Overview of the NHSN Healthcare worker influenza
Description: Overview of the NHSN Healthcare worker influenza vaccination module and reporting requirements September 26, 2012 1 Why is influenza vaccination being measured among healthcare personnel? Influenza can be spread by an ill person one day
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slide1. Overview of the NHSN Healthcare worker influenza vaccination module and reporting requirements September 26, 2012 1<br>
slide2. Why is influenza vaccination being measured among healthcare personnel? Influenza can be spread by an ill person one day before to 7 days after onset of symptoms.
Healthcare personnel (HCP) care for, or are in frequent contact with, patients with influenza or at high risk for complications of influenza.
Vaccination can help prevent illness, outbreaks, and death, decrease severity of illness, and avoid losses in productivity.
HCP flu vaccination rates are part of the U.S.’s national health goals:
Healthy People 2010: 60%
Healthy People 2020: 90%
Data systems can capture facility, state, and regional trends on the yearly uptake of the vaccine. 2<br>
slide3. Benefits for the facility Provide a record for flu vaccination and adverse reactions for HCP in the facility
Monitor trends in vaccination and declination rates
Assess efficacy of facility influenza vaccination programs
Meet requirement for record-keeping for adult vaccine administration
Comply with federal reporting requirements 3<br>
slide4. What are the expectations for reporting? Mandate of participation in the Centers for Medicare and Medicaid Services (CMS) Hospital Inpatient Quality Reporting (IQR) Program
Applies to acute care hospitals
Data entered into the National Healthcare Safety Network (NHSN)
http://www.cdc.gov/nhsn/PDFs/HPS-manual/Operational-Guidance-HPS-Flu-Vaccination-Sum-Acute-Care.pdf
No state mandate for reporting at this time 4<br>
slide5. What is expected this year vs. subsequent years? This flu season (2012-2013)
Reporting begins January 1, 2013 (voluntary to report beginning Oct 1, 2012) and ends March 31, 2013
Data due to NHSN by May 15, 2013
CDC will share all in-plan HCP influenza vaccination summary data with CMS. A hospital-specific HCP flu vaccination percentage will be provided for each reporting hospital.
Facility can edit data after May 15 but changes will not be sent to CMS. Changes after June 30th of an influenza season may not be used for national reporting by CDC for that season.
Subsequent flu seasons (2013-2014 and on)
Reporting mandatory from Oct 1 – Mar 31 (entire reporting period)
Mandatory reporting for long-term acute care hospitals begins with 2013-2014 season 5<br>
slide6. What’s new about the current forms and module? Vaccination Module of the Healthcare Personnel Safety Component in NHSN – revised Sept 2012
Captures summary data, not individual-level data
New protocol, forms, and surveys
Healthcare Personnel Safety Monthly Reporting Plan Form
Healthcare Personnel Influenza Vaccination Summary Form
Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel (coming soon – Jan 2013) 6<br>
slide7. Getting started Enroll facility in NHSN
Activate Healthcare Personnel Safety Component
Facility Administrator responsible
On left toolbar, click Facility Add/Edit Components
Check box indicating that the facility will be following the Healthcare Personnel Safety Component
Define the primary contact for this component in “Contact Data” section of the page 7<br>
slide8. Getting started (cont’d) Make sure primary contact has administrative rights
To create an NHSN user account:
On left toolbar of NHSN, click Users Add
Add name, e-mail address and save information
“Edit User Rights” screen will pop up next. Check appropriate boxes to grant rights and click “Save”.
If already an NHSN user
On left toolbar of NHSN, click on Users Find
Search for person or click “Find” to see all users
Click on person’s name and “Edit” to be able to change his/her rights. Check appropriate boxes and save the changes. 8<br>
slide9. Getting started (cont’d) Primary contact for HPS Component ensures staff who will be entering the vaccination data have user rights
Primary contact (who has admin rights) can grant the rights
New user will have to agree to NHSN rules of behavior, then apply for and install a digital certificate before being able to use the system 9<br>
slide10. Monthly reporting plan form 10<br>
slide11. Notes about the reporting plan Data must be “in-plan” in order to be shared with CMS.
