Surveillance for Bloodstream Infections

• CLABSI Training [CBT – 60 min]
• New! CLABSI Definition and Case Studies – March 2017
  • YouTube Link [Video – 67 min]
  • Slideset[PDF – 4 MB]
• New! Secondary BSI, Site-Specific Infection Definitions – March 2017
  • YouTube Link [Video – 72 min]
  • Slideset[PDF – 3 MB]
• Secondary Bloodstream Infections May 2016 [Video – 9 min]
  • YouTube Link – Secondary Bloodstream Infections
  • CDC Streaming Video – Secondary Bloodstream Infections
• 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
• BSI Definition Changes for January 2015 [Video – 14 min]
  • YouTube link
  • CDC Streaming Video

Additional Training

• Introduction to Device-associated Module Training [CBT – 60 min]
• 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! NHSN Analysis: Focus on Device-associated Data SIR for CLABSI, CAUTI, and VAE – March 2017
  • YouTube Link [Video – 57 min]
  • Slideset[PDF – 2 MB]
• Device-associated Denominator Sampling for January 2015 [Video – 7 min]
  • YouTube Link
  • CDC Streaming Video
• Data Entry and Analysis Training

Continuing Education

• Obtaining Continuing Education for NHSN Training Events

• Bloodstream Infection (BSI) Event, January 2017[PDF – 1M]
• 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: Bloodstream Infection Event (Central Line- Associated Bloodstream Infection and Non-central line-associated Bloodstream Infection) April 2017[PDF – 488K]
• 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]

• 57.108 Primary Bloodstream Infection (BSI) form January 2017[PDF – 107K]
  • Customizable form[DOCX – 39K]
  • Table of Instructions for BSI form 57.108[PDF – 169K]
• 57.116 Denominators for Neonatal Intensive Care Unit (NICU) form January 2017[PDF – 72K]
  • Customizable form[DOCX – 33K]
  • Table of Instructions for Denominators for NICU form 57.116[PDF – 131K]
• 57.117 Denominators for Specialty Care Area (SCA) form January 2017[PDF – 42K]
  • Customizable form[DOCX – 29K]
  • Table of Instructions for Denominators for SCA form 57.117[PDF – 188K]
• 57.118 Denominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA) form January 2017[PDF – 40K]
  • Customizable form[DOCX – 29K]
  • Table of Instructions for Denominators for ICU form 57.118[PDF – 191K]
• 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.

• 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]
• Centers for Medicare and Medicaid Services (CMS) Hospital Inpatient Quality Reporting Program
• CMS’ Hospital Compare tool  
• 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[PDF – 99K]
• How to Report No CLABSI Events for the CMS Inpatient Quality Reporting Program May 2015[PDF – 624K]
• Helpful Tips for CLABSI Reporting for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting Program (CMS Reporting Program) Dec 2014[PDF – 28K]
• Using the “SIR – CLABSI Data for CMS IPPS” Output Option. January 2017[PDF – 211K]
• 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[PDF – 111K]
• Helpful Tips for CLABSI Reporting for the Centers for Medicare and Medicaid Services’ PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program September, 2013[PDF – 116K]
• Using the “Rate Table – CLABSI Data for CMS PPS-Exempt Cancer Hospitals” Output Option July 2014[PDF – 156K]
• Changing a CCN within NHSN (updated July 2015)[PDF – 290K]

• NHSN Patient Safety Component Alerts[PDF – 1M]
• Unusual Susceptibility Profiles Alert January 2015[PDF – 362K]
• NHSN Validation Guidance and Toolkit; Validation for 2012 Central Line-Associated Bloodstream Infection (CLABSI) in ICUs (Chapters 1—3)[PDF – 789K]
  • Appendix 1 Facility Self-validation Tool for CLABSI Surveillance[PDF – 94K]
  • Appendix 2 Template Denominator Collection Methods Survey for CLABSI Surveillance[PDF – 97K]
  • Appendix 3a External Validation; Targeted Facility Selection[PDF – 345K]
  • Appendix 3b External Validation; 5% Simple Random Sample of Facilities[PDF – 66K]
  • Appendix 3c External Validation; Medical Record Selection[PDF – 66K]
  • Appendix 4 Template Letter Requesting External Validation Site Visit[PDF – 64K]
  • Appendix 5 and 5a ICU CLABSI Medical Record Abstraction Tool and Tennessee Checklists for Validation[PDF – 116K]
  • Appendix 6 Example Template for CLABSI Audit Discrepancies Report to Facility[PDF – 74K]
  • Appendix 7 Example Validation Follow-up Letters, With and Without Identified Problems[PDF – 84K]
  • Appendix 8 Facility-Specific CLABSI Validation Summary and Post-Validation Analysis[PDF – 72K]
  • Appendix 9 Rate the 2012 CLABSI Validation Guidance and Toolkit[PDF – 70K]
• 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]
• NHSN Organism List (All Organisms, Top Organisms, Common Commensals, MBI Organisms, and UTI Bacteria) January 2017[XLSX – 296K]
• Guidance for Missing Device-associated Denominator Data[PDF – 145K]

• Healthcare–associated Infection (HAI) and Present on Admission Infection (POA) Worksheet Generator (must have JavaScript enabled)
• Worksheet for Determining Date of Event, Infection Window Period, Repeat Infection Timeframe, and Secondary BSI Attribution Period 2017[XLSX – 18K]
• Example Worksheet for Determining Date of Event, Infection Window Period, Repeat Infection Timeframe, and Secondary BSI Attribution Period 2017[XLSX – 21K]

• Patient Safety Analysis Resources
• Patient Safety Analysis Quick Reference Guides
• Analyzing MBI-LCBI CLABSI Data[PDF – 106K]
• Patient Safety Component – Variable Reference List[PDF – 3M]
• Troubleshooting CLABSI and CAUTI SIR[PDF – 432K]