CMS Requirements
CMS Resources for NHSN Users
- Operational Guidance for Acute Care Hospitals to Report Central Line-Associated Bloodstream Infection (CLABSI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements November 2014 Cdc-pdf[PDF – 99K]
- Operational Guidance for Acute Care Hospitals to Report Catheter-Associated Urinary Tract Infection (CAUTI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements November 2014 Cdc-pdf[PDF – 113K]
- Operational Guidance for Reporting Surgical Site Infection Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Program Requirements December 2017 Cdc-pdf[PDF – 600K]
- Operational Guidance for Acute Care Hospitals to Report Healthcare Personnel (HCP) Influenza Vaccination Data to CDC’s National Healthcare Safety Network (NHSN) for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Program Requirements and CMS’s Hospital Outpatient Quality Reporting (OQR) Program Requirements. September 2015 Cdc-pdf[PDF – 86K]
- Operational Guidance for Acute Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements Nov. 2014 Cdc-pdf[PDF – 356K]
- Operational Guidance for Acute Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Clostridioides difficile Infection (CDI) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements Nov. 2014 Cdc-pdf[PDF – 354K]
- Operational Guidance for Applicable Cancer Hospitals to Report Facility-Wide Inpatient (FacWideIN) Clostridioides difficile Infection (CDI) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Requirements, December 2015 Cdc-pdf[PDF – 136K]
- Operational Guidance for Applicable Cancer Hospitals to Report Facility-Wide Inpatient (FacWideIN) Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Requirements, December 2015 Cdc-pdf[PDF – 138K]
- Operational Guidance for Applicable Cancer Hospitals to Report Central Line-Associated Bloodstream Infection (CLABSI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting Program Requirements November 2014 Cdc-pdf[PDF – 111K]
- Operational Guidance for Applicable Cancer Hospitals to Report Catheter-Associated Urinary Tract Infection (CAUTI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting Program Requirements November 2014 Cdc-pdf[PDF – 111K]
- Operational Guidance for PPS-Exempt Cancer Hospitals to Report Surgical Site Infection (SSI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Requirements November 2014 Cdc-pdf[PDF – 121K]
- Operational Guidance for Prospective Payment System (PPS)-Exempt Cancer Hospitals to Report Healthcare Personnel (HCP) Influenza Vaccination Data to CDC’s National Healthcare Safety Network (NHSN) for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Requirements. February 2017 Cdc-pdf[PDF – 391K]
- Operational Guidance for Long Term Care Hospitals* to Report Central Line-Associated Bloodstream Infection (CLABSI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Quality Reporting Requirements September 2016 Cdc-pdf[PDF – 114K]
- Operational Guidance for Long-term Acute Care Hospitals to Report Catheter-Associated Urinary Tract Infection (CAUTI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements September 2016 Cdc-pdf[PDF – 111K]
- Operational Guidance for Long Term Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Long Term Care Hospital Quality Reporting Requirements January 2017 Cdc-pdf[PDF – 152K]
- Operational Guidance for Long Term Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Clostridioides difficile Infection (CDI) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Long Term Care Hospital Quality Reporting Requirements January 2017 Cdc-pdf[PDF – 151K]
- Operational Guidance for Long Term Care Hospitals to Report Healthcare Personnel (HCP) Influenza Vaccination Data to CDC’s National Healthcare Safety Network (NHSN) for the Purpose of Fulfilling CMS’s Long Term Care Hospital Quality Reporting (LTCHQR) Program Requirements April 2014 Cdc-pdf[PDF – 147K]
- Operational Guidance for Long Term Care Hospitals* to Report Ventilator-associated Event (VAE) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Quality Reporting Requirements, September 2016 Cdc-pdf[PDF – 118K]
