Surveillance for C. difficile, MRSA, and other Drug-resistant Infections

• New! MRSA Bacteremia and CDI LabID Event Reporting – March 2017
  • YouTube Link [Video – 91 min]
  • Slideset [PDF – 6 MB]
• Patient Safety Component (PSC) Annual Survey January 2016 [Video – 6 min]
  • YouTube link – Completing the 2015 Facility Survey
  • CDC Streaming Video – Completing the 2015 Facility Survey

Additional Training

• New! General NHSN Definitions for 2017 – March 2017
  • YouTube Link [Video – 54 min]
  • Slideset [PDF – 2M]
• New! Determining Healthcare Association or Present on Admission Infections and Other Rules – July 2017
  • YouTube Link [Video – 16 min]

Analysis Training

• New! Analyzing MRSA Bacteremia and CDI LabID Event Data – March 2017
  • YouTube Link [Video – 57 min]
  • Slideset [PDF – 3 MB]
• Data Entry and Analysis Training

Continuing Education

• Obtaining Continuing Education for NHSN Training Events

• Multidrug-Resistant Organism & Clostridium difficile Infection (MDRO/CDI) Module Protocol, January 2017 [PDF – 973K]
• NHSN Overview January, 2017 [PDF – 74K]
• Identifying Healthcare-associated Infections (HAIs) in NHSN, January 2017 [PDF – 842K]
• Patient Safety Monthly Reporting Plan, January 2017 [PDF – 54K]

For full details on protocol definitions and the application of these definitions, please review the applicable protocol and Chapter 2, Identifying Healthcare-associated Infection (HAI) for NHSN Surveillance [PDF – 233 KB] in the NHSN Module.

• New! FAQs: Multidrug-Resistant Organism & Clostridium difficile Infection (MDRO and CDI) April 2017 [PDF – 471K]
• New! FAQs: Analysis April 2017 [PDF – 412K]
• FAQs: Annual Survey April 2016 [PDF – 250K]
• FAQs: CDA
• New! FAQs: Locations April 2017 [PDF – 254K]
• New! FAQs: Miscellaneous April 2017 [PDF – 265K]

• 57.128 Laboratory-identified MDRO or CDI Event January 2017 [PDF – 65K]
  • Customizable form [DOCX – 33K]
  • Table of Instructions for LabID MDRO-CDI form 57.128 [PDF – 69K]
• 57.126 MDRO or CDI Infection Event January 2017 [PDF – 100K]
  • Customizable form [DOCX – 52K] 
  • Table of Instructions for MDRO or CDI Event form 57.126 [PDF – 74K]
• 57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Reporting January 2017 [PDF – 56K]
  • Customizable form [DOCX – 39K]
  • Table of Instructions for MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring form 57.127 [PDF – 139K]
• 57.103 Patient Safety Component—Annual Facility Survey form January 2017 [PDF – 92K]
  • Table of Instructions for Patient Safety Component – Annual Hospital Survey 57.103 [PDF – 412K]
• 57.106 Patient Safety Monthly Reporting Plan form January 2017 [PDF – 53K]  
  • Customizable form [DOCX – 31K]
  • Table of Instructions for Monthly Reporting Plan form 57.106 [PDF – 61K]
• 57.115 HAI Custom Event form January 2017 [PDF – 99K]
  • Customizable form [DOCX – 50K]
    **Not to be used for CLABSI, CAUTI, SSI, VAE, pediatric VAP, or LabID events.**
    To be used in conjunction with CDC/NHSN Surveillance Definitions for Specific Types of Infections, January 2017 [PDF – 851K] NHSN Patient Safety Manual.

• MDRO & CDI LabID Event Calculator Version 2.0

  (must have javascript enabled)
  Operates based upon the currently posted LabID Event protocols in the NHSN MDRO & CDI Module.

• Healthcare Facility HAI Reporting Requirements to CMS via NHSN Current and Proposed Requirements September 2015 [PDF – 102K]
• Reporting Requirements and Deadlines in NHSN per CMS Current Rules September 2015 [PDF – 157K]
• 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 [PDF – 356K]
• Operational Guidance for Acute Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Clostridium 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 [PDF – 354K]
• Operational Guidance for Applicable Cancer Hospitals
  • Operational Guidance for Applicable Cancer Hospitals to Report Facility-Wide Inpatient (FacWideIN) Clostridium 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 [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 [PDF – 138K]
• 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 [PDF – 275K]
• NHSN Guidance for Acute Care Hospital FacWideIN MRSA/CDI LabID Denominator Reporting January 2017 [PDF – 143K]
• Helpful Tips for FacWideIn MRSA Bacteremia LabID Event Reporting for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting (IQR) Program December 2014 [PDF – 28K]
• Helpful Tips for FacWideIn CDI LabID Event Reporting for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting (IQR) Program December 2014 [PDF – 28K]
• Using the “SIR – MRSA Blood FacwideIn LabID Data for CMS IPPS” Output Option January 2017 [PDF – 150K]
• Using the “SIR – FacWideIn CDI LabID Data for CMS IPPS” Output Option January 2017 [PDF – 202K]
• Centers for Medicare and Medicaid Services (CMS) Hospital Inpatient Quality Reporting Program
• CMS’ Hospital Compare tool

• NHSN Patient Safety Component Alerts [PDF – 1M]
• Unusual Susceptibility Profiles Alert January 2015 [PDF – 362K]
• CDC Location Labels and Location Descriptions, January 2017 [PDF – 808K]
• NHSN Key Terms, January 2017 [PDF – 255K]
• CDC/NHSN Surveillance Definitions for Specific Types of Infections, January 2017 [PDF – 851K]
• How to Add a CCN to an IPF Location in NHSN January 2015 [PDF – 294K]
• NHSN Organism List (All Organisms, Top Organisms, Common Commensals, MBI Organisms, and UTI Bacteria) January 2017 [XLSX – 296K]
• CDC Vital Signs: Making Healthcare Safer
• SHEA-IDSA Guideline Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2010 Update by SHEA and IDSA [PDF – 549KB]

• Patient Safety Analysis Resources
• Patient Safety Analysis Quick Reference Guides
• Patient Safety Component – Variable Reference List [PDF – 3M]

SIRs on the 2015 Baseline

• Troubleshooting MRSA and CDI LabID Event SIR [PDF – 218K]
• NHSN’s Guide to the SIR (updated July 2017) [PDF – 3M]

SIRs on the Original Baseline

• Risk Adjustment for Healthcare Facility-Onset C. difficile and MRSA Bacteremia Laboratory-identified Event Reporting in NHSN March 2013 [PDF – 406K]This report describes the risk modeling that CDC applied to LabID event CDI and MRSA bacteremia data submitted to NHSN, the results of which have been incorporated into the analysis options in the NHSN application.