Guidance

0990-0478 3JAN_Hospital Reporting Guidance.pdf

HHS Teletracking COVID-19 Portal (U.S. Healthcare COVID-19 Portal).

Guidance

OMB: 0990-0478

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0990-0478 can be found here:

2022-08-12 - Revision of a currently approved collection

Document [pdf]

Download: pdf | pdf

This content does not meet HHS and OS accessibility standards. For immediate assistance, please
contact [email protected]

COVID-19 Guidance for Hospital Reporting and FAQs

For Hospitals, Hospital Laboratory, and Acute Care Facility Data

Reporting

Updated: January 6, 2022

Implementation Dates:

Therapeutic D Required: January 19, 2022

Pediatric and Influenza Fields Required: February 2, 2022

Since March 29, 2020, the U.S. government has been collecting data from hospitals and states to
understand health care system stress, capacity, capabilities, and the number of patients hospitalized due to
COVID-19. As the COVID-19 response continues to evolve, Federal needs for data are also evolving. In
an effort to reduce burden while maximizing efficiency, the Federal government launched a data re
evaluation process, including input from stakeholders, to determine COVID-19 hospital data collection
needs. This guidance is the product of the data re-evaluation effort.
All data collected is driven by two core principles: 1) the data must drive action and/or 2) the data must
serve as a surveillance indicator for U.S. health care system stress, capacity, capability, and/or patient
safety. Significant consideration was also given to align with state, tribal, local, and territorial (STLT)
needs wherever possible, and to minimize system changes and/or disruptions.
The following details the data elements, cadence, and how the data are being used in the federal response.
Appendix A includes a change log for comparison to previous hospital reporting guidance.

Who is responsible for reporting, and when is reporting required?
Hospitals are responsible for reporting the information to the Federal government. Facilities should report
at the individual hospital level, even if hospitals share a Centers for Medicare & Medicaid Services
(CMS) Certification Number (CCN).
We recognize that some health care systems choose to report for all facilities in their network from a
central corporate location.
We also recognize that many states currently collect this information from the hospitals. Therefore,
hospitals may be relieved from reporting directly to the Federal government if they receive a written
release from the state indicating that the state is certified and will collect the data from the hospitals and
take over the hospital’s Federal reporting responsibilities. STLT partners may have unique reporting
requirements either related to or independent of the Federal reporting requirements. Facilities are
encouraged to work with their relevant STLT partners to ensure complete reporting.
To be considered “certified”, states must first receive written certification from their Assistant Secretary
for Preparedness and Response (ASPR) Regional Administrator affirming that the state has an
established, functioning data reporting stream to the federal government that is delivering all of the
information shown in the table below at the appropriate daily frequency. States that take over reporting
must provide these data, regardless of whether they are seeking immediate federal assistance. States that
are certified are listed on healthdata.gov.
1

Cadence and Facility Type
Hospitals, with the exception of psychiatric and rehabilitation hospitals are required to report seven days a
week but, where possible and pending further direction from their state or jurisdiction, are encouraged to
report weekend data on the following Monday with the data backdated to the appropriate date. Psychiatric
hospitals and rehabilitation hospitals report once weekly on Wednesday. All hospitals are asked to
follow the direction of their state and jurisdiction to ensure reporting meets STLT needs.
For items that are reported one time per week, it is critical that the data are reported on Wednesday in
order to be counted towards compliance requirements. This also applies to psychiatric and rehabilitation
facilities that are only required to report once a week.
Facility Description
Short-term Acute Care Hospitals
Medicaid Only Short-term Hospitals
Long-term Care Hospitals
Medicaid Only Long-term Hospitals
Critical Access Hospitals
Children’s Hospitals
Medicaid Only Children’s Hospitals
General Hospitals (including acute,
trauma, and teaching)
Women’s Hospitals
Oncology Hospitals
Orthopedic Hospitals
Military Hospitals
Indian Health Service Hospitals
Veteran’s Administration Hospitals

Reporting Cadence
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Daily with weekends and holidays backdated where possible
and pending further direction from their state or jurisdiction*
Report on Wednesday only
Report on Wednesday only
Report on Wednesday only
Report on Wednesday only
Report on Wednesday only

Distinct Part Psych Hospitals
Psychiatric Hospitals
Medicaid Only Psychiatric Hospitals
Rehabilitation Hospitals
Medicaid Only Rehabilitation
Hospitals
*We recognize that STLT partners may have reporting requirements related to or independent of the Federal
reporting requirements. Facilities are encouraged to work with relevant STLT partners to ensure complete
2

reporting for all partners. All hospitals are asked to follow the direction of their state and jurisdiction to
ensure reporting meets STLT needs.

Reporting Flexibilities
We recognize that reporting requires staffing resources and have implemented the following flexibilities.
All hospitals are asked to follow the direction of their state and jurisdiction to ensure reporting
meets STLT needs.
Holidays: Pending further direction of their state or jurisdiction, hospitals are not expected to report to
the Federal government on holidays unless otherwise noted, however, are requested to report
the data elements within 24 hours of the holiday, backdated to the appropriate date. All
hospitals are asked to follow the direction of their state and jurisdiction to ensure reporting
meets STLT needs.
Weekends: Where possible and pending further direction of their state or jurisdiction, hospitals are not
expected to report on weekends, however, are requested to report the data elements within 24
hours of the weekend, backdated to the appropriate date. All hospitals are asked to follow the
direction of their state and jurisdiction to ensure reporting meets STLT needs.
Emergencies: Hospitals experiencing additional natural and/or manmade disasters such as wildfires,
hurricanes, cyber incidents, flooding, etc. are able to be placed on emergency suspense.
Facilities placed in emergency suspense are not required to report COVID-19 data for the
duration of the suspense. Backdated reporting is not required after the incident is resolved.

How to Report
Hospitals should report the information to the Federal government through one of the methods below 1.
Options are provided to best meet facility needs. Facilities should report at the individual hospital level,
even if hospitals share a CCN. To view the most recent templates, view the Templates and Technical
Materials page located on healthdata.gov. Additional information on the template crosswalk with the
guidance is also available in Appendix F.
Method
State Certification

Submit Data to
TeleTracking

Description
If your state has assumed reporting responsibility, submit all data to your state
each day and your state will submit on your behalf. Your state can provide you
with a certification if they are authorized to submit on your behalf. States are
able to submit data via any of the below mechanisms (submitting data to
TeleTracking, centralized reporting system, and/or health IT vendors or another
third-party).
Submit data to TeleTracking. All instructions on the data submission are
available on the TeleTracking Portal, located at
https://teletracking.protect.hhs.gov. To become a user in the portal, respond to
the validation email sent to your administrator, and visit the TeleTracking
Portal following the instructions on how to become a user. Each facility is able
to have up to four users for both data entry and visual access to aggregated data
in the platform. Users will be validated by the platform.

Note: Posting information publicly to hospital and/or hospital organization website using common data standards
was previously provided as an option for submitting data. This option has been removed as it was not utilized.

Method
Centralized System
Reporting
Share Information
Directly with HHS
through your Health
IT Vendor or Other
Third-Party

Description
Centralized reporting is available for entities reporting data on behalf of
multiple facilities. If you are an individual hospital, hospital organization or
state reporting many facilities, use this template for TeleTracking.
Individual hospitals and/or hospital organizations may provide authorization to
a third-party vendor for Health IT, emergency management, situational
awareness, and/or other provider for sharing data directly with HHS on behalf
of the facility.

Troubleshooting & Operational Status Changes
Hospitals with name changes and/or changes in operational status should contact their state public health
department or contact the HHS Protect Service Desk ([email protected]) for Federal
COVID-19 reporting purposes. Newly established hospitals and/or hospitals with new ownership are
granted a 30-day reporting exemption to establish reporting mechanisms and protocols.
Hospitals that encounter reporting challenges or have questions should contact the HHS Protect Service
Desk ([email protected]).

Data Elements
The following data elements help the Federal government understand health care system stress, capacity,
capabilities, and the number of patients hospitalized due to COVID-19. Data elements may be required or
optional and may have a specific cadence associated. The purpose of each data element and how it
informs the Federal response is in Appendix B.
Required Data Elements: These data elements are requested from facilities to ensure a complete data
submission. Any associated Federal compliance is evaluated on required data elements only. Some data
elements are requested at each reporting interval (i.e. daily), while others are requested weekly.
Optional Data Elements: Hospital reporting on these fields is determined at a jurisdiction and/or facility
level. Hospitals are asked to follow the direction of their STLT government on reporting these fields,
otherwise reporting is at the discretion of the facility for the purposes of federal reporting. 2 These data
elements are helpful to the federal response, and may be used for additional analysis and planning
purposes.
Federally Inactive Data Elements: These data elements have been made inactive for the federal data
collection and are no longer required at the federal level. Hospitals are asked to follow the direction of
their STLT government on reporting these fields, as some jurisdictions may choose to keep certain data
elements as part of the collection based on their needs. Note: Hospitals are able to continue reporting
data on these fields- the fields are not being removed from templates.
Daily Data Elements: Hospitals are requested to provide information on these data elements on a daily
basis, however, hospitals are encouraged to back-date weekend and holiday data.

We recognize that STLT partners may have reporting requirements related to or independent of the Federal
reporting requirements. Facilities are encouraged to work with relevant STLT partners to ensure complete reporting
for all partners.

Weekly Data Elements: Hospitals are requested to provide information on these data elements once per
week on Wednesdays. Weekly data elements must be provided on Wednesday to be counted towards
compliance requirements. If a holiday falls on a Wednesday, data may be reported on the next business
day.
The data elements are listed in the table below by data field ID number and grouped by category:
Metadata, Capacity, Supply, Influenza, Therapeutic, Therapeutic Placeholder, and Healthcare Worker
Vaccination. The data element description, whether the field is required or optional, and the requested
cadence are indicated. A list of data elements grouped by cadence and whether they are required or
optional is available in Appendix C.
Changes to data elements are also indicated throughout the document where appropriate, in addition to the
change log in Appendix A.
• New data elements as of this January 6, 2022 guidance are marked as [NEW] in the
required/optional column, and the information needed column. New data elements are also
highlighted within the table in blue.
• Data elements with changes to whether they are optional or required as of this January 6,
2022 guidance are marked as [CHANGED] in the required/optional column.
• Data elements with changes to cadence as of this January 6, 2022 guidance are marked as
[CHANGED] in the cadence column.
• Data elements that have been made inactive for the federal data collection as of this January
6, 2022 guidance are noted with text across all columns indicating they have been made federally
inactive, with a brief version of the field name included in parenthesis for reference. Data
elements that are inactive for the federal data collection are also highlighted in italics and in gray.
The purpose of each data element is available in Appendix B.
Additional details on the data elements are available in Appendix D. A visual representation of related
capacity and occupancy fields is available in Appendix E.