- Operational Guidance for Inpatient Rehabilitation Facilities to Report Catheter-Associated Urinary Tract Infection (CAUTI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Quality Reporting Requirements November 2014 Cdc-pdf[PDF – 115K]
- Operational Guidance for Inpatient Rehabilitation Facilities to Report Healthcare Personnel (HCP) Influenza Vaccination Data to CDC’s National Healthcare Safety Network (NHSN) for the Purpose of Fulfilling CMS’s Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP) Requirements April 2014 Cdc-pdf[PDF – 126K]
- Operational Guidance for Inpatient Rehabilitation Facilities to Report Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Quality Reporting Requirements January 2017 Cdc-pdf[PDF – 134K]
- Operational Guidance for Inpatient Rehabilitation Facilities to Report Clostridioides difficile Infection (CDI) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Quality Reporting Program Requirements January 2017 Cdc-pdf[PDF – 131K]
- Updating Inpatient Rehabilitation locations in NHSN May 2012 Cdc-pdf[PDF – 419K]
CMS Reporting
- New! NHSN Location Mapping Checklist Cdc-pdf[PDF – 663 KB]
- How to Report No CLABSI Events for the CMS Inpatient Quality Reporting Program May 2015 Cdc-pdf[PDF – 624K]
- Updated! NHSN Monthly Checklist for Reporting to CMS Hospital IQR for Acute Care Hospitals (June 2018) Cdc-pdf[PDF – 200K]
- Using the “SIR-CLAB Data for Hospital IQR” Output Option January 2017 Cdc-pdf[PDF – 211K]
- Monthly Checklist for the CMS Long Term Care Hospital Quality Reporting Program (April 2016) Cdc-pdf[PDF – 199K]
- Simplified Guidance for Using the “SIR – CLAB Data for CMS LTCH PPS” Output Option January 2015 Cdc-pdf[PDF – 209K]
- Detailed Guidance for Using the “SIR – CLAB Data for CMS LTCH PPS” Output Option January 2015 Cdc-pdf[PDF – 349K]
- New! NHSN Location Mapping Checklist Cdc-pdf[PDF – 663 KB]
- How to Report No CAUTI Events for the CMS Inpatient Quality Reporting Program Cdc-pdf[PDF – 274 KB] May 2015
- Using the “SIR-CAUTI Data for Hospital IQR” Output Option January 2017 Cdc-pdf[PDF – 210K]
- Updated! NHSN Monthly Checklist for Reporting to CMS Hospital IQR for Acute Care Hospitals (June 2018) Cdc-pdf[PDF – 200K]
- Monthly Checklist for the CMS Long Term Care Hospital Quality Reporting Program (April 2016) Cdc-pdf[PDF – 199K]
- Simplified Guidance for Using the “SIR – CAUTI Data for CMS LTCH PPS” Output Option January 2015 Cdc-pdf[PDF – 144K]
- Detailed Guidance for Using the “SIR – CAUTI Data for CMS LTCH PPS” Output Option January 2015 Cdc-pdf[PDF – 292K]
- Monthly Checklist for Acute Care Hospital Units Designated as Inpatient Rehabilitation Facilities (IRFs) Reporting to CMS IRF IQR (July 2015) Cdc-pdf[PDF – 630K]
- Monthly Checklist for Freestanding Inpatient Rehabilitation Facilities (IRFs) Reporting to CMS IRF Quality Reporting Program (July 2015) Cdc-pdf[PDF – 647K]
- Simplified Guidance for Using the “SIR – CAUTI Data for CMS IRF PPS” Output Option January 2015 Cdc-pdf[PDF – 151K]
- Detailed Guidance for Using the “SIR – CAUTI Data for CMS IRF PPS” Output Option January 2015 Cdc-pdf[PDF – 238K]
- Monthly Checklist for the CMS Long Term Care Hospital Quality Reporting Program (April 2016) Cdc-pdf[PDF – 199K]
- How to Report No VAE for the CMS Long Term Care Hospital Quality Reporting Program Cdc-pdf[PDF – 294K]
- Detailed Guidance for Using the “Rate Table – VAE Data for CMS LTCH PPS” Output Option April 2016 Cdc-pdf[PDF – 227K]
- Using the “SIR – VAE Data for LTCHQR” Report (May 2017) Cdc-pdf[PDF – 320 KB]
- Updated! NHSN Monthly Checklist for Reporting to CMS Hospital IQR for Acute Care Hospitals (June 2018) Cdc-pdf[PDF – 200K]
- How to Report No Procedure or SSI Events for the CMS Inpatient Quality Reporting Program February 2017 Cdc-pdf[PDF – 247K]
- Using the “SIR – Complex 30-Day SSI Data for Hospital IQR” Output Option January 2017 Cdc-pdf[PDF – 350K]
- How to Set Up NHSN Reporting for Facility-Wide Inpatient MRSA Bacteremia and C. difficile LabID events for the CMS Inpatient Quality Reporting Program January 2017 Cdc-pdf[PDF – 275K]
- NHSN Guidance for Acute Care Hospital FacWideIN MRSA/CDI LabID Denominator Reporting January 2017 Cdc-pdf[PDF – 143K]
