Non-Substantive Change Request - VA Resident/Staff and Personnel

Change Memo for

National Healthcare Safety Network (NHSN)

Coronavirus (COVID-19)

Surveillance in Healthcare Facilities

(OMB Control No. 0920-1317)

Expiration Date: 01/31/2024

Program Contact

Lauren Wattenmaker

Surveillance Branch

Division of Healthcare Quality Promotion

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

Atlanta, Georgia 30333

Phone: 404-718-5842

Email: [email protected]

Submission Date: May 26, 2021

The Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion (DHQP) requests a non-substantive of an approved Information Collection Request:

National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities (OMB Control No. 0920-1317)

Dialysis

CDC is adding a section called Vaccine Status to the Dialysis COVID-19 Outpatient Facility form.  This section will add approximately 5 minutes to the completion of the form. This section is necessary for CDC to determine and understand the vaccine efficacy for the dialysis patient community. As a means for minimizing reporting burden on individual dialysis facilities, NHSN has enabled large dialysis organizations (LDOs) to report on behalf of facilities in their organizations via CSV upload. A majority of dialysis reporting is accomplished in this manner.

Veteran State Homes

CDC is adding two new forms to the Long-Term Care Facility COVID-19 Module: (1) Veterans Affairs Staff and Personnel COVID-19 Event form and (2) Veterans Affairs Resident COVID-19 Event form. These forms are designed specifically for state veterans homes which include skilled nursing facilities (LTC-SNF-SVH) and assisted living facilities (LTC-ALF-SVH) that are required to report person-level COVID-19 data to the Veterans Health Administration (VHA) via NHSN. The requirement is part of H.R.7105, the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. NHSN will supply data from the Veteran Home COVID-19 Module to the VHA. 

Both event forms collect information about each resident or staff person with a positive COVID-19 test. This includes name, age, sex, race, ethnicity, and veteran status. Additional information collected includes re-infections, vaccination status, therapeutics received, hospitalization and death. An event form must be entered each time a resident or staff person newly tests positive for COVID-19, including re-infections and re-admissions.

1. Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities. Burden estimate of 1 hour for each week the form is completed.

2. Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities. Burden estimate of 1 hour for each week the form is completed.

Burden Updates

The Centers for Medicare and Medicaid Services (CMS) Interim Final Rule 42 CFR 483.80(g)(1)(viii)-(ix) released May 11, 2021 now requires all CMS-certified skilled nursing facilities to report COVID-19 vaccination data for residents and staff as well as therapeutics data for residents. Reporting these data elements to NHSN was previously optional, thus the burden estimates have been increased to account for the required reporting by all CMS-certified skilled nursing facilities.

Burden Estimates

Type of Respondent	Form Name	No. of Respondents	No. Responses per Respondent	Avg. Burden per response (in hrs.)	Total Burden (in hrs.)
Microbiologist	Dialysis COVID-19 Outpatient Facility	7,900	104	25/60	342,333
Microbiologist	Resident COVID-19 Event Form	188	36	40/60	4,512
Microbiologist	Staff and Personnel COVID-19 Event Form	188	36	25/60	2,820
Microbiologist	Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities	15,400	52	1	800,800
Microbiologist	Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities	15,400	52	1	800,800
Microbiologist	COVID-19 Long Term Care Facility: Resident Therapeutics	15,400	52	10/60	133,467