Data Element Table
ID

Sub
ID

Required/Optional

Cadence

Information Needed

Description

Metadata 3
ID
1
1
1
1
1
1
1
1

Sub
ID
a.
b.
c.
d.
e.
f.
g.
h.

Sub
ID
a.

Required/Optional
Required
Required
Optional
Required
Required
Required
Optional
[NEW] Optional

Required/Optional

Cadence
Daily*
Daily*
Daily*
Daily*
Daily*
Daily*
Daily*
Daily*

Cadence

Information Needed

Description

Hospital Name
CCN
NHSN Org ID
State
County
ZIP
TeleTracking ID
[NEW] HHS ID

Name of hospital
Hospital CMS Certification Number (CCN)
The NHSN-assigned facility ID
State where the hospital is located
County where the hospital is located
ZIP where the hospital is located
The identifier assigned by TeleTracking
The HHS-assigned facility ID. If multiple facilities
report under the same CCN, each individual facility
will have a unique HHS ID. See Appendix D for
additional information.
Capacity, Occupancy, Hospitalizations, and Admissions
Information Needed

Description

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

Required/Optional

Cadence

Information Needed

Required

Daily*

Adult hospital inpatient beds (Subset)

[NEW] Required

Daily*

[NEW] All inpatient pediatric beds (Subset)

Required

Daily*

All hospital inpatient bed occupancy

Required

Daily*

Adult hospital inpatient bed occupancy (Subset)

[NEW] Required

Daily*

[NEW] Pediatric inpatient bed occupancy
(Subset)

Description
a patient, regardless of whether they are occupied or
available.
Total number of all staffed adult inpatient beds in the
facility, that are currently set-up, staffed and able to be
used for a patient within the reporting period. This
includes all overflow, observation, and active
surge/expansion beds used for inpatients. This
includes ICU beds. Include any
surge/hallway/overflow beds that are open for use for
a patient, regardless of whether they are occupied or
available. This is a subset of #3a.
Total number of pediatric beds in the facility that are
currently set-up, staffed and able to be used for a
patient within the reporting period. This count
includes occupied and unoccupied inpatient pediatric
beds including both PICU and med-surge beds (beds
in which medical or surgical pediatric patients may be
routinely placed). Include any surge/hallway/overflow
beds that are open for use for a patient, regardless of
whether they are occupied or available. This count
excludes NICU, newborn nursery beds, and
outpatient surgery beds. This is a subset of #3a. This
field is required as of 2/2/2022.
Total number of staffed inpatient beds that are
occupied. This reflects occupancy levels for beds
reported in #3a.
Total number of staffed adult inpatient beds that are
occupied. This is a subset of #4a, and reflects
occupancy levels for beds reported in #3b.
Total number of set-up and staffed inpatient pediatric
beds that are occupied by a patient. Includes both
PICU and med-surge beds (beds in which medical or
surgical pediatric patients may be routinely placed).
7

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

Required/Optional

Required

[NEW] Required

Cadence

Daily*

Information Needed

ICU beds (Subset)

Adult ICU beds (Subset)

[NEW] Pediatric ICU beds (Subset)

Description
Include any occupied surge/hallway/overflow beds
that are open for use. This count excludes NICU,
newborn nursery, and outpatient surgery beds.
This is a subset of #4a, and reflects occupancy levels
for beds reported in #3c. This field is required as of
2/2/2022.
Total number of ICU beds that are currently set-up,
staffed and are or could be used for a patient within
the reporting period. This count includes occupied and
unoccupied ICU beds. This is a subset of #3a, and
includes the values for #5b and #5c.
Note: All ICU beds should be considered, regardless
of the unit on which the bed is housed. This includes
ICU beds located in non-ICU locations, such as mixed
acuity units.
Total number of staffed adult inpatient ICU beds that
are currently set-up, staffed and are or could be used
for a patient within the reporting period. This count
includes occupied and unoccupied ICU beds. This is
a subset of #3b and #5a. Any beds counted in #5b
should NOT be counted in #5c.
Note: All adult ICU beds should be considered,
regardless of the unit on which the bed is housed. This
includes ICU beds located in non-ICU locations, such
as mixed acuity units.
Total number of pediatric ICU beds in the facility that
are currently set-up, staffed and are or could be used
for a patient within the reporting period. This count
includes occupied and unoccupied ICU beds,

Data collection systems are encouraged to provide mechanisms for hospitals without ICUs to skip all ICU questions.

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

Required/Optional

Cadence

Information Needed

Description
including any ICU beds that are, or could be, staffed
and used for a pediatric patient. This count excludes
NICU, newborn nursery, and outpatient surgery
beds. This is a subset of #3c and #5a. Any beds
counted in #5c should NOT be counted in #5b. This
field is required as of 2/2/2022.

Required

Daily*

ICU bed occupancy (Subset)

Required

Daily*

Adult ICU bed occupancy (Subset)

[NEW] Required

Daily*

[NEW] Pediatric ICU bed occupancy (Subset)

7
8
9

Note: All pediatric ICU beds should be considered,
regardless of the unit on which the bed is housed. This
includes ICU beds located in non-ICU locations, such
as mixed acuity units.
Total number of staffed ICU beds that are occupied.
This is a subset of #4a.
Total number of staffed adult ICU beds that are
occupied. This is a subset of #4b and #6a.
Total number of set-up and staffed pediatric ICU beds
occupied by a patient. This count excludes NICU,
newborn nursery, and outpatient surgery beds.
This is subset of #4c and #6a. This field is required as
of 2/2/2022.

Note: All occupied pediatric ICU beds should be
considered, regardless of the unit on which the bed is
housed. This includes ICU beds located in non-ICU
locations, such as mixed acuity units.
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Total mechanical ventilators)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Mechanical ventilators in use)
Required
Daily*
Total hospitalized adult suspected or laboratory- Patients currently hospitalized in an adult inpatient
confirmed COVID-19 patients
bed who have laboratory-confirmed or suspected
COVID-19. Include those in observation beds.
9

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

Required/Optional

Required

Cadence

Daily*

Information Needed

Hospitalized adult laboratory-confirmed
COVID-19 patients

Total hospitalized pediatric suspected or
laboratory-confirmed COVID-19 patients

Hospitalized pediatric laboratory-confirmed
COVID-19 patients

Hospitalized and ventilated COVID-19 patients

Description
See Appendix D for the definition of laboratoryconfirmed COVID-19.
Patients currently hospitalized in an adult inpatient
bed who have laboratory-confirmed COVID-19.
Include those in observation beds. Include patients
who have both laboratory-confirmed COVID-19 and
laboratory-confirmed influenza in this field.
See Appendix D for the definition of laboratoryconfirmed COVID-19.
Patients currently hospitalized in a pediatric inpatient
bed, including NICU, PICU, newborn, and nursery,
who are suspected or laboratory-confirmed-positive
for COVID-19. Include those in observation beds.
See Appendix D for the definition of laboratoryconfirmed COVID-19.
Patients currently hospitalized in a pediatric inpatient
bed, including NICU, PICU, newborn, and nursery,
who have laboratory-confirmed COVID-19. Include
those in observation beds. Include patients who have
both laboratory-confirmed COVID-19 and laboratoryconfirmed influenza in this field.
See Appendix D for the definition of laboratoryconfirmed COVID-19.
Patients currently hospitalized in an adult, pediatric, or
neonatal inpatient bed who have suspected or
laboratory-confirmed COVID-19 and are on a
mechanical ventilator including adult, pediatric,
neonatal ventilators, ECMO machines, anesthesia
machines and portable/transport ventilators available
in the facility. Include BiPAP machines if the hospital
10

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

Required/Optional

Required

[NEW] Required

Cadence

Daily*

Information Needed

Total ICU adult suspected or laboratoryconfirmed COVID-19 patients

Hospitalized ICU adult laboratory-confirmed
COVID-19 patients

[NEW] Hospitalized ICU pediatric laboratoryconfirmed COVID-19 patients

Description
uses BiPAP to deliver positive pressure ventilation via
artificial airways.
Patients currently hospitalized in a designated adult
ICU bed who have suspected or laboratory-confirmed
COVID-19.
See Appendix D for the definition of laboratoryconfirmed COVID-19.
Patients currently hospitalized in an adult ICU bed
who have laboratory-confirmed COVID-19. Include
patients who have both laboratory-confirmed COVID
19 and laboratory-confirmed influenza in this field.
See Appendix D for the definition of laboratoryconfirmed COVID-19.
Total number of pediatric ICU beds occupied by
laboratory confirmed positive COVID-19 patients.
This is a subset of #6c, occupied pediatric ICU beds.
This count excludes NICU, newborn nursery, and
outpatient surgery beds. This field is required as of
2/2/2022.
See Appendix D for the definition of laboratoryconfirmed COVID-19.

Required

Daily*

Hospital Onset

Total current inpatients with onset of suspected or
laboratory-confirmed COVID-19 fourteen or
more days after admission for a condition other
than COVID-19.

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

14
15
16
17

Required/Optional

Cadence

Information Needed

Description

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

Required/Optional

Cadence

Information Needed

Description
pediatric vs adult), including NICU, PICU, newborn,
and nursery, on the previous calendar day who had
laboratory-confirmed COVID-19 at the time of
admission.

Required

Daily*

Previous day’s pediatric admissions with
suspected COVID-19

[NEW] Required

Daily*

[NEW] Previous day’s pediatric admissions with
laboratory-confirmed COVID-19 breakdown by
age group:
• 0-4
• 5-11
• 12-17
• Unknown

Required

Daily*

Previous day’s Emergency Department (ED)
Visits

See Appendix D for the definition of laboratoryconfirmed COVID-19.
Enter the number of pediatrics patients (patients 0 – 17
years old) who were admitted to an inpatient bed
(regardless of whether the bed is designated as
pediatric vs adult), including NICU, PICU, newborn,
and nursery, on the previous calendar day who had
suspected COVID-19 at the time of admission. This is
a subset of #10a.
Enter the number of patients, by age group, who were
admitted to an inpatient or ICU bed on the previous
calendar day who had laboratory-confirmed COVID
19 at the time of admission. The summary of age
breakdowns should be identical to #18a.
This includes patients ages 0-4, 5-11, and 12-17 years
old admitted to any inpatient bed, regardless of
whether the bed is designated as pediatric vs. adult.
This field is required as of 2/2/2022.
See Appendix D for the definition of laboratoryconfirmed COVID-19.
Enter the total number of patient visits to the ED who
were seen on the previous calendar day regardless of
reason for visit. Include all patients who are triaged
even if they leave before being seen by a provider.