Once the “Influenza Vaccination Survey” box is checked on a monthly reporting plan, the NHSN system will auto-check that box on every monthly reporting plan throughout the NHSN-defined influenza season (July 1 – June 30) 11<br>
slide12. Who are “healthcare personnel”? All employees on payroll
Licensed independent practitioners (who are physicians, advanced practice nurses, and physician assistants affiliated with the hospital but not on payroll)
Students, trainees, and volunteers
Other contract personnel (not mandatory that you report on vaccination status of these staff)
See Appendix A of HCP Vaccination Module: Influenza Vaccination Summary Protocol
Must be aged 18 or older
Must physically work in the facility for at least 30 days between October 1 and March 31 to be counted 12<br>
slide13. Other notes about classification of HCP Include all HCP who have worked at the facility for at least 30 working days regardless of clinical responsibility or patient contact.
Working for any number of hours a day counts as one working day.
Include both full-time and part-time persons.
Count individuals not full-time equivalents.
If someone works in two or more facilities, each facility should include that person in its denominator.
HCP categories are mutually exclusive – count each HCP only once. 13<br>
slide14. Denominator: number of HCP 14<br>
slide15. Vaccination status categories Vaccinated at healthcare facility
Vaccinated outside healthcare facility (need written report or documentation)
A signed statement or form, or an electronic form or e-mail from a healthcare worker (HCW) indicating when and where he/she received the influenza vaccine
A note, receipt, vaccination card, etc. from the outside vaccinating entity stating that the HCW received the influenza vaccine at that location 15<br>
slide16. Vaccination status categories (cont’d) Medical contraindication
Severe allergic reaction to eggs or other vaccine components
History of Guillain-Barré Syndrome within 6 weeks after a previous flu vaccination
HCP can provide written or verbal documentation of medical contraindications
Declined vaccine (includes religious exemptions, other medical conditions)
HCP can provide verbal or written declination of the vaccine
Unknown vaccination status (or criteria not met for categories above) 16<br>
slide17. Numerator: vaccination status 17<br>
slide18. Reporting HCP influenza summary reporting consists of a single data entry screen per influenza season.
NHSN defines a flu season as July 1 – June 30.
Data covering the entire reporting period (Oct 1 – Mar 31) must be entered once into NHSN for each reporting year.
The data can be entered on a monthly and/or quarterly basis, but only cumulative data should be entered.
Note: any new data will overwrite the previous data. The system will auto-fill “date last modified”.
Message confirming that data were saved will appear at the top of the screen.
Remember, these are summary data and reflect the overall vaccination status of HCP in your facility for the entire flu season to date. 18<br>
slide19. Analysis Not covered in-depth during this webinar
CDC training materials do have some screenshots and sample reports
From left toolbar: Analysis Output Options HCW Vaccination Module Influenza CDC Defined Output
Examples of analyses: Number of HCP Vaccinated, Number of HCP Working During the Required Time Period, Percentage of Vaccination Compliance, Percentage of Vaccination Non-Compliance 19<br>
slide20. How will these data be publicly reported? HCP influenza vaccination rates will not be publicly reported for the 2012-2013 season.
Beginning with 2013-2014 season, facility-specific HCP influenza vaccination rates are projected to be posted on the Hospital Compare website. 20<br>
slide21. Where can I get more information? NHSN Vaccination Module page: http://www.cdc.gov/nhsn/hps_vacc.html
Protocol: http://www.cdc.gov/nhsn/PDFs/HPS-manual/HPS-protocol-Vaccination-Mod-Influenza-Vaccination-Summary.pdf
FAQs: http://www.cdc.gov/nhsn/faqs/FAQ-Influenza-Vaccination-Summary-Reporting.html
Operational guidance for complying with CMS reporting requirements: http://www.cdc.gov/nhsn/PDFs/HPS-manual/Operational-Guidance-HPS-Flu-Vaccination-Sum-Acute-Care.pdf
NHSN@cdc.gov include “HPS Flu Summary” in the subject line of the e-mail 21<br>
slide22. NHSN training http://www.cdc.gov/nhsn/Training/healthcare-personnel-safety/index.html
Two slidesets – one on overview of HPS Component, one on overview of vaccination module
CDC webinars offered 10/3 (12-1PM), 10/11 (2-3PM).
