Surveillance for Surgical Site Infection (SSI) Events
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Resources for NHSN Users Already Enrolled
Training
- Surgical Site Infections (SSI) Training [CBT – 60 min]
- New! SSI Surveillance and Case Studies – March 2017
- New! SSI Surveillance with Case Studies (cont’d.) – March 2017
- ICD-10 PCS and CPT Transition – January 2016 [Video – 8 min]
- Patient Safety Component (PSC) Annual Survey – January 2016 [Video – 6 min]
- New! Surgical Site Infections (SSI) Event form for PATOS – June 2017
Additional Training
- Introduction to Procedure-associated Module Training
- New! General NHSN Definitions for 2017 – March 2017
- New! Determining Healthcare Association or Present on Admission Infections and Other Rules – July 2017
Analysis Training
- New! Advanced Analysis: Focus on SSI – March 2017
- Data Entry and Analysis Training
Continuing Education
Protocols
Frequently Asked Questions
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: Surgical Site Infections (SSI) April 2017 [PDF – 436K]
- New! FAQs: SSI Procedure Codes April 2017 [PDF – 307 KB]
- 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]
Data Collection Forms
- 57.120 Surgical Site Infection (SSI) January 2017 [PDF – 102K]
- 57.121 Denominator for Procedure January 2017 [PDF – 49K]
- 57.122 Denominator for Custom Procedure January 2016 [PDF – 108K]
- 57.103 Patient Safety Component—Annual Facility Survey form January 2017 [PDF – 92K]
- 57.106 Patient Safety Monthly Reporting Plan form January 2017 [PDF – 53K]
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57.115 HAI Custom Event form January 2017 [PDF – 99K]
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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.
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Customizable form [DOCX – 50K]
CMS Supporting Materials
- 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 Reporting Surgical Site Infection Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Program Requirements November 2014 [PDF – 103K]
- How to Report No Procedure or SSI Events for the CMS Inpatient Quality Reporting Program February 2017 [PDF – 247K]
- Helpful Tips for SSI Reporting for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting Program (CMS Reporting Program) December 2014 [PDF – 28K]
- Using the “SIR- Complex 30-Day SSI Data for CMS IPPS” Output Option January 2017 [PDF – 350K]
- 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 [PDF – 121K]
- Changing a CCN within NHSN (updated July 2015) [PDF – 290K]
Supporting Materials
2017 Operative Procedure Code Documents
The documents listed below should be used for procedures performed in 2017.
- Update! ICD-10-PCS Procedure Code Mapping to NHSN Operative Procedure Codes [XLSX – 611K]
- Update! Current Procedural Terminology (CPT) Procedure Code Mapping to NHSN Operative Procedure Codes [XLSX – 313K]
- Additional Guidance for use with NHSN Operative Procedure Codes
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Update! ICD-10-PCS & CPT Codes – Guidance for HPRO & KPRO Procedure Details [XLSX – 46K]
This guidance document may be used for completing the NHSN procedure details for HPRO – hip arthroplasty and/or KPRO – Knee arthroplasty operative procedures. -
FUSN ICD-10-PCS Codes – Guidance for Spinal Level and Approach. [XLSX – 30K]
This supplemental guidance may be used to complete the spinal level and approach fields in the Operative Procedure Details section for FUSN procedures. - ICD-10 CM Diabetes Diagnostic Codes [XLSX – 15K]ICD-10-CM codes included in this spreadsheet are acceptable for use to answer “YES” to “Diabetes Mellitus” for completing the NHSN Operative Procedure Details.
- ICD-10-CM/PCS Codes for ‘prior infection at hip or knee joint’ denominator form question [XLSX – 20K]Use ICD-10-PCS/CM diagnosis or procedure codes included in this spreadsheet to determine if patient meets criteria for ‘prior infection at index joint’.
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Update! ICD-10-PCS & CPT Codes – Guidance for HPRO & KPRO Procedure Details [XLSX – 46K]
- Document detailing changes made to the 2016 operative procedure codes
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Update! Summary of 2016 Code Changes [XLSX – 343K]
This document identifies changes made to the codes 2016 operative procedure codes. It should not be used for identifying NHSN operative procedures or SSI events.
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Update! Summary of 2016 Code Changes [XLSX – 343K]
- 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]
- NHSN Organism List (All Organisms, Top Organisms, Common Commensals, MBI Organisms, and UTI Bacteria) January 2017 [XLSX – 296K]
- Improving Risk-Adjusted Measures of Surgical Site Infection for the National Healthcare Safety Network [PDF – 527K]
- Sample Procedure Import File [XLSX – 25K]
- How to Import Patient Safety Procedure Data, August 2017 [PDF – 509 KB]
Analysis Resources
- Page last reviewed: April 5, 2017
- Page last updated: August 3, 2017
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