Capacity, Occupancy, Hospitalizations, and Admissions
ID
20

Sub
ID

Required/Optional
Required

Cadence
Daily*

Information Needed
Previous day’s total COVID-19- related ED
visits (Subset)

Description
Enter the total number of ED visits who were seen on
the previous calendar day who had a visit related to
suspected or laboratory-confirmed COVID-19.
Do not count patients who receive a COVID-19 test
solely for screening purposes in the absence of
COVID-19 symptoms.
“Suspected” is defined as a person who is being
managed as though he/she has COVID-19 because of
signs and symptoms suggestive of COVID-19 but
does not have a laboratory-positive COVID-19 test
result.

21
22
23
24

See Appendix D for the definition of laboratoryconfirmed COVID-19.
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Previous day’s remdesivir used)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Current inventory of remdesivir)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Critical staffing shortage today (Y/N)
Optional
[CHANGE] Critical staffing shortage anticipated within a
Enter Y if you anticipate a critical staffing shortage
Weekly+
week (Y/N)
within a week. Enter N if you do not anticipate a
staffing shortage within a week. If you do not report
this value, the default is N. If you have a shortage,
report Y until the shortage is resolved.
Each facility should identify staffing shortages based
on their facility needs and internal policies for staffing
ratios. The use of temporary staff does not count as a
staffing shortage if staffing ratios are met according to
the facility’s needs and internal policies for staffing
ratios.
14

Capacity, Occupancy, Hospitalizations, and Admissions
ID

Sub
ID

Required/Optional

Cadence

Information Needed

Description

26
27

Required/Optional

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Are your PPE supply items managed at the facility level or centrally)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (On hand Ventilator Supplies)
Required
Weekly+
On hand supply duration in days: N95
Provide calculated range of days of supply in stock for
respirators
each PPE category. For supply categories that may
+
have varying quantities or days on hand, report the
Required
Weekly
On hand supply duration in days: Surgical and
days on hand for the item that has the lowest stock on
procedure masks
Required
Weekly+
On hand supply duration in days: Eye protection hand.
• 0 days
including face shields and goggles
+
Required
Weekly
On hand supply duration in days: Single-use
• 1-3 days
gowns
• 4-6 days
Required
Weekly+
On hand supply duration in days: Exam gloves
• 7-14 days
(sterile and non-sterile)
• 15-30 days
• >30 days
Calculations may be provided by your hospital’s ERP
system or by utilizing the CDC’s PPE burn rate
calculator assumptions.
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Eaches, n95 respirators)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Eaches, other respirators)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Eaches, surgical and procedural masks)
15

Supplies
Note: Supply reporting is NOT intended to replace request for resources processes.

Sub
ID
d.

Required/Optional

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Eaches, eye protection)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Eaches, single use gowns)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Eaches, launderable gowns)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Eaches, exam gloves)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to obtain, ventilator supplies)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to obtain, ventilator medications)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to obtain, n95s)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to obtain, other respirators)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to obtain, surgical and procedural masks)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to Obtain, eye protection)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to Obtain, single use gowns)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to Obtain, exam gloves)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Able to maintain supply of launderable gowns)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Maintain, ventilator supplies)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Maintain, ventilator medications)
Required
Weekly+
Are you able to maintain at least a 3-day supply
(Y, N, N/A) Enter Y if your facility is able to maintain
of N95 respirators?
at least a 3-day supply of N95 respirators. Enter N if
16

Supplies
Note: Supply reporting is NOT intended to replace request for resources processes.
ID

Sub
ID

Required/Optional

Cadence

Information Needed

Description

your facility is not able to maintain at least a 3-day
supply of N95 respirators. Enter N/A if N95
respirators are not relevant at your facility.
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Maintain, other respirators)
Required
Weekly+
Are you able to maintain at least a 3-day supply
(Y, N, N/A) Enter Y for each supply type for which
of surgical and procedural masks?
your facility is able to maintain at least a 3-day
+
supply. Enter N for those supply types your facility is
Required
Weekly
Are you able to maintain at least a 3-day supply
not able to maintain at least a 3-day supply. Enter N/A
of eye protection including face shields and
for each supply type that is not relevant at your
goggles?
facility.
Required
Weekly+
Are you able to maintain at least a 3-day supply
of single-use gowns?
Required
Weekly+
Are you able to maintain at least a 3-day supply
of exam gloves?
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Maintain, nasal pharyngeal swabs)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Maintain, nasal swabs)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Maintain, viral transport media)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Reuse gowns)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Reuse PAPRS)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Reuse n95)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Additional details)

Influenza
ID
33

Sub
ID

Required/Optional
[CHANGE]
Required

[CHANGE]
Required

Cadence
Daily*

Daily*

Information Needed
Total hospitalized patients with laboratoryconfirmed influenza virus infection

Previous day’s admissions with laboratoryconfirmed influenza virus infection

Total hospitalized ICU patients with laboratoryconfirmed influenza virus infection

Description
Enter the total number of patients (adult and pediatric)
currently hospitalized in an inpatient bed on the
previous calendar day who have laboratory-confirmed
influenza virus infection at the time of admission.
Include inpatient, overflow, observation, ED, ED
awaiting orders for an inpatient bed, active
surge/expansion, ICU, NICU, PICU, newborn and
nursery. This field is required as of 2/2/2022.
See Appendix D for the definition of laboratoryconfirmed influenza.
Enter the total number of patients (adult and pediatric)
who were admitted to an inpatient bed who have
laboratory-confirmed influenza virus infection.
Include inpatient, overflow, observation, ED, ED
awaiting orders for an inpatient bed, active
surge/expansion, ICU, NICU, PICU, newborn and
nursery. This field is required as of 2/2/2022.
See Appendix D for the definition of laboratoryconfirmed influenza.
Enter the total number of patients (adult and pediatric)
currently hospitalized in a designated ICU bed with
laboratory-confirmed influenza virus infection. This is
a subset of #33—this value should not exceed the
value in #33. This field is required as of 2/2/2022.

See Appendix D for the definition of laboratoryconfirmed influenza.
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Total hospitalized patients co- infected with both laboratory-confirmed COVID-19
and laboratory-confirmed influenza virus infection)
18

Influenza
ID

Sub
ID

Required/Optional

Cadence

Information Needed

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Previous day’s influenza deaths (laboratory-confirmed influenza virus infection)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Previous day’s deaths for patients co-infected with both COVID-19 AND laboratoryconfirmed influenza virus)
Therapeutics

Sub
ID
a.

Required

Weekly+

Therapeutic A Courses on Hand

Required

Weekly+

Therapeutic A Courses Administered in Last
Week

Description

Required/Optional

Cadence

Information Needed

Description
Enter the number of therapeutic A courses currently in
inventory. This field has been designated as
Casirivimab/Imdevimab and is required as of
1/8/2021. See Appendix D for additional information
on therapeutic reporting.
Enter the number of therapeutic A courses used in the
previous week (preferred week:Wednesday-Tuesday)
in an inpatient, ED, overflow, or outpatient location
such as an urgent care, infusion center, or outpatient
clinic. This field has been designated as
Casirivimab/Imdevimab and is required as of
1/8/2021.

See Appendix D for additional information on
therapeutic reporting.
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Therapeutic B On Hand)
This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal
government. No change is required to reporting templates. (Therapeutic B Courses Administered)
Required
Therapeutic C Courses on Hand
Enter the number of therapeutic C courses currently in
Weekly+
inventory. This field has been designated as
Bamlanivimab/Etsevimab and is required as of
4/07/2021. See Appendix D for additional
information on therapeutic reporting.
19

Therapeutics

Sub
ID
b.

Required

Weekly+

Therapeutic C Courses Administered in Last
Week

[NEW] Required

Weekly+

[NEW] Therapeutic D Courses on Hand

[NEW] Required

Weekly+

[NEW] Therapeutic D Courses Administered in
Last Week

Required/Optional

Cadence

Information Needed

Description
Enter the number of therapeutic C courses used in the
previous week (preferred week: Wednesday-Tuesday)
in an inpatient, ED, overflow, or outpatient location
such as an urgent care, infusion center, or outpatient
clinic. This field has been designated as
Bamlanivimab/Etsevimab and is required as of
4/07/2021. See Appendix D for additional therapeutic
reporting information.
Enter the number of therapeutic D courses currently in
inventory. This field has been designated as
Sotrovimab and is required as of 1/19/2022. See
Appendix D for additional therapeutic reporting
information.
Enter the number of therapeutic D courses used in the
previous week (preferred week: Wednesday-Tuesday)
in an inpatient, ED, overflow, or outpatient location
such as an urgent care, infusion center, or outpatient
clinic. This field has been designated as Sotrovimab
and is required as of 1/19/2022. See Appendix D for
additional therapeutic reporting information.