Registration is full; however, will be archived and available soon afterward: http://www2.cdc.gov/vaccines/ed/nhsn
Covers data entry and analysis 22<br>
slide23. Andrea Alvarez
Virginia Department of Health
Healthcare-Associated Infections Program Coordinator
Andrea.Alvarez@vdh.virginia.gov
804-864-8097 Questions? 23<br>
slide2. Why is influenza vaccination being measured among healthcare personnel? Influenza can be spread by an ill person one day before to 7 days after onset of symptoms.
Healthcare personnel (HCP) care for, or are in frequent contact with, patients with influenza or at high risk for complications of influenza.
Vaccination can help prevent illness, outbreaks, and death, decrease severity of illness, and avoid losses in productivity.
HCP flu vaccination rates are part of the U.S.’s national health goals:
Healthy People 2010: 60%
Healthy People 2020: 90%
Data systems can capture facility, state, and regional trends on the yearly uptake of the vaccine. 2<br>
slide3. Benefits for the facility Provide a record for flu vaccination and adverse reactions for HCP in the facility
Monitor trends in vaccination and declination rates
Assess efficacy of facility influenza vaccination programs
Meet requirement for record-keeping for adult vaccine administration
Comply with federal reporting requirements 3<br>
slide4. What are the expectations for reporting? Mandate of participation in the Centers for Medicare and Medicaid Services (CMS) Hospital Inpatient Quality Reporting (IQR) Program
Applies to acute care hospitals
Data entered into the National Healthcare Safety Network (NHSN)
http://www.cdc.gov/nhsn/PDFs/HPS-manual/Operational-Guidance-HPS-Flu-Vaccination-Sum-Acute-Care.pdf
No state mandate for reporting at this time 4<br>
slide5. What is expected this year vs. subsequent years? This flu season (2012-2013)
Reporting begins January 1, 2013 (voluntary to report beginning Oct 1, 2012) and ends March 31, 2013
Data due to NHSN by May 15, 2013
CDC will share all in-plan HCP influenza vaccination summary data with CMS. A hospital-specific HCP flu vaccination percentage will be provided for each reporting hospital.
Facility can edit data after May 15 but changes will not be sent to CMS. Changes after June 30th of an influenza season may not be used for national reporting by CDC for that season.
Subsequent flu seasons (2013-2014 and on)
Reporting mandatory from Oct 1 – Mar 31 (entire reporting period)
Mandatory reporting for long-term acute care hospitals begins with 2013-2014 season 5<br>
slide6. What’s new about the current forms and module? Vaccination Module of the Healthcare Personnel Safety Component in NHSN – revised Sept 2012
Captures summary data, not individual-level data
New protocol, forms, and surveys
Healthcare Personnel Safety Monthly Reporting Plan Form
Healthcare Personnel Influenza Vaccination Summary Form
Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel (coming soon – Jan 2013) 6<br>
slide7. Getting started Enroll facility in NHSN
Activate Healthcare Personnel Safety Component
Facility Administrator responsible
On left toolbar, click Facility Add/Edit Components
Check box indicating that the facility will be following the Healthcare Personnel Safety Component
Define the primary contact for this component in “Contact Data” section of the page 7<br>
slide8. Getting started (cont’d) Make sure primary contact has administrative rights
To create an NHSN user account:
On left toolbar of NHSN, click Users Add
Add name, e-mail address and save information
“Edit User Rights” screen will pop up next. Check appropriate boxes to grant rights and click “Save”.
If already an NHSN user
On left toolbar of NHSN, click on Users Find
Search for person or click “Find” to see all users
Click on person’s name and “Edit” to be able to change his/her rights. Check appropriate boxes and save the changes. 8<br>
slide9. Getting started (cont’d) Primary contact for HPS Component ensures staff who will be entering the vaccination data have user rights
Primary contact (who has admin rights) can grant the rights
New user will have to agree to NHSN rules of behavior, then apply for and install a digital certificate before being able to use the system 9<br>
slide10. Monthly reporting plan form 10<br>
slide11. Notes about the reporting plan Data must be “in-plan” in order to be shared with CMS.
