Y' (Yes) to 'N' (No).
Upcoming Events
CDI Part One: Clinical Overview
Thursday, June 21, 2018 | 2 to 3 p.m. ET | 1 to 2 p.m. CT

  • Describe the etiology of C. difficile.
  • Recognize risk factors for C. difficile.
  • Discuss signs, symptoms, and diagnosis.
  • Identify the steps in treating C. difficile.
Analysis: How to Run and Interpret Your Nursing Home’s CDI and Core Elements of Antibiotic Stewardship Reports in NHSN
Thursday, June 28, 2018 | 2 to 3 p.m. ET | 1 to 2 p.m. CT

2018 Long-Term Care Facility (LTCF) Annual Training
The Centers for Disease Control and Prevention (CDC) will be hosting the NHSN 2018 LTCF Annual Training which is scheduled to take place July 16-18, 2018. The training will be held on the CDC campus in Atlanta, Georgia and will include a variety of topics including antibiotic stewardship, hands on data analysis, surveillance and prevention for urinary tract infections, C. difficile , multi-drug resistant organisms (MDROs), and more.
Keep a look out for a registration e-mail from NHSN, which will launch in the next few months. While there is no registration fee, participants will be responsible for all travel expenses to include transportation, lodging, and the cost of food and beverages. Capacity for the training is approximately 300 participants, and invitations to attend in-person will be issued based on a randomized lottery system.
For those unable to attend in-person, all presentations during the 3 days of the training will be available via live web-stream. Please email with
training-related questions.
Missed a Webinar? Recorded Webinars are Available!
Webinar materials and the recorded webinars are available on the HSAG website!
Go to and search by date to locate a past event.
CDI Cohort Monthly Update Newsletter Archive
CDC March 2018 NHSN LTCF Newsletter
Inside this issue–Upcoming NHSN LTCF Annual Training, NHSN
Re-consent is due, and more.
NHSN Data Reporting Resources
HSAG-developed NHSN resources and training videos are available at:
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 by searching for FDOH Infection Control and more in-depth instructions are posted at
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.2-05292018-01