Thursday, June 4, 2020

NHSN Efforts and Supportive Documentation

The grace period for National Healthcare Safety Network (NHSN) reporting has officially ended and CMS will automatically issue civil monetary penalties (CMPs) if facilities fail to report by the June 7, 2020 deadline. Nursing homes are required to report COVID-19 related information to NHSN at least weekly. Centers who fail to report to NHSN will be issued per day (PD) CMPs by CMS and amounts will increase if nursing homes fail to report in subsequent weeks. 

If your center has tried to submit data, but are receiving error reports, or has been experiencing technical issues that have not been resolved, you should keep copies of the information, responses and attempts to show proof of your efforts to be in compliance. This may help you appeal any CMP you receive.

Below are examples of documentation to help show proof of your efforts to be compliant with the NHSN reporting requirements. It may be helpful to organize all this information in chronological order and in one location.
  • Any documentation on the dates you reached out to NHSN for help with technical issues/registration issues 
  • Any documentation that provides a response to your question to the NHSN help desk 
  • SAM registration information and dates 
  • All email confirmations from NHSN or CDC about your communications and registration  
  • Copies and screen shots of any error messages you received  
  • Documentation of data you collected on NHSN forms if/when you were unable to input it into the online system while awaiting response to technical or registration issues 
All supporting documentation should be compiled in a manner that is easy to access should you need to provide this information to the health department, surveyors and/or CMS Regional Offices.

Please email for additional questions, or visit for more information.

No comments:

Post a Comment