Crosswalk 57.144_07SEP2023

The form changes and associated burden is described below.

Long-Term Care Component, COVID-19 Module (57.144)

1. The Resident Impact and Facility Capacity form (57.144) currently collects info regarding the number of newly positive COVID-19 tests among residents in the long-term care facility each week (non-cumulative number: facilities only report new counts since the last time data was reported to NHSN). This form also collects information regarding COVID-19 vaccination status of newly positive residents, hospitalizations with a positive COVID-19 test, hospitalizations with a positive COVID-19 test and up to date, and resident deaths. All these data elements will remain on the form with the addition of data elements regarding RSV and influenza. With a prominent focus on respiratory tract infections (RTI’s) among nursing homes, the inclusion of these data will allow for surveillance of RTI’s in addition to COVID-19. In order to improve usability and understandability for the users, the application will be operationalized in which these questions will appear in a separate tab. This will also increase the understanding that these questions are optional for LTC facilities as well as reduce confusion regarding reporting requirements.

Time Burden: estimate 25 minutes to complete the form 

Change in Time Burden: increased by 10 minutes for only those choosing to optionally report

 

Justification for changes:

The COVID-19 Surveillance Pathways will be revised to include data elements that collect data for additional Respiratory tract infections (RSV and influenza)

Current	Proposed	Type of Change	Reason for Change	Impact to Burden
Resident Impact and Facility Capacity Form (57.144)
RSV Data elements
Not currently on form	POSITIVE TESTS: Enter the number of residents with a newly positive RSV (Respiratory syncytial virus) viral test result.	Addition	Adding this data element to the RIFC form will allow for surveillance of positive RSV viral test results in long term care facilities. This will allow for incidence and percent positivity to be evaluated among residents in nursing homes. Respiratory tract infections have been linked significantly to increased morbidity and mortality in nursing homes and adding these elements will allow for surveillance at the aggregate level in order to understand trends and patterns.	Increase
Not currently on form	**UP TO DATE: Include residents with a newly positive RSV viral test result who are up to date with RSV vaccines for the current season (2023-2024).	Addition	Adding this data element to the RIFC form will allow for surveillance of up to date status among resident with a newly positive RSV test in long term care facilities. This will allow for Vaccine efficacy studies and analyses to be produced as well. The priority for estimating vaccine effectiveness among residents primarily focuses on vaccination status of not vaccinated at all and up to date status.	Increase Conditional- of the users enters a count greater than 0 for positive tests, then a count must be entered here
Not currently on form	NOT UP TO DATE: ____ Based on the counts entered for POSITIVE TESTS and UP TO DATE, the count for residents who are NOT considered up to date for the current season have been calculated here.	Addition	The priority for estimating vaccine effectiveness among residents primarily focuses on vaccination status of not vaccinated at all and up to date status.	No change- this field is auto-populated, and the user will not need to enter a count
Not currently on form	Hospitalizations in residents with a positive RSV Test: Number of residents who have been hospitalized with a positive RSV test. Note: Only include residents who have been hospitalized during this reporting period and had a positive RSV test in the 10 days prior to the hospitalization, date of specimen collection is calendar day 1.	Addition	With a more prominent focus on Respiratory tract infections (RTI’s), this element will allow for surveillance of hospitalizations in residents with a recently positive RSV test. These data will allow for surveillance of disease severity among LTCF residents (morbidity and mortality).	Increase
Not currently on form	**Hospitalizations with a positive RSV Test and Up to Date: Based on the number reported for "Hospitalizations with a positive RSV Test" indicate the number of residents who were hospitalized with positive RSV test and also up to date RSV vaccine at the time of positive RSV test.	Addition	With a more prominent focus on Respiratory tract infections (RTI’s), this element will allow for surveillance of hospitalizations in residents with a recently positive RSV test and who are up to date (per the season). These data will allow for surveillance of disease severity among LTCF residents (morbidity and mortality).	Increase Conditional- of the users enters a count greater than 0 for Hospitalizations in residents with a positive RSV Test, then a count must be entered here.
Influenza Data elements
Not currently on form	POSITIVE TESTS: Enter the number of residents with a newly positive Influenza viral test result	Addition	Adding this data element to the RIFC form will allow for surveillance of positive influenza viral test results in long term care facilities. This will allow for incidence and percent positivity to be evaluated among residents in nursing homes. Respiratory tract infections have been linked significantly to increased morbidity and mortality in nursing homes and adding these elements will allow for surveillance at the aggregate level in order to understand trends and patterns.	Increase
Not currently on form	**UP TO DATE: Include residents with a newly positive Influenza viral test result who are up to date with Influenza (flu) vaccines for the current flu season (2023-2024).	Addition	Adding this data element to the RIFC form will allow for surveillance of up to date status among resident with a newly positive flue test in long term care facilities. This will allow for Vaccine efficacy studies and analyses to be produced as well. The priority for estimating vaccine effectiveness among residents primarily focuses on vaccination status of not vaccinated at all and up to date status.	Increase Conditional- of the users enters a count greater than 0 for positive tests, then a count must be entered here
Not Currently on from	NOT UP TO DATE: ____ Based on the counts entered for POSITIVE TESTS and UP TO DATE, the count for residents who are NOT considered up to date for the current flu season have been calculated here.	Addition	The priority for estimating vaccine effectiveness among residents primarily focuses on vaccination status of not vaccinated at all and up to date status.	No change- this field is auto-populated, and the user will not need to enter a count
Not Currently on form	Hospitalizations in residents with a positive Influenza Test: Number of residents who have been hospitalized with a positive Influenza test. Note: Only include residents who have been hospitalized during this reporting period and had a positive Influenza test in the 10 days prior to the hospitalization, date of specimen collection is calendar day 1.	Addition	With a more prominent focus on Respiratory tract infections (RTI’s), this element will allow for surveillance of hospitalizations in residents with a recently positive flu test. These data will allow for surveillance of disease severity among LTCF residents (morbidity and mortality).	Increase
Not currently on form	Hospitalizations with a positive Influenza Test and Up to Date: Based on the number reported for "Hospitalizations with a positive Influenza Test" indicate the number of residents who were hospitalized with positive Influenza test and also up to date with Influenza vaccine at the time of positive Influenza test.	Addition	With a more prominent focus on Respiratory tract infections (RTI’s), this element will allow for surveillance of hospitalizations in residents with a recently positive flu test and who are up to date (per the season). These data will allow for surveillance of disease severity among LTCF residents (morbidity and mortality).	Increase Conditional- of the users enters a count greater than 0 for Hospitalizations in residents with a positive Influenza Test, then a count must be entered here.

Note:

Type of Change: Rev = Revision, Del = Deletion, Add = Addition, and Red = Redesignation.

Impact to Burden: Yes = reduction or increase (if increase, please summarize impact), None.

		Estimated Number of NHSN Active LTCFs offered to complete form (Annual)	Number of times the form is completed at each facility (Annual)	Time it takes to complete all data collection requirements (Hours)
Form Number	Form Name	08/2023	08/2023	08/2023
57.144	COVID-19 and Respiratory Infections Module Long Term Care Facility: Resident Impact and Facility Capacity Pathway	16,500 (approximate)	52 (weekly reporting)	25/60