Att D-1_ Explanations and Justifications for proposed revisions

National Healthcare Safety Network (NHSN)

OMB Control No. 0920-0666

Revision Request June 2015

Explanations and justifications for proposed revisions to OMB 0920-0666

Twenty-seven collection tools previously approved under OMB No. 0920-0666 are being revised to some extent in this revision request. In addition, three forms are being removed from the package and one form is being added. Proposed program changes are explained below.

1. Significant updates to annual facility surveys (57.103, 57.137, 57.150, 57.151, 57.300, 57.400, and 57.500)

Justification: Based on user feedback and internal reviews of the annual facility surveys it was determined that questions and response options be amended, removed, or added to fit the evolving uses of the annual facility surveys. The surveys are being increasingly used to help intelligently interpret the other data elements reported into NHSN. Currently the surveys are used to appropriately risk adjust the numerator and denominator data entered into NHSN while also guiding DHQP decisions on future division priorities for prevention.

2. Carbapenemase testing questions were added to the MDRO LabID Event form (57.128).

Justification: The questions will ask facilities whether the bacterial isolate was tested; if so, using which tests. Additionally if the isolate was tested for carbapenemase, whether the isolate tested positive, and if so using which tests. These questions were added to the form to ascertain whether facilities are adhering to new CRE reporting rules by collecting additional information in relation to CRE laboratory tests methods.

3. Two dialysis forms will begin collecting information on dialyzer reuse (57.502 and 57.503).

Justification: Dialyzer reuse has been identified as important risk factor for infection. By including this field on both numerator and denominator forms, it will be possible to calculate a dialyzer reuse rate. The dialyzer reuse rate can then be included in NHSN analyses to determine the effect of dialyzer reuse on patient outcomes.

4. A total of two forms will be removed from the OMB package because they will no longer be implemented in NHSN. The removed forms are:

   • 57.154 – Antimicrobial Use & Resistance Component - Monthly Reporting Plan

   • 57.600 – State Health Department Validation Record.

5. All other NHSN data collection form revisions.

Justification: A number of minor revisions, updates, and clarifications have been made to 27 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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