Att D.1 Explanations/Justifications for Proposed Revisions

National Healthcare Safety Network (NHSN)

OMB Control No. 0920-0666

Revision Request July 2012

Explanations and justifications for proposed revisions to OMB 0920-0666

Twenty-nine collection tools previously approved under OMB No. 0920-0666 have been revised to some extent in this revision request. In addition, six forms are being removed from the package. Proposed program changes are explained below.

1. Major revisions to form 57.104 Patient Safety Component – Outpatient Dialysis Center Practices Survey.

Justification: Due to the CMS End Stage Renal Disease (ESRD) Quality Improvement Program (QIP) reporting requirements (Attachment E-2), over 5,500 dialysis facilities will enroll into NHSN to report data in 2012. Form 57.104 is completed by each facility upon enrollment into NHSN and then every January thereafter. Changes have been made to form 57.104 in an effort to provide further clarification to those collecting the information. Additionally, some of the changes have been made to improve surveillance data available for the outpatient dialysis population. Surveillance data will be used to inform the healthcare community about the burden of infection among this population and will be used to help inform best practices.

2. Six forms will be removed from the package.

Justification: Forms 57.202 Healthcare Worker Survey and 57.208 Healthcare Worker Vaccination History will be removed from the package because they will not be built into the NHSN application. Forms 57.209 Healthcare Worker Influenza Vaccination, 57.211 Pre-Season Survey on Influenza Vaccination Programs for Healthcare Personnel, 57.212 Post-Season Survey on Influenza Vaccination Programs for Healthcare Personnel, and 57.213 Healthcare Personnel Influenza Vaccination Monthly Summary will be removed from the package due to changes within NHSN reporting of healthcare personnel influenza vaccination. CMS Inpatient Quality Reporting (IQR) requirements (Attachment E-1) designate that all acute care facilities will report healthcare personnel vaccination counts at the summary level from their facilities for the 2012-2013 flu season. Therefore, the old functionality of individual level vaccination reporting will be removed from NHSN.

3. All other NHSN data collection form revisions.

Justification: A number of minor revisions, updates, and clarifications have been made to the NHSN data collection forms. See Attachment D-2 for itemized NHSN data collection forms revisions and justifications. Resulting burden revisions are itemized in Attachments D-3 and D-4.

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