- Updated! NHSN Monthly Checklist for Reporting to CMS Hospital IQR for Acute Care Hospitals (June 2018) Cdc-pdf[PDF – 200K]
- Using the “SIR – MRSA Blood FacwideIN LabID Data for Hospital IQR” Report April 2018 Cdc-pdf[PDF – 300K]
- Using the “SIR – FacWideIN CDI LabID Data for Hospital IQR” Report April 2018 Cdc-pdf[PDF – 300K]
CMS Inpatient Rehabilitation units within Acute Care or Critical Access Hospital
- How to Set Up NHSN Reporting for MRSA Bacteremia and C. difficile LabID events for the CMS Inpatient Rehabilitation Facility (IRF) Quality Reporting Program April 2018 Cdc-pdf[PDF – 400K]
- Monthly Checklist for Acute Care Hospital Units Designated as Inpatient Rehabilitation Facilities (IRFs) Reporting to CMS IRF IQR (July 2015) Cdc-pdf[PDF – 630K]
- Using the “SIR – MRSA Blood LabID Data for IRFQR” Report April 2018 Cdc-pdf[PDF – 250K]
- Using the “SIR – CDI LabID Data for IRFQR” Report April 2018 Cdc-pdf[PDF – 250K]
Freestanding Inpatient Rehabilitation Facilities
- How to Set Up NHSN Reporting for MRSA Bacteremia and C. difficile LabID events for the CMS Inpatient Rehabilitation Facility (IRF) Quality Reporting Program April 2018 Cdc-pdf[PDF – 355K]
- Monthly Checklist for Freestanding Inpatient Rehabilitation Facilities (IRFs) Reporting to CMS IRF Quality Reporting Program (July 2015) Cdc-pdf[PDF – 647K]
- Using the “SIR – MRSA Blood LabID Data for IRFQR” Report April 2018 Cdc-pdf[PDF – 250K]
- Using the “SIR – CDI LabID Data for IRFQR” Report April 2018 Cdc-pdf[PDF – 320K]
- How to Set Up NHSN Reporting for Facility-Wide Inpatient MRSA Bacteremia and C. difficile LabID events for the CMS Long Term Care Hospital Quality Reporting Program April 2018 Cdc-pdf[PDF – 350K]
- Monthly Checklist for the CMS Long Term Care Hospital Quality Reporting Program (April 2016) Cdc-pdf[PDF – 199K]
- Using the “SIR – MRSA Blood FacWideIN LabID data for LTCHQR” Report April 2018 Cdc-pdf[PDF – 250K]
- Using the “SIR – CDI FacwideIN LabID Data for LTCHQR” Report April 2018 Cdc-pdf[PDF – 250K]
- How to Set Up NHSN Reporting for Facility-Wide Inpatient MRSA Bacteremia and C. difficile LabID events for the CMS Inpatient Quality Reporting Program January 2017 Cdc-pdf[PDF – 275K]
- NHSN Guidance for Acute Care Hospital FacWideIN MRSA/CDI LabID Denominator Reporting January 2017 Cdc-pdf[PDF – 143K]
- NHSN Monthly Checklist for Reporting to CMS Hospital IQR for Acute Care Hospitals (July 2015) Cdc-pdf[PDF – 463K]
- Using the “Rate Table – MRSA Blood LabID Data for CMS PPS-Exempt Cancer Hospitals” Output Option January 2017 Cdc-pdf[PDF – 153K]
- Using the “Rate Table – CDI LabID Data for CMS PPS-Exempt Cancer Hospitals” Output Option January 2017 Cdc-pdf[PDF – 153K]
- Helpful Tips for Healthcare Personnel (HCP) Influenza Vaccination Reporting for the Centers for Medicare and Medicaid Services’ Ambulatory Surgery Center Quality Reporting (ASCQR) Program. November 2018 Cdc-pdf[PDF – 200 KB]
- Using the “Line Listing – HCP Flu Vaccination Data for CMS ASC PPS” Output Option. November 2018 Cdc-pdf[PDF – 200 KB]
- Helpful Tips for Healthcare Personnel (HCP) Influenza Vaccination Reporting for the Centers for Medicare and Medicaid Services’ End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP). November 2018 Cdc-pdf[PDF – 500 KB]
- Using the “Line Listing – HCP Flu Vaccination for QIP” Output Option. November 2018 Cdc-pdf[PDF – 600 KB]
- Helpful Tips for Healthcare Personnel (HCP) Influenza Vaccination Reporting for the Centers for Medicare and Medicaid Services’ Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program September 2016 Cdc-pdf[PDF – 115K]
- Using the “Line Listing – HCP Flu Vaccination Data for CMS IPF PPS”. May 2017 Cdc-pdf[PDF – 160 KB]
FAQs
Resources
- Healthcare Facility HAI Reporting Requirements to CMS via NHSN Current and Proposed Requirements January 2019 Cdc-pdf[PDF – 300 KB]
- Reporting Requirements and Deadlines in NHSN per CMS Current Rules January 2019 Cdc-pdf[PDF – 1 MB]
- Hospital Inpatient Quality Reporting Program.External
- CMS’ Hospital Compare toolExternal
- CMS Inpatient Prospective Payment System (IPPS) RuleExternal
- Changing a CCN within NHSN (updated July 2015) Cdc-pdf[PDF – 290 KB]
Page last reviewed: May 8, 2018