Therapeutic Placeholders
The following fields have been proactively added as placeholders to prepare for potential future therapeutics that require reporting from hospitals. Updates
will be provided when new therapeutics need to be added to reporting. When a therapeutic is approved that needs to be reported, we will provide two
weeks for hospitals to prepare before it becomes mandatory. Facilities should NOT report these fields until requested.
Sub
ID
Required/Optional
Cadence
Information Needed
Description
ID
40
g.
Placeholder
Placeholder Therapeutic F Courses on Hand
Enter the number of therapeutic F courses currently in
inventory.
40
h.
Placeholder
Placeholder Therapeutic F Courses Administered in Last
Enter the number of therapeutic F courses used in the
Week
previous calendar week in an inpatient, ED, overflow,
or outpatient location such as an urgent care, infusion
center, or outpatient clinic.
40
i.
Placeholder
Placeholder Therapeutic G Courses on Hand
Enter the number of therapeutic G courses currently in
inventory.
40
j.
Placeholder
Placeholder Therapeutic G Courses Administered in Last
Enter the number of therapeutic G courses used in the
Week
previous calendar week in an inpatient, ED, overflow,
or outpatient location such as an urgent care, infusion
center, or outpatient clinic.
40
k.
Placeholder
Placeholder Therapeutic H Courses on Hand
Enter the number of therapeutic H courses currently in
inventory.
40
l.
Placeholder
Placeholder Therapeutic H Courses Administered in Last
Enter the number of therapeutic H courses used in the
Week
previous calendar week in an inpatient, ED, overflow,
or outpatient location such as an urgent care, infusion
center, or outpatient clinic.
40
m.
Placeholder
Placeholder Therapeutic I Courses on Hand
Enter the number of therapeutic I courses currently in
inventory.
40
n.
Placeholder
Placeholder Therapeutic I Courses Administered in Last
Enter the number of therapeutic I courses used in the
Week
previous calendar week in an inpatient, ED, overflow,
or outpatient location such as an urgent care, infusion
center, or outpatient clinic.
40
o.
Placeholder
Placeholder Therapeutic J Courses on Hand
Enter the number of therapeutic J courses currently in
inventory.
40
p.
Placeholder
Placeholder Therapeutic J Courses Administered in Last
Enter the number of therapeutic J courses used in the
Week
previous calendar week in an inpatient, ED, overflow,
or outpatient location such as an urgent care, infusion
center, or outpatient clinic.
21

Optional

Weekly+

Optional

Weekly+

Optional

Weekly+

For the first week of reporting, include all dose given
up to that date.
Current healthcare personnel who have not
Enter the number of healthcare personnel serving your
received any COVID-19 vaccine doses
facility, who have not yet received any kind of
vaccine dose (first in a multi-series, single-dose
vaccine, etc.). This field is meant to represent
personnel who have not had a single vaccine dose yet
regardless of where the vaccine is administered. (your
facility or elsewhere).
Current healthcare personnel who have received
Enter the current total number of healthcare personnel
the first dose in a multi-series of COVID-19
serving your facility, who have received the first dose
vaccination doses
of a multi-series COVID-19 vaccine, regardless of
where the dose was administered (your facility or
elsewhere). This field is meant to represent those who
are partially vaccinated, defined as having begun but
not completed the vaccination process. Do not include
those who received a single-dose vaccine in this field
or those who have received more than one dose or a
completed multi-dose series.
Current healthcare personnel who have received
Enter the current total number of healthcare personnel
a completed series of a COVID-19 vaccination or serving your facility, who are fully vaccinated,
a single-dose vaccination
defined as having received a completed series of a
COVID-19 vaccination or a single-dose vaccination.
22

Healthcare Worker Vaccination
CMS rule CMS-1752-F and CMS-1762-F requires hospital worker vaccination rates to be reported on a regular basis into the National Healthcare Safety
Network (NHSN) as a quality measure beginning on October 1, 2021. NHSN has provided additional information and resources on the measures being
collected. The vaccination data elements below remain OPTIONAL and do NOT meet the requirements of the CMS rule.
Sub
ID
Required/Optional
Cadence
Information Needed
Description
ID
This field is meant to represent those who have
completed the COVID-19 vaccination process,
regardless of where it was administered (your facility
or elsewhere) and regardless of how many doses are
needed to complete the vaccination series.
45
Optional
Total number of current healthcare personnel
Enter the current total number of healthcare personnel
Weekly+
serving your facility. Healthcare personnel include all
paid and unpaid persons serving in your healthcare
setting who have the potential for direct or indirect
exposure to patients or infectious materials.
46
Optional
Previous week’s number of patients and other
For the previous week, enter the number of patients
Weekly+
non- healthcare personnel who received the first
and other non-healthcare personnel, defined as any
dose in a multi-series of COVID-19 vaccination
person who is not a healthcare worker at your facility,
doses
who received the first dose in a multi-series of
COVID-19 vaccination doses administered in your
facility. The vaccination can occur for an inpatient,
outpatient, or community clinic visitor if the doses
were allocated to and administered by the facility.
This field is meant to represent those who have begun
but not completed the vaccination process. Do not
include those who have had the second or final dose
of a multi-dose vaccination series or those who have
had a single-dose vaccination. For the first week of
reporting, include all doses given up to that date.
+
47
Optional
Previous week’s number of patients who
For the previous week, enter the number of patients,
Weekly
received the final dose in a series of COVID-19
defined as any person who is not a healthcare worker
vaccination doses or the single- dose vaccine by
at your facility, who received the final dose in a multiyour facility.
series of COVID-19 vaccination doses or the singledose vaccine administered by your facility. This field
is meant to represent those who have completed the
23

Testing Data Elements: Hospitals Performing COVID-19 Testing Using an In-House Laboratory
Laboratories are required to report to state and local public health authorities in accordance with applicable state or local law. Additionally, the
Coronavirus Aid, Relief, and Economic Security (CARES) Act section 18115 and its implementation guidance require every laboratory to report
every test it performs to detect SARS-CoV-2 or to diagnose a possible case of COVID-19 (e.g., viral, serology). On June 4, 2020, additional HHS
guidance was issued that required specific data elements to be collected and reported. Under the new guidance, testing data should be sent to state
health departments, which will then de-identify the data and report them to the CDC. This new guidance is effective August 1, 2020.
As of June 20, 2021, all states are electronically reporting line-level de-identified testing data including testing elements from hospital inhouse laboratories using existing public health mechanisms. As a result, hospitals should no longer report testing information directly to
HHS unless state reporting changes.
For additional information and frequent questions on testing data, please visit the CDC website detailing how to report COVID-19 laboratory data.
Hospitals are also encouraged to contact their state health department, or email the CDC testing team ([email protected]).

Hospital Data Usage & Access
Hospital data is collated, manipulated, and visualized at the Federal level in two primary locations: HHS Protect and HHS Protect Public.
HHS Protect serves as an internal hub for data analysis and visualization, allowing integration of additional datasets from other sources. Federal
decision-makers and analysts can access the data through HHS Protect directly, or indirectly through various generated reports. A variety of
Federal teams use the data as detailed in the above data element table. In addition to Federal partners, state, tribal, local, and territorial partners
also have access to the data through HHS Protect. Tribal partners are encouraged to work with the Indian Health Service (IHS) and respective state
24

partners to define geographical access accordingly. HHS regional staff, ASPR regional staff and/or Indian Health Service (IHS) staff serve as
HHS Protect sponsors for respective state, tribe, and territory users. Local partners also have access to the data working in conjunction with their
respective state to define geographical access accordingly. State HHS Protect users serve as sponsors for local partners. Organizations, such as
hospital associations, can be provided access to the data if granted written permission by the state and/or an individual reporting hospital facility.
To inquire about an HHS Protect account, email the HHS Protect Service Desk ([email protected]).
Information within HHS Protect is secured through robust usage and access controls. All users must be sponsored to gain access to HHS Protect
by the mechanisms mentioned above. All data have accompanying share and use agreements, specifying how and with whom the information can
be exported and shared.
HHS Protect Public serves as a fully public data hub, providing aggregated content and dashboards. HHS Protect Public contains aggregated
subsets of the hospital data, providing transparency for all stakeholders. HHS Protect Public can be accessed at: https://protect-public.hhs.gov/.

Hospital Data Quality & Errors
Quality data helps to ensure informed decision-making based on accurate information. Federal partners regularly conduct data quality checks, and
may contact state and territorial partners if further information is needed. Federal partners will not contact facilities directly unless explicitly
granted permission by the state and/or in extraordinary circumstances.
Hospital data liaisons work collaboratively with state and territorial partners to increase transparency, as well as verify and resolve any data
challenges. Importantly, the data liaisons work specifically with data. Operational needs and resource requests for personnel, supplies, technical
assistance, and/or other needs follow all normal processes and should NOT be directed to hospital data liaisons.
Users who identify any errors in their data are encouraged to contact the HHS Protect Service Desk ([email protected]).

Appendix A: Change Log
The change log details changes in the hospital reporting guidance to aid partners in tracking updates.

Changes from the previous COVID-19 Hospital Reporting Guidance and FAQs (dated May 27, 2020)
Numerous changes were implemented in the latest version of the hospital reporting guidance. To help users to navigate changes quickly, changes
are grouped based on the following areas: cadence and facility type changes; data element changes; laboratory data element changes; and narrative
and FAQ changes.

Cadence and Facility Type Changes
• Flexibilities on data reporting on weekends and holidays were clarified.
• Information describing facility types was reformatted for clarity.

Data Element Changes
The following changes were made to hospital reporting data elements:
• New Data Elements Added:
o 1h: HHS ID (Optional)
o 3c: Inpatient pediatric beds (Required February 2, 2022)
o 4c: Pediatric inpatient bed Occupancy (Required February 2, 2022)
o 5c: Pediatric ICU beds (Required February 2, 2022)
o 6c: Pediatric ICU occupancy (Required February 2, 2022)
o 12c: Hospitalized ICU pediatric laboratory-confirmed COVID-19 patients (Required February 2, 2022)
o 18c: Previous day’s pediatric admissions with laboratory-confirmed COVID-19 breakdown by age group (Required February 2,
2022)
o 40c: Therapeutic D on hand (Required January 19, 2022)
o 40d: Therapeutic D administered (Required January 19, 2022)
• Existing Data Elements Made Required:
o 33: Hospitalized patients with laboratory-confirmed influenza virus infection
o 34: Previous day’s influenza admissions with laboratory-confirmed influenza virus infection
o 35: Total hospitalized ICU patients with laboratory confirmed influenza virus infection
• Data Elements Changed to a Weekly Cadence:
o 24: Critical staffing shortage anticipated within a week (Y/N)
26

•

Data Elements Made Inactive for the Federal Data Collection 5:
o 2a: All Hospital Beds
o 2b: All Adult Hospital Beds
o 7: Total Mechanical Ventilators
o 8: Ventilators in Use
o 14: ED Overflow
o 15: ED Overflow and Ventilated
o 16: Previous Day’s COVID-19 Deaths
o 21: Previous Day’s Remdesivir Used
o 22: Current Inventory Remdesivir
o 23: Critical Staffing Shortage Today
o 25: Additional Details, Staffing
o 26: PPE Management at Facility or Centrally
o 27a: Days On Hand, Ventilator Supplies
o 28a: Eaches, N95 Respirators
o 28b: Eaches, Other Respirators
o 28c: Eaches, Surgical and Procedural Masks
o 28d: Eaches, Eye Protection
o 28e: Eaches, Single Use Gowns
o 28f: Eaches, Launderable Gowns
o 28g: Eaches, Exam Gloves
o 29a: Ability to Obtain, Ventilator Supplies
o 29b: Ability to Obtain, Ventilator Medications
o 29c: Ability to Obtain, N95 Respirators
o 29d: Ability to Obtain, Other Respirators
o 29e: Ability to Obtain, Surgical and Procedural Masks
o 29f: Ability to Obtain, Eye Protection
o 29g: Ability to Obtain, Single Use Gowns
o 29h: Ability to Obtain, Exam Gloves
o 29i: Ability to Maintain, Supply of Launderable Gowns
o 30a: Ability to Maintain, Ventilator Supplies

