Thursday, July 9, 2020

NHSN Updates Resident Impact and Facility Capacity Pathway Instructions

The Centers for Disease Control and Prevention (CDC) and the National Healthcare Safety Network (NHSN) updated the instructions document on one of the four pathways. The Resident Impact and Facility Capacity Pathway instructions have been updated to provide clarification on definitions and provides examples in each section of the instructions. 

Below is a summary of the changes: 
  • Admissions definition update and example of admission for inclusion in module count 
    • Do not include new admissions preemptively isolated for 14 days – only residents previously diagnosed with COVID-19 are included in counts 
  • Confirmed definition update and example of Confirmed for module count 
    • Only newly confirmed cases should be included counting each confirmed resident only once during the reporting period 
  • Suspected definition update and example for module inclusion 
    • Each newly suspected COVID-19 resident should only be counted once during the reporting period – goal is to collect incidence (new cases) 
  • Total Deaths definition update and example of Total Deaths for module count 
    • Each resident death, for any reason including COVID-19, should be included only once in the Total Deaths count 
    • Total Deaths count should never be lower than the COVID-19 Deaths count 
  • COVID-19 Deaths definition update and example of COVID-19 Deaths for module count
    • COVID-19 Deaths count must be counted in both COVID-19 Deaths and Total Deaths count 
    • COVID-19 Deaths should never be higher than Total Deaths 
    • If resident had previously confirmed COVID-19, but recovered and was no longer being treated for COVID-19 (removed from isolation) at the time of death, do not include in COVID-19 Death count, but do include in Total Deaths count 
  • All Beds includes total number of beds in the facility, which may include a combination of private and non-private pay beds. 
  • Current Census may include a combination of private pay and non-private pay occupied beds, including non-licensed beds.  

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