Once the “Influenza Vaccination Survey” box is checked on a monthly reporting plan, the NHSN system will auto-check that box on every monthly reporting plan throughout the NHSN-defined influenza season (July 1 – June 30) 11<br>
slide12. Who are “healthcare personnel”? All employees on payroll
Licensed independent practitioners (who are physicians, advanced practice nurses, and physician assistants affiliated with the hospital but not on payroll)
Students, trainees, and volunteers
Other contract personnel (not mandatory that you report on vaccination status of these staff)
See Appendix A of HCP Vaccination Module: Influenza Vaccination Summary Protocol
Must be aged 18 or older
Must physically work in the facility for at least 30 days between October 1 and March 31 to be counted 12<br>
slide13. Other notes about classification of HCP Include all HCP who have worked at the facility for at least 30 working days regardless of clinical responsibility or patient contact.
Working for any number of hours a day counts as one working day.
Include both full-time and part-time persons.
Count individuals not full-time equivalents.
If someone works in two or more facilities, each facility should include that person in its denominator.
HCP categories are mutually exclusive – count each HCP only once. 13<br>
slide14. Denominator: number of HCP 14<br>
slide15. Vaccination status categories Vaccinated at healthcare facility
Vaccinated outside healthcare facility (need written report or documentation)
A signed statement or form, or an electronic form or e-mail from a healthcare worker (HCW) indicating when and where he/she received the influenza vaccine
A note, receipt, vaccination card, etc. from the outside vaccinating entity stating that the HCW received the influenza vaccine at that location 15<br>
slide16. Vaccination status categories (cont’d) Medical contraindication
Severe allergic reaction to eggs or other vaccine components
History of Guillain-Barré Syndrome within 6 weeks after a previous flu vaccination
HCP can provide written or verbal documentation of medical contraindications
Declined vaccine (includes religious exemptions, other medical conditions)
HCP can provide verbal or written declination of the vaccine
Unknown vaccination status (or criteria not met for categories above) 16<br>
slide17. Numerator: vaccination status 17<br>
slide18. Reporting HCP influenza summary reporting consists of a single data entry screen per influenza season.
NHSN defines a flu season as July 1 – June 30.
Data covering the entire reporting period (Oct 1 – Mar 31) must be entered once into NHSN for each reporting year.
The data can be entered on a monthly and/or quarterly basis, but only cumulative data should be entered.
Note: any new data will overwrite the previous data. The system will auto-fill “date last modified”.
Message confirming that data were saved will appear at the top of the screen.
Remember, these are summary data and reflect the overall vaccination status of HCP in your facility for the entire flu season to date. 18<br>
slide19. Analysis Not covered in-depth during this webinar
CDC training materials do have some screenshots and sample reports
From left toolbar: Analysis Output Options HCW Vaccination Module Influenza CDC Defined Output
Examples of analyses: Number of HCP Vaccinated, Number of HCP Working During the Required Time Period, Percentage of Vaccination Compliance, Percentage of Vaccination Non-Compliance 19<br>
slide20. How will these data be publicly reported? HCP influenza vaccination rates will not be publicly reported for the 2012-2013 season.
Beginning with 2013-2014 season, facility-specific HCP influenza vaccination rates are projected to be posted on the Hospital Compare website. 20<br>
slide21. Where can I get more information? NHSN Vaccination Module page: http://www.cdc.gov/nhsn/hps_vacc.html
Protocol: http://www.cdc.gov/nhsn/PDFs/HPS-manual/HPS-protocol-Vaccination-Mod-Influenza-Vaccination-Summary.pdf
FAQs: http://www.cdc.gov/nhsn/faqs/FAQ-Influenza-Vaccination-Summary-Reporting.html
Operational guidance for complying with CMS reporting requirements: http://www.cdc.gov/nhsn/PDFs/HPS-manual/Operational-Guidance-HPS-Flu-Vaccination-Sum-Acute-Care.pdf
NHSN@cdc.gov include “HPS Flu Summary” in the subject line of the e-mail 21<br>
slide22. NHSN training http://www.cdc.gov/nhsn/Training/healthcare-personnel-safety/index.html
Two slidesets – one on overview of HPS Component, one on overview of vaccination module
CDC webinars offered 10/3 (12-1PM), 10/11 (2-3PM).
Registration is full; however, will be archived and available soon afterward: http://www2.cdc.gov/vaccines/ed/nhsn
Covers data entry and analysis 22<br>
slide23. Andrea Alvarez
Virginia Department of Health
Healthcare-Associated Infections Program Coordinator
Andrea.Alvarez@vdh.virginia.gov
804-864-8097 Questions? 23<br>