Note: Data elements are referred to in short-hand for enhanced readability. Full descriptions of previous data elements will be available in archived versions of
the hospital reporting guidance available on the Templates and Technical Materials page.

o 30b: Ability to Maintain, Ventilator Medications
o 30d: Ability to Maintain, Other Respirators
o 30i: Ability to Maintain, Nasal Pharyngeal Swabs
o 30j: Ability to Maintain, Nasal Swabs
o 30k, Ability to Maintain, Viral Transport Media
o 31a: Re-use Gowns
o 31b: Re-use PAPRs
o 31c: Re-use N95 Respirators
o 32: Additional Details, Supplies
o 36: Hospitalized Co-infection Influenza and COVID-19
o 37: Previous Day’s Influenza Deaths
o 38: Previous Day’s Deaths Co-infected with Influenza and COVID-19
o 39c: Therapeutic B Inventory On Hand
o 39d: Therapeutic B Courses Administered
• Data Elements with Clarified Definitions:
o 3a, 3b, 5a, 5b: Clarified definitions of staffed beds to beds that are currently set-up, staffed and able to be used for a patient within
the reporting period.
o 5a,5b: Added clarification on ICU bed location.
o 9a-18c: Changed from “Confirmed Positive” to “Laboratory-Confirmed”, included the definition of laboratory-confirmed.
o 11: Added definition of mechanical ventilators.
o 13: Removed note for COVID-19 isolation precautions.
o 18a, 18b: Added age and inpatient bed clarifications for pediatric patients.
o 20: Added definitions of “Confirmed Suspected” and “Laboratory-Confirmed”, included definitions. Minor non-substantive edits
to wording.
o 24: Removed staffing types.
o 27: Removed duplicative supply list from description.
o 30: Added question response options (Y, N, N/A).
o Influenza field overview: Moved to appendix D.
o 39b, 40b, 40d: Clarified the preferred “week” for reporting is Wednesday-Tuesday
o Therapeutic placeholder field overview: Minor non-substantive edits to wording.
o Vaccination field overview: Noted CMS rule CMS-1752-F and CMS-1762-F which requires hospital worker vaccination rates to
be reported on a regular basis into the National Healthcare Safety Network (NHSN) as a quality measure beginning on October 1,
2021. Clarified that vaccination data elements remain optional and do not meet the requirements of the CMS rule. Condensed
other description information.
28

o
o

41: Removed note on vaccine allocations.
All subset fields: Clarified subset relationships, which can also be found in visual form with Appendix E.

Laboratory Data Element Changes
While the laboratory data elements themselves, as well as the guidance on how to report have not changed, the latest guidance clarifies that all
states and territories are now reporting line-level de-identified data electronically and hospitals should stop reporting directly to HHS unless
circumstances change.
Since hospitals no longer need to report the information directly and all details and frequently asked questions are readily available on the CDC
website for how to report laboratory data, all of the text describing laboratory data elements was removed from the guidance. Hospitals are still
required to report the information to their state through existing public health mechanisms.

Narrative and FAQ Changes
•
•
•
•

The narrative and FAQs were streamlined and reorganized for clarity.
Information was added throughout the document regarding data driving principles, purpose, and utility.
Reporting information was reformatted for clarity.
Multiple appendices, including clarifying information, were added for enhanced user friendliness.

Appendix B: Data Element Purpose
The below table describes how each data element is used to inform the Federal COVID-19 response.
ID

Sub
ID

Information Needed

Purpose
Metadata

ID
1
1
1
1
1
1
1
1

Sub
ID
a.
b.
c.
d.
e.
f.
g.
h.

2
2
3

Sub
ID
a.
b.
a.

Information Needed
Hospital Name
CCN
NHSN Org ID
State
County
ZIP
TeleTracking ID
[NEW] HHS ID

Purpose
Metadata ensures data can be identified and matched with the appropriate facility.
Logic is incorporated into TeleTracking (and should be incorporated into other systems)
so facilities do not need to answer metadata questions unless there are changes.

Serving as an additional metadata component, HHS ID is a unique facility-level
identifier which is more granular than CCN. Not having the HHS ID in the dataset has
caused some data submissions to be mismatched.
Capacity, Occupancy, Hospitalizations, and Admissions

Information Needed

Purpose

This field has been made inactive for the federal data collection. (all hospital beds)
This field has been made inactive for the federal data collection. (all adult hospital beds)
All hospital inpatient beds
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. All hospital inpatient beds are required for
calculations such as the number of admissions per 100 beds.
Adult hospital inpatient beds (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. Adult hospital inpatient beds are required for
analysis of number of adult and pediatric inpatient beds available.

7
8
9

Capacity, Occupancy, Hospitalizations, and Admissions
[NEW] Inpatient pediatric beds (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. Explicit fields on inpatient pediatric beds will aid
to more fully understand pediatric capacity.
All hospital inpatient bed occupancy
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for analysis of national
inpatient occupancy.
Adult hospital inpatient bed occupancy (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for analysis of national adult
inpatient occupancy.
[NEW] Pediatric hospital inpatient bed
The capacity and occupancy fields are used to inform Federal understanding of areas
occupancy (Subset)
experiencing surges in hospital stress. Explicit fields on inpatient pediatric bed
occupancy will help to more fully understand pediatric capacity.
ICU beds (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for analysis of national ICU
bed availability.
Adult ICU beds (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for analysis of national adult
ICU bed availability.
[NEW] Pediatric ICU beds (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for analysis of national
pediatric ICU bed availability.
ICU bed occupancy (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for understanding national ICU
bed occupancy.
Adult ICU bed occupancy (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for understanding national adult
ICU bed occupancy.
[NEW] Pediatric ICU bed occupancy (Subset)
The capacity and occupancy fields are used to inform Federal understanding of areas
experiencing surges in hospital stress. This field is used for understanding national
pediatric ICU bed occupancy.
This field has been made inactive for the federal data collection. (Total mechanical ventilators)
This field has been made inactive for the federal data collection. (Mechanical Ventilators in Use)
Total hospitalized adult suspected or laboratory- This field could be helpful in the event of testing delays and/or disruptions.
confirmed COVID-19 patients
31

11
12

13
14
15
16
17

Capacity, Occupancy, Hospitalizations, and Admissions
Hospitalized adult laboratory-confirmed COVID Total adult patients currently hospitalized with laboratory-confirmed COVID-19 is a
19 patients
key surveillance indicator for understanding severe COVID-19 epidemiology in the
U.S. and which areas are experiencing higher burden. This field is also used for various
public-facing visualizations and 7-day rolling averages.
Total hospitalized pediatric suspected or
This field could be helpful in the event of testing delays and/or disruptions.
laboratory-confirmed COVID-19 patients
Hospitalized pediatric laboratory-confirmed
Total patients currently hospitalized in a pediatric inpatient bed with laboratoryCOVID-19 patients
confirmed COVID-19 is a key surveillance indicator for understanding severe COVID
19 epidemiology among children and adolescents in the U.S. and which areas are
experiencing higher burden.
Hospitalized and ventilated COVID-19 patients
This measure serves as an indication of COVID-19 severity.
Total ICU adult suspected or laboratoryThis field could be helpful in the event of testing delays and/or disruptions.
confirmed COVID-19 patients
Hospitalized ICU adult laboratory-confirmed
Total adult patients currently in an ICU bed with laboratory-confirmed COVID-19 is a
COVID-19 patients
key surveillance indicator for understanding the most severe COVID-19 cases in the
U.S. and which areas are experiencing higher burden. This is also an important
indicator for monitoring hospital stress of COVID-19.
Hospitalized ICU pediatric laboratory-confirmed This measure serves as a key surveillance indicator for understanding the most severe
COVID-19 patients
pediatric COVID-19 cases, and which areas are experiencing higher burden related to
pediatric cases. This is also an important indicator for monitoring hospital stress of
COVID-19, especially for pediatric capabilities.
Hospital Onset
This field could be helpful to identify the prevalence of hospital acquired infections of
COVID-19.
This field has been made inactive for the federal data collection. (ED/Overflow)
This field has been made inactive for the federal data collection. (ED/Overflow and Ventilated)
This field has been made inactive for the federal data collection. (Previous day’s COVID-19 Deaths)
Previous day’s adult admissions with laboratory- Previous day admissions of patients with laboratory-confirmed COVID-19 is the
confirmed COVID-19 and breakdown by age
primary surveillance indicator used to monitor the epidemiology of severe COVID-19
bracket:
and trends by age group in the U.S. These fields are monitored closely on a daily basis
and used to inform federal understanding of changes in trends, and these fields are often
• 18-19
combined with other data sources to identify areas of concern in the U.S.
• 20-29
• 30-39
• 40-49
32

Capacity, Occupancy, Hospitalizations, and Admissions

• 50-59
• 60-69
• 70-79
• 80+
• Unknown
Previous day’s adult admissions with suspected
COVID-19 and breakdown by age bracket:
• 18-19
• 20-29
• 30-39
• 40-49
• 50-59
• 60-69
• 70-79
• 80+
Unknown
Previous day’s pediatric admissions with
laboratory-confirmed COVID-19:

Previous day’s pediatric admissions with
suspected COVID-19
[NEW] Previous day’s pediatric admissions with
laboratory-confirmed COVID-19; stratification
by age group:
• 0-4
• 5-11
• 12-17
• Unknown
Previous day’s ED Visits

This field could be helpful in the event of testing delays and/or disruptions.

