NHSN SSI and MDRO/CDI Surveillance and Data Analysis—Presented by CDC

Friday, June 10, 8:00 a.m. – 4:30 p.m.

This interactive, pre-conference workshop will be devoted to the surveillance protocols, reporting, and data analysis of the NHSN SSI and MDRO/CDI Modules. The course agenda and presenter line-up is as follows:

NHSN Surgical Site Infection (SSI) Surveillance
Janet E. Brooks, RN, BSN, CIC
8:00 a.m. – 10:15 a.m.
This session will provide an overview of the NHSN Surgical Site Infection protocol and a review of the 2016 changes.

NHSN Analysis LIVE
Rebecca Konnor, MPH
10:30 a.m. – 11:30 a.m.
This presentation is a live demonstration of the analysis function only in the NHSN application and is intended for users who want to learn how to use output report options to access SSI and LabID data.

NHSN MDRO/CDI Module: Navigating Infection Surveillance and LabID Event Reporting
Denise Leaptrot, MSA, SM/BSMT(ASCP), CIC
12:30 p.m. – 2:45 p.m.
This presentation will provide a comprehensive review of the Multidrug-Resistant Organism & Clostridium difficile Infection (MDRO/CDI) module.  An overview of the module including definitions and criteria for MDRO and CDI infection surveillance and LabID event reporting will be provided.  Additionally, specific education related to CMS reporting requirements for MDRO and CDI will be offered.  Attendees will have an opportunity to learn and apply basics of event entry and analysis of events as it relates to the facility SIR and CMS required reporting.

Understanding the Importance of Risk-Adjustment and Data Quality
Zuleika Aponte-Torres, MPH; Rishi Parikh, MPH; Scott Decker MPH
3:00 p.m. – 4:30 p.m.
Three members of the NHSN Methods and Analytics team will discuss how facility reported data affect risk adjusted calculations of healthcare-associated infection (HAI) rates. Presenters will identify areas in NHSN were common errors are reported that cause data quality issues. The presentation will provide tips and resources on how users can identify and resolve potential issues in NHSN.

Learning objectives: 

  • Describe SSI 2015 changes to the SSI Protocol
  • Understand how to complete the SSI Event form and the SSI Denominator for Procedure Form
  • Understand how to link an SSI event to a procedure record
  • Apply NHSN SSI criteria to case scenarios
  • Understand MRSA bacteremia and C. difficile LabID Event definitions and protocols including requirements for LabID Event reporting to CMS via NHSN.
  • Describe how to correctly set-up a monthly reporting plan for MRSA bacteremia and C. difficile LabID Event reporting and/or Infection Surveillance
  • Describe how to correctly enter MRSA bacteremia and C. difficile LabID Event data and summary denominator data for LabID Event reporting into NHSN.
  • Describe and interpret the risk-adjusted metrics used by NHSN for SSI and LabID data at the national and facility level
  • Understand the importance of data quality for accurate measurement and reporting of all HAI data.
  • Locate resources in NHSN to perform basic analyses to identify data quality issues.

Presenters

Janet E. Brooks, RN, BSN, CIC
Nurse Consultant, Centers for Disease Control and Prevention, Clarkston, GA

Denise Leaptrot, MSA, SM/BSMT(ASCP), CIC
Epidemiologist/Infection Prevention Consultant, Centers for Disease Control and Prevention- National Healthcare Safety Network (NHSN), Dry Branch, GA

Zuleika Aponte-Torres, MPH
Epidemiologist, Centers for Disease Control and Prevention

Rishi Parikh, MPH
ORISE Fellow, Centers for Disease Control and Prevention, Atlanta, GA

Scott Decker, MPH
ORISE Fellow, Centers for Disease Control and Prevention

Rebecca Konnor, MPH
Analyst, Methods and Analytics Team, NHSN