Previous day pediatric admissions of patients with laboratory-confirmed COVID-19 is a
primary surveillance indicator used to monitor the epidemiology of severe COVID-19
in children and adolescents. This fields is monitored closely on a daily basis and used to
inform federal understanding of changes in trends and how pediatric admissions
compare to adult, and to identify areas of concern in the U.S.
This field could be helpful in the event of testing delays and/or disruptions.
Previous day pediatric admissions of patients with laboratory-confirmed COVID-19 is a
primary surveillance indicator used to monitor the epidemiology of severe COVID-19
in children and adolescents. Additional age information can help to better understand
epidemiologic trends. This fields will be monitored closely on a daily basis and used to
inform federal understanding of changes in trends and how pediatric admissions
compare to adult, and to identify areas of concern in the U.S.
Previous day total ED visits, in conjunction with COVID-19 ED visits, is used to
monitor the epidemiology of COVID-19 by percentage of ED visits for COVID-19 and
trends by region in the U.S. These fields are used by the National Syndromic
33

Capacity, Occupancy, Hospitalizations, and Admissions
Surveillance Program (NSSP) to fill in COVID-19 ED data for the 30% of U.S.
hospitals not covered by NSSP.
Previous day’s total COVID-19- related ED
Previous day total COVID-19 ED visits, in conjunction with total ED visits, is used to
visits (Subset)
monitor the epidemiology of COVID-19 and trends by region in the U.S. These fields
are used by the National Syndromic Surveillance Program (NSSP) to fill in COVID-19
ED data for the 30% of U.S. hospitals not covered by NSSP.
This field has been made inactive for the federal data collection. (Previous day’s remdesivir used)
This field has been made inactive for the federal data collection. (Current inventory of remdesivir)
This field has been made inactive for the federal data collection. (Critical staffing shortage today (Y/N)
Critical staffing shortage anticipated within a
This field can help to glean information on critical staffing shortages, helping to inform
week (Y/N)
policy decisions and other potential staffing solutions. This question can also help to
inform decisions related to requests for personnel.
This field has been made inactive for the federal data collection. (Staffing shortage details)

21
22
23
24

Supplies
ID

Sub
ID

26
27
27

a.
b.

28
28
28

a.
b.
c.

Information Needed

Purpose

This field has been made inactive for the federal data collection. (Are your PPE supply items managed (purchased, allocated, and/or
stored) at the facility level or centrally)
This field has been made inactive for the federal data collection. (On hand Ventilator Supplies)
On hand supply duration in days: N95
Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,
respirators
for a single hospital or for hospitals overall in a local area, state, or nationwide.
On hand supply duration in days: Surgical and
Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,
procedure masks
for a single hospital or for hospitals overall in a local area, state, or nationwide.
On hand supply duration in days: Eye protection Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,
including face shields and goggles
for a single hospital or for hospitals overall in a local area, state, or nationwide.
On hand supply duration in days: Single-use
Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,
gowns
for a single hospital or for hospitals overall in a local area, state, or nationwide.
On hand supply duration in days: Exam gloves
Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,
(sterile and non-sterile)
for a single hospital or for hospitals overall in a local area, state, or nationwide.
This field has been made inactive for the federal data collection. (Eaches, n95 respirators)
This field has been made inactive for the federal data collection. (Eaches, other respirators)
This field has been made inactive for the federal data collection. (Eaches, surgical & procedural masks)
34

28
28
28
28
29
29
29
29
29
29
29
29
29
30
30
30

d.
e.
f.
g.
a.
b.
c.
d.
e.
f.
g.
h.
i.
a.
b.
c.

30
30

d.
e.

Supplies
This field has been made inactive for the federal data collection. (Eaches, eye protection)
This field has been made inactive for the federal data collection. (Eaches, single-use gowns)
This field has been made inactive for the federal data collection. (Eaches, launderable gowns)
This field has been made inactive for the federal data collection. (Eaches, exam gloves)
This field has been made inactive for the federal data collection. (Able to obtain, ventilator supplies)
This field has been made inactive for the federal data collection. (Able to obtain, ventilator medications)
This field has been made inactive for the federal data collection. (Able to obtain, n95 respirators)
This field has been made inactive for the federal data collection. (Able to obtain, other respirators)
This field has been made inactive for the federal data collection. (Able to obtain, surgical & procedural masks)
This field has been made inactive for the federal data collection. (Able to obtain, eye protection)
This field has been made inactive for the federal data collection. (Able to obtain, single-use gowns)
This field has been made inactive for the federal data collection. (Able to obtain, exam gloves)
This field has been made inactive for the federal data collection. (Able to maintain, launderable gowns)
This field has been made inactive for the federal data collection. (Able to maintain, ventilator supplies)
This field has been made inactive for the federal data collection. (Able to maintain, ventilator medications)
Are you able to maintain at least a 3-day supply
HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify
of N95 respirators?
areas or patterns of unreliable supply that may warrant outreach and (if needed)
interventions to stabilize the supply chain.
This field has been made inactive for the federal data collection. (Able to maintain, other respirators)
Are you able to maintain at least a 3-day supply
HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify
of surgical and procedural masks?
areas or patterns of unreliable supply that may warrant outreach and (if needed)
interventions to stabilize the supply chain.
Are you able to maintain at least a 3-day supply
HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify
of eye protection including face shields and
areas or patterns of unreliable supply that may warrant outreach and (if needed)
goggles?
interventions to stabilize the supply chain.
Are you able to maintain at least a 3-day supply
HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify
of single-use gowns?
areas or patterns of unreliable supply that may warrant outreach and (if needed)
interventions to stabilize the supply chain.

30
30
30
31
31
31
32

i.
j.
k.
a.
b.
c.

Supplies
Are you able to maintain at least a 3-day supply
HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify
of exam gloves?
areas or patterns of unreliable supply that may warrant outreach and (if needed)
interventions to stabilize the supply chain.
This field has been made inactive for the federal data collection. (Able to maintain, nasal pharyngeal swabs)
This field has been made inactive for the federal data collection. (Able to maintain, nasal swabs)
This field has been made inactive for the federal data collection. (Able to maintain, viral transport media)
This field has been made inactive for the federal data collection. (Reuse gowns)
This field has been made inactive for the federal data collection. (Reuse PAPRS)
This field has been made inactive for the federal data collection. (Reuse n95 respirators)
This field has been made inactive for the federal data collection. (Critical issues)
Influenza

Sub
ID

Seasonal influenza can result in substantial burden on hospitals. These data elements fill
a critical gap in the national influenza surveillance system by providing hospitalization
data from all states and territories. These data will be used to improve situational
awareness of severe respiratory illness, make forecasts and model influenza impact,
help direct resources to address the potential increased impact of flu and COVID-19 cocirculation and inform guidance and recommendations for public health professionals,
clinicians, and the general public. Understanding influenza hospitalizations and
admissions can also help to understand potential strains on the PPE supply chain.
This field has been made inactive for the federal data collection. (Total hospitalized patients co- infected with both laboratory-confirmed
COVID- 19 and laboratory-confirmed influenza virus infection)
This field has been made inactive for the federal data collection. (Previous day’s influenza deaths (laboratory-confirmed influenza virus
infection)
This field has been made inactive for the federal data collection. (Previous day’s deaths for patients co-infected with both COVID-19 and
laboratory- confirmed influenza virus)
Therapeutic

36
37
38

Purpose

Total hospitalized patients with laboratoryconfirmed influenza virus infection
Previous day’s influenza admissions (laboratory
confirmed influenza virus infection)
Total hospitalized ICU patients with laboratoryconfirmed influenza virus infection

Information Needed

Sub
ID
a.

Information Needed

Purpose

Therapeutic A Courses on Hand
36

39
39
40
40

c.
d.
a.
b.

40
40

c.
d.

40
40

Sub
ID
e.
f.

40
40

g.
h.

40
40

i.
j.

40
40

k.
l.

40
40

m.
n.

Therapeutic
Therapeutic A Courses Administered in Last
HHS is currently purchasing therapeutics to ensure they are available at no cost for full
Week
enhanced patient accessibility. This information is needed for tracking purposes and
strategic decision making.
This field has been made inactive for the federal data collection. (Therapeutic B on hand)
This field has been made inactive for the federal data collection. (Therapeutic B courses)
Therapeutic C Courses on Hand
HHS is currently purchasing therapeutics to ensure they are available at no cost for full
enhanced patient accessibility. This information is needed for tracking purposes and
Therapeutic C Courses Administered in Last
strategic decision making.
Week
[NEW] Therapeutic D Courses on Hand
[NEW] Therapeutic D Courses Administered in
Last Week
Therapeutic Placeholders
Information Needed
(Placeholder) Therapeutic E Courses on Hand
(Placeholder) Therapeutic E Courses
Administered in Last Week
(Placeholder) Therapeutic F Courses on Hand
(Placeholder) Therapeutic F Courses
Administered in Last Week
(Placeholder) Therapeutic G Courses on Hand
(Placeholder) Therapeutic G Courses
Administered in Last Week
(Placeholder) Therapeutic H Courses on Hand
(Placeholder) Therapeutic H Courses
Administered in Last Week
(Placeholder) Therapeutic I Courses on Hand
(Placeholder) Therapeutic I Courses
Administered in Last Week
(Placeholder) Therapeutic J Courses on Hand

Purpose
HHS is currently purchasing therapeutics to ensure they are available at no cost for full
enhanced patient accessibility. The Therapeutics team has requested therapeutics
placeholders remain within the hospital reporting guidance in the event a new
therapeutic is available that requires data submission through this mechanism.

Therapeutic Placeholders
40

(Placeholder) Therapeutic J Courses
Administered in Last Week
Healthcare Worker Vaccination

ID
41

42
43

45
46

Sub
ID

Information Needed
Previous week’s COVID-19 vaccination doses
administered to healthcare personnel by your
facility (Regardless of series or single-dose
vaccine)
Current healthcare personnel who have not yet
received any COVID-19 vaccination doses
Current healthcare personnel who have received
the first dose in a multi-series of COVID-19
vaccination doses
Current healthcare personnel who
have received a completed series of
a COVID-19 vaccination or a single-dose
vaccination
Total number of current healthcare personnel
Previous week’s number of patients
and other non- healthcare personnel
who received the first dose in a
multi-series of COVID-19
vaccination doses
Previous week’s number of patients
who received the final dose in a
series of COVID-19 vaccination
doses or the single- dose vaccine by
your facility

Purpose
Provides weekly continued visibility on healthcare personnel vaccination status and
vaccination trends.

Provides weekly continued visibility on healthcare personnel vaccination status and
vaccination trends.

Provides weekly continued visibility on healthcare personnel vaccination status
and vaccination trends.
Provides weekly continued visibility on healthcare personnel vaccination status and
vaccination trends.

Provides weekly continued visibility on healthcare personnel vaccination status and
vaccination trends.
Provides weekly continued visibility on healthcare personnel vaccination status and
vaccination trends.

Provides weekly continued visibility on healthcare personnel vaccination status and
vaccination trends.

Appendix C: Required and Optional Reporting Elements
The below table is intended to provide a quick reference of current required and optional data elements. The information is the same as the above
table in the “Data Elements” section, however, instead of being grouped by numerical value and field type, the data elements are grouped by
whether they are required, optional, turned off, or placeholders.
ID

Information Needed
Daily Required Data Elements
(All facilities are encouraged to back-date information from weekends and holidays on the next business day)
Sub ID
Information Needed
a.
Hospital Name

Hospital CCN

State

County

ZIP

All hospital inpatient beds

All adult inpatient beds

c. [NEW]

All pediatric inpatient beds

All hospital inpatient occupancy

All adult inpatient occupancy

c. [NEW]

All pediatric inpatient occupancy

All ICU beds

Adult ICU beds

c. [NEW]

Pediatric ICU beds

All ICU bed occupancy

Adult ICU occupancy

c. [NEW]

Pediatric ICU occupancy

Hospitalized Adult Suspected COVID-19

Sub ID

Information Needed
Hospitalized adult laboratory-confirmed COVID-19 patients

Hospitalized Pediatric Suspected COVID-19

Hospitalized pediatric laboratory-confirmed COVID-19 patients

Hospitalized and ventilated COVID-19 patients

ICU Suspected COVID-19

Hospitalized ICU adult laboratory-confirmed COVID-19 patients

c. [NEW]

Hospitalized ICU pediatric laboratory-confirmed COVID-19 patients

Hospital Onset

a. (includes age Previous day’s adult admissions with laboratory-confirmed COVID-19 and breakdown by age
ranges)
b. (includes age Adult Suspected COVID-19 Admissions by Age Group
ranges)
a.
Previous day’s pediatric admissions with laboratory-confirmed COVID-19

Pediatric Suspected COVID-19 Admissions

c. (includes age
ranges) [NEW]

Previous day’s pediatric admissions with laboratory-confirmed COVID-19 by age

Previous day’s total ED visits

Previous day’s total COVID-19-related ED visits

33
[CHANGE]
34
[CHANGE]
35
[CHANGE]

Total hospitalized patients with laboratory-confirmed influenza virus infection
Previous day’s influenza virus infection admissions (laboratory-confirmed influenza virus infection)
Total hospitalized ICU patients with laboratory-confirmed influenza virus infection
Weekly Required Data Elements

ID
27

Sub ID
b.

Information Needed
On hand supply (DURATION in days) n95 respirators
40

Weekly Required Data Elements
27

On hand supply (DURATION in days) surgical and procedure masks

On hand supply (DURATION in days) eye protection including face shields and goggles

On hand supply (DURATION in days) single use gowns

On hand supply (DURATION in days) exam gloves (sterile and non-sterile)

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? N95 respirators

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Surgical and procedure masks

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Eye protection including face
shields and goggles
Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Single use gowns

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Exam gloves

Therapeutic A Courses on Hand

Therapeutic A Courses Administered in the Last Week

Therapeutic C Courses on Hand

Therapeutic C Courses Administered in the Last Week

c. [NEW]

Therapeutic D Courses on Hand

d. [NEW]

Therapeutic D Courses Administered in the Last Week

Daily Optional Data Elements
(All facilities are encouraged to back-date information from weekends and holidays on the next business day)
Sub ID
Information Needed
c.
NHSN OrgID

TeleTracking ID

h. [NEW]

HHS ID

Weekly Optional Data Elements
ID
24
[CHANGE]

Sub ID

Information Needed
Critical staffing shortage anticipated within a week (Y/N)
41

Weekly Optional Data Elements
41

Previous Vaccine Doses Administered to Healthcare Personnel

Current Healthcare Personnel, No COVID-19 Vaccine Doses

Current Healthcare Personnel, First Dose in COVID-19 Vaccine Series

Current Healthcare Personnel, Completed COVID-19 Vaccine Series

Total Number of Healthcare Personnel

Previous Week Patients Administered First Dose COVID-19 Vaccine Series

Previous Week Patients Administered Final Dose COVID-19 Vaccine Series

Appendix D: Additional Information by Field Type

HHS ID
HHS IDs are specified and maintained for the purposes of providing granular facility level identifiers for the purposes of this COVID-19 Guidance
for Hospital Reporting. HHS IDs provide more granular information than CCN, as HHS ID references the individual facility level. HHS IDs for
each facility are published and listed in the “HHS IDs” file hosted on healthdata.gov.

NICU Exclusions & Inclusions
NICU and nursery beds are included in some fields in the collection while being excluded from others. This is based on several factors including
making minimal changes to existing definitions, considering analysis of this data collection combined with additional data sources, and reducing
the number of new questions where feasible. The questions allow for epidemiologic tracking of pediatric patients regardless of age or location in
the hospital, COVID-19 burden analysis for specific areas of the hospital, ability to more granularly track occupancy, and where needed potential
to infer NICU occupancy. A diagram of capacity and occupancy fields with additional notes on NICU fields is available in Appendix E.
NICU and nursery beds are included in:
• Overall capacity and occupancy measures (fields 3a, 4a, 5a, and 6a)
• Straight counts of pediatric patients who are hospitalized or admitted with COVID-19 regardless of age or location in the hospital (fields
10b, 18a, and 18c)
NICU and nursery beds are excluded in:
• New pediatric capacity and occupancy measures (fields 3c, 4c, 5c, and 6c)
• Measures of COVID-19 burden in pediatric ICUs (field 12c)

Hospitalizations and Admissions

The number of new admissions and the total patients hospitalized should generally not be the same value.

• Confirmed COVID-19 admissions are the number of new patients who were admitted to an inpatient bed on the previous calendar day
with confirmed COVID-19. This is a measure of incidence, or new patients coming into the hospital.
• Total patients hospitalized with confirmed COVID-19 are the current number of patients with confirmed COVID-19 occupying an
inpatient bed. This is a measure of prevalence, or current patients occupying a hospital bed.
43

If the values are reported such that the number of patients currently hospitalized are incorrectly reported as the number of new admissions, this can
cause the new admissions rate for the facility, county, and state to appear overinflated. Accuracy of these fields is important, as they are included
in a number of reports, dashboards, and datasets that are widely used by the public and the U.S. government.
A scenario example is provided below to assist in determining how to enter the data for these questions:
• On 9/8/2021, facility A had 12 adult patients with confirmed COVID-19 occupying inpatient beds at the time of data entry. On the prior
day (9/7/2021), 3 new adult patients with confirmed COVID-19 were admitted to the facility.
o The facility should enter 12 for question #9b (12 total adult patients are hospitalized with confirmed COVID-19 on 9/8/2021).
o The facility should enter 3 for question #17b (3 new adult patients with confirmed COVID-19 were admitted on the prior day).

Laboratory-Confirmed COVID-19 Definition

Do NOT include the following as “laboratory confirmed COVID-19”:

• ±Positive SARS-CoV-2 antigen test and negative SARS-CoV-2 NAAT (PCR).
Laboratory-confirmed COVID-19 positive includes:
• Positive SARS-CoV-2 antigen test only [no other testing performed]
• Positive SARS-CoV-2 NAAT (PCR) only [no other testing performed]
• ±Any other combination of SARS-CoV-2 NAAT (PCR) and/or antigen test(s) with at least one positive test.
± Include patient with serial viral test results only when the additional tests were collected within two calendar days of initial SARS-CoV-2 viral
test. Day of specimen collection is equal to day 1. Otherwise, only select the initial test method for Test Type. Tests in which specimens are
collected more than 2 calendar days apart should be considered separate tests.
Note: Several hospitals have asked for clarification on how long someone who has met the conditions for laboratory-confirmed COVID-19
remains a COVID-19 patient. We recognize that some hospitals and STLT partners have made internal definitions that have been used since
reporting began. For some, a COVID-19 patient remains a COVID-19 patient for the duration of their stay, regardless of length of stay. For
others, a COVID-19 patient stops being a COVID-19 patient after two weeks. For the purposes of reporting, hospitals are asked to please
continue to use definitions that they have used for reporting to date. For new hospitals who are starting to report, please defer first to the COVID
19 patient definition used by your hospital system, health care coalition, hospital association, and/or STLT partner. If a definition has not been
previously determined, a default definition we suggest is for individuals to be counted as COVID-19 patients until they are no longer symptomatic
and are removed from COVID-19 isolation precautions.

Laboratory-Confirmed Influenza Virus Infection Definition
Laboratory confirmation includes detection of influenza virus infection through molecular tests (e.g., polymerase chain reaction, nucleic acid
amplification), antigen detection tests, immunofluorescence tests, and virus culture. For hospital reporting, laboratory-confirmed influenza is
defined as Influenza A and B [this includes their subtypes and lineages (e.g., A(H1N1), A(H3N2), B/Victoria, B/Yamagata)]. Parainfluenza and
Haemophilus Influenza should not be reported. A positive result in the prior 14 days whether completed as an inpatient or outpatient can be used
as the laboratory confirmation.

Therapeutic Information
The preferred “week” for therapeutic information should consist of Wednesday of the previous week through Tuesday of the current week. If a
hospital is reporting differently it is sufficient as long as the reporting period is consistent across their submissions.

Therapeutic Course Calculator
•

•
•

For Therapeutic A (casirivimab/imdevimab), patient courses depend on the type of vials you have:
o 2.5mL vials: 4 vials of casirivimab + 4 vials of imdevimab = 1 patient course
o 11 mL vials: 1 vial of casirivimab + 1 vials of imdevimab = 1 patient course
o Dose Packs: 1 packed dose = 1 patient course
For Therapeutic C (bamlanivimab/etesevimab), patient courses depend on the type of vials you have:
o 1 vial of bamlanvimab + 2 vials of etesevimab = 1 patient course
o 1 vial of combined bamlanivimab/etesevimab = 1 patient course
For Therapeutic D (sotrovimab), a patient course is as follows:
o 1 vial of sotrovimab (500 mL) = 1 patient course

Appendix E: Variable Relationships
Below is a simplified diagram of the relationships between variables 3a through 6c to help visually represent field subsets. Please note, we
recognize this is an oversimplification of bed types.

Appendix F: Template Mapping
The below table crosswalks the fields within the guidance with the data submission template. The CSV version of this file is available on the
Templates and Materials page of healthdata.gov. Note: The template has NOT changed beyond adding new fields at the end of the template to
minimize technical changes. All fields remain in the template regardless of status.
Template Data Element Name

reporting_for_date

N/
A
1
1
1
1
1
1
2
2
3
3
4
4
5
5
6
6
7
8
9

hospital_name
ccn
org_id
state
county
zip
all_hospital_beds
all_adult_hospital_beds
all_hospital_inpatient_beds
all_adult_hospital_inpatient_beds
all_hospital_inpatient_bed_occupied
all_adult_hospital_inpatient_bed_occupied
total_staffed_icu_beds
total_staffed_adult_icu_beds
staffed_icu_bed_occupancy
staffed_adult_icu_bed_occupancy
mechanical_ventilators
mechanical_ventilators_in_use
total_adult_patients_hospitalized_confirmed_and_su
spected_covid
total_adult_patients_hospitalized_confirmed_covid
total_pediatric_patients_hospitalized_confirmed_and
_suspected_covid
total_pediatric_patients_hospitalized_confirmed_cov
id
hospitalized_and_ventilated_covid_patients

Sub
ID
N/A

Status

Cadence

Format

N/A

Daily

Date

a
b
c
d
e
f
a
b
a
b
a
b
a
b
a
b

Daily
Daily
Daily
Daily
Daily
Daily

Required
Required
Optional
Required
Required
Required
Federally Inactive
Federally Inactive
Required
Required
Required
Required
Required
Required
Required
Required
Federally Inactive
Federally Inactive
Required

Daily

Text
Text
Text
Text
Text
Text
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number

9
10

b
a

Required
Required

Daily
Daily

Number
Number

Required

Daily

Number

Required

Daily

Number

Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily

Template Data Element Name

Sub
ID
a

Status

Cadence

Format

staffed_icu_adult_patients_confirmed_and_suspected
_covid
staffed_icu_adult_patients_confirmed_covid
hospital_onset
ed_or_overflow
ed_or_overflow_and_ventilated
previous_day_deaths_covid
previous_day_admission_adult_covid_confirmed
previous_day_admission_adult_covid_confirmed_18
_19
previous_day_admission_adult_covid_confirmed_20
_29
previous_day_admission_adult_covid_confirmed_30
_39
previous_day_admission_adult_covid_confirmed_40
_49
previous_day_admission_adult_covid_confirmed_50
_59
previous_day_admission_adult_covid_confirmed_60
_69
previous_day_admission_adult_covid_confirmed_70
_79
previous_day_admission_adult_covid_confirmed_80
_plus
previous_day_admission_adult_covid_confirmed_un
known_age
previous_day_admission_adult_covid_suspected
previous_day_admission_adult_covid_suspected_18
_19
previous_day_admission_adult_covid_suspected_20
_29
previous_day_admission_adult_covid_suspected_30
_39

Required

Daily

Number

12
13
14
15
16
17
17

Daily
Daily

a
a-1

Required
Required
Federally Inactive
Federally Inactive
Federally Inactive
Required
Required

Daily
Daily

Number
Number
Number
Number
Number
Number
Number

a-2

Required

Daily

Number

a-3

Required

Daily

Number

a-4

Required

Daily

Number

a-5

Required

Daily

Number

a-6

Required

Daily

Number

a-7

Required

Daily

Number

a-8

Required

Daily

Number

a-9

Required

Daily

Number

17
17

b
b-1

Required
Required

Daily
Daily

Number
Number

b-2

Required

Daily

Number

b-3

Required

Daily

Number
48

Template Data Element Name

Status

Cadence

Format

Sub
ID
b-4

previous_day_admission_adult_covid_suspected_40
_49
previous_day_admission_adult_covid_suspected_50
_59
previous_day_admission_adult_covid_suspected_60
_69
previous_day_admission_adult_covid_suspected_70
_79
previous_day_admission_adult_covid_suspected_80
_plus
previous_day_admission_adult_covid_suspected_un
known_age
previous_day_admission_pediatric_covid_confirmed
previous_day_admission_pediatric_covid_suspected
previous_day_total_ED_visits
previous_day_covid_ED_visits
previous_day_remdesivir_used
on_hand_supply_remdesivir_vials
critical_staffing_shortage_today
critical_staffing_shortage_anticipated_within_week
staffing_shortage_details
PPE_supply_management_source
on_hand_ventilator_supplies_in_days
on_hand_supply_of_n95_respirators_in_days
on_hand_supply_of_surgical_masks_in_days
on_hand_supply_of_eye_protection_in_days
on_hand_supply_of_single_use_surgical_gowns_in_
days
on_hand_supply_of_gloves_in_days
on_hand_supply_of_n95_respirators_in_units
on_hand_supply_of_PAPR_in_units
on_hand_supply_of_surgical_masks_in_units
on_hand_supply_of_eye_protection_in_units

Required

Daily

Number

b-5

Required

Daily

Number

b-6

Required

Daily

Number

b-7

Required

Daily

Number

b-8

Required

Daily

Number

b-9

Required

Daily

Number

18
18
19
20
21
22
23
24
25
26
27
27
27
27
27

a
b

Daily
Daily
Daily
Daily

a
b
c
d
e

Required
Required
Required
Required
Federally Inactive
Federally Inactive
Federally Inactive
Optional
Federally Inactive
Federally Inactive
Federally Inactive
Required
Required
Required
Required

Number
Number
Number
Number
Number
Number
Yes/No
Yes/No
Text
Option
Option
Option
Option
Option
Option

27
28
28
28
28

f
a
b
c
d

Required
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive

Weekly

Weekly
Weekly
Weekly
Weekly

Option
Number
Number
Number
Number
49

Template Data Element Name

Status

Sub
ID
e

on_hand_supply_of_single_use_surgical_gowns_in_
units
on_hand_supply_of_launderable_surgical_gowns_in
_units
on_hand_supply_of_gloves_in_units
able_to_obtain_ventilator_supplies
able_to_obtain_ventilator_medications
able_to_obtain_n95_masks
able_to_obtain_PAPRs
able_to_obtain_surgical_masks
able_to_obtain_eye_protection
able_to_obtain_single_use_gowns
able_to_obtain_gloves
able_to_obtain_launderable_gowns
able_to_maintain_ventilator_3day_supplies
able_to_maintain_ventilator_3day_medications
able_to_maintain_n95_masks
able_to_maintain_3day_PAPRs
able_to_maintain_3day_surgical_masks
able_to_maintain_3day_eye_protection
able_to_maintain_3day_single_use_gowns
able_to_maintain_3day_gloves
able_to_maintain_3day_lab_nasal_pharyngeal_swab
s
able_to_maintain_lab_nasal_swabs
able_to_maintain_3day_lab_viral_transport_media
reusable_isolation_gowns_used
reusable_PAPRs_or_elastomerics_used
reusuable_n95_masks_used
anticipated_medical_supply_medication_shortages
total_patients_hospitalized_confirmed_influenza
previous_day_admission_influenza_confirmed
icu_patients_confirmed_influenza

Cadence

Federally Inactive

Number

Federally Inactive

Number

28
29
29
29
29
29
29
29
29
29
30
30
30
30
30
30
30
30
30

g
a
b
c
d
e
f
g
h
i
a
b
c
d
e
f
g
h
i

Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Required
Federally Inactive
Required
Required
Required
Required
Federally Inactive

Number
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No

30
30
31
31
31
32
33
34
35

j
k
a
b
c

Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Federally Inactive
Required
Required
Required

Weekly
Weekly
Weekly
Weekly
Weekly

Weekly
Weekly
Weekly

Format

Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Text
Number
Number
Number
50

Template Data Element Name

total_patients_hospitalized_confirmed_influenza_and
_covid
previous_day_deaths_influenza
previous_day_deaths_covid_and_influenza
teletracking_id
on_hand_supply_Therapeutic_A_courses
previous_week_Therapeutic_A_courses_used
on_hand_supply_Therapeutic_B_courses
previous_week_Therapeutic_B_courses_used
on_hand_supply_Therapeutic_C_courses
previous_week_Therapeutic_C_courses_used
on_hand_supply_Therapeutic_D_courses
previous_week_Therapeutic_D_courses_used
on_hand_supply_Therapeutic_E_courses
previous_week_Therapeutic_E_courses_used
on_hand_supply_Therapeutic_F_courses
previous_week_Therapeutic_F_courses_used
on_hand_supply_Therapeutic_G_courses
previous_week_Therapeutic_G_courses_used
on_hand_supply_Therapeutic_H_courses
previous_week_Therapeutic_H_courses_used
on_hand_supply_Therapeutic_I_courses
previous_week_Therapeutic_I_courses_used
on_hand_supply_Therapeutic_J_courses
previous_week_Therapeutic_J_courses_used
previous_week_personnel_covid_vaccinated_doses_
administered
total_personnel_covid_vaccinated_doses_none
total_personnel_covid_vaccinated_doses_one
total_personnel_covid_vaccinated_doses_all
total_personnel
previous_week_patients_covid_vaccinated_doses_on
e

Federally Inactive

Number

37
38
1
39
39
39
39
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
41

Federally Inactive
Federally Inactive
Optional
Required
Required
Federally Inactive
Federally Inactive
Required
Required
Required
Required
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Placeholder
Optional

Weekly

Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number

Weekly
Weekly
Weekly
Weekly
Weekly

Number
Number
Number
Number
Number

42
43
44
45
46

Sub
ID

g
a
b
c
d
a
b
c
d
e
f
g
h
i
j
k
l
m
n
o
p

Status

Optional
Optional
Optional
Optional
Optional

Cadence

Weekly
Weekly
Weekly

Weekly
Weekly
Weekly
Weekly

Format

Template Data Element Name

previous_week_patients_covid_vaccinated_doses_all
hhs_id
all_pediatric_inpatient_beds
all_pediatric_inpatient_bed_occupied
total_staffed_pediatric_icu_beds
staffed_pediatric_icu_bed_occupancy
staffed_icu_pediatric_patients_confirmed_covid
previous_day_admission_pediatric_covid_confirmed
_0_4
previous_day_admission_pediatric_covid_confirmed
_5_11
previous_day_admission_pediatric_covid_confirmed
_12_17
previous_day_admission_pediatric_covid_confirmed
_unknown

47
1
3
4
5
6
12
18

Sub
ID

Status

Cadence

Format

h
c
c
c
c
c
c-1

Optional
Optional
Required
Required
Required
Required
Required
Required

Weekly
Daily
Daily
Daily
Daily
Daily
Daily
Daily

Number
Text
Number
Number
Number
Number
Number
Number

c-2

Required

Daily

Number

c-3

Required

Daily

Number

c-4

Required

Daily

Number

File Type	application/pdf
File Title	COVID-19 Guidance for Hospital Reporting and FAQs
Subject	COVID-19, hospital, reporting guidance
File Modified	2022-01-05
File Created	2022-01-04