NHSN LTCF COVID-19 Module: Resident Impact and Facility
Capacity Form Instructions CDC 57.144
Instructions
for Completion of the COVID-19 Long-term Care Facility (LTCF)
Resident Impact and Facility Capacity Pathway Form (CDC
57.144)
Data Field |
Instructions for Form Completion |
NHSN Facility ID # |
The NHSN-assigned facility ID will be auto-generated by the system. |
CMS Certification Number (CCN)-may be referred to as participation number |
Auto-generated by the computer, if applicable, based on the CCN entered during NHSN registration or last updated, if previously edited. Please see NHSN CCN Guidance document for instructions on how to add a new CCN or edit an existing CCN. |
Facility Name |
Auto-generated by the system based on the facility name previously entered during NHSN registration. |
Date for which counts are reported |
Required. Select the date on the calendar for which the counts and/or responses in the Resident Impact and Facility Capacity pathway apply. For example, if reporting the number of residents with positive SARS-CoV-2 (COVID-19) viral test results for specimens collected on Monday of the reporting week, Monday should be selected on the calendar as the day for which counts are being reported in the “Resident Impact and Facility Capacity” pathway. |
Facility Type |
Auto-generated based on the facility type selected during NHSN enrollment. Selections include:
+Includes both skilled nursing facilities and nursing homes
Please see NHSN Guidance document for instructions on How to Correct Your Facility Type if this information is incorrect. |
Date Created |
Auto-generated based on the first calendar date and time that a user manually enters and saves data or the date the facility first submits a CSV file for a specific pathway. Note: The date and time will automatically generate after the “Save” button is selected and cannot be modified. |
Important:
Report only the NEW counts since the last date counts were
collected for reporting to NHSN. If the count is zero for any
variable, a “0” is to be entered as the response. A
blank response is equivalent to missing data.
Data Field |
Instructions for Form Completion |
Facility Capacity |
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ALL BEDS
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Enter the total number of resident beds in the facility. This number will auto- populate in future sessions and should be updated only if there is a change in the total bed count. For example, if the facility must bring in additional beds to accommodate overflow of residents. Notes:
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* CURRENT CENSUS Total number of beds that are occupied at the time of reporting to NSHN.
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Required: Enter the total number of occupied beds for each calendar day in which data are being entered. Notes:
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Resident Impact for COVID-19 (SARS-CoV-2) |
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*POSITIVE TESTS
Number of residents with a newly positive SARS-CoV-2 viral test result. (numrespostest) |
Positive Tests: Defined by NHSN as number of residents newly positive for COVID-19 based on a viral test result. The test result may be from a NAAT/PCR or an antigen test. The definition includes residents with an re-infection. This count ONLY includes current residents of the facility, please do not include COVID-19 admissions in this count. Notes:
Important:
Diagnostic Terms and Definitions:
Example: The following SARS-CoV-2 tests and results were documented this week for residents in a DHQP Skilled Nursing Facility (counts represent newly positive residents only):
antigen results. 2 of the residents had a follow-up negative NAAT (PCR) test result. 1 of the residents had a follow-up positive NAAT result performed on the same day.
performed on two residents. Only one of the three residents had a follow-up negative PCR, performed 4 days later.
tests performed. The resident did have a laboratory positive COVID-19 test result over 3 months ago and fully recovered. The resident developed fever and loss of smell today, prompting antigen POC testing.
two weeks ago and were already submitted to NHSN as positive tests Saturday: 0 newly positive test results.
Based on the above information, the following Positive Tests counts were submitted to NHSN: If Daily Reporting: Monday: 1 Tuesday: 3; Wednesday: 1; Thursday: 1; Friday: 0; Saturday: 0; Sunday: 1. If Weekly Reporting Only: Total Positive Tests for the reporting week: 7 Important: If reporting daily Positive Tests counts to NHSN (specifically residents with newly positive viral tests results), do not also report a total weekly count since duplicate reporting will result in falsely inflated counts.
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Vaccination Status of Residents with a Newly Confirmed SARS-CoV-2 Viral Test Result |
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** VACCINATION STATUS For the newly positive residents, indicate how many received COVID-19 vaccination 14 days or more before the specimen collection date. The 14-day window ONLY applies for data reported to the RIFC Pathway
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Vaccination Status: The occurrence, or lack thereof, receiving a dose(s) of the COVID-19 vaccine. The vaccination status pertains to residents with a newly positive SARS-CoV-2 viral test for the reporting week. The vaccination status is contingent upon if the resident has received the most recent dose of the COVID-19 vaccine 14 days or more before the specimen collection date of the newly positive SARS-CoV-2 Viral test. The date vaccine was received is considered as Day 1. Include residents who received the vaccine while in the LTCF or outside of the LTCF.
Conditional. If the number of reported Positive Tests is greater than “0” for the reporting period, indicate the vaccination status of residents included in the positive test count.
Note:
To report Vaccination Status: Indicate the corresponding count of residents with a newly positive SARS-CoV-2 viral test result. COVID-19 Vaccination options
Note: The Not Up to Date category is populated based on the counts entered for Up to date. To edit this category, please update/change the counts entered for Up to Date. Vaccination Status Definitions:
Note: This data elements requires residents who are considered up to date per the NHSN surveillance definition to have received the most recent COVID-19 vaccine 14 days or more before the specimen collection of the newly positive SARS-CoV-2 viral test result. Because this is a surveillance data element, it is designed to assess vaccine effectiveness in promoting an immune response to SARS-CoV-2 (COVID-19). Therefore, surveillance case reporting requirements may differ from CDC’s clinical considerations guidance document. Please review the NHSN Surveillance Definition.
Note:
Example: Of the reported newly positive SARS-CoV-2 viral tests results, the residents were documented to have the following vaccination status in DHQP Skilled Nursing Facility (counts represent newly positive residents only).
Based on the above information, the following vaccination status counts were submitted to NHSN:
If Daily Reporting: Monday: 2 Up to Date, 1 Not Up to Date (populated by the system) Tuesday: 3 Up to Date Wednesday: 1 Not Up to Date (populated by the system) Thursday: 1 Up to Date, 1 Not Up to Date (populated by the system) Friday: 1 Up to Date, 2 Not Up to Date (populated by the system) Saturday: 0 Sunday: 1 Up to Date
If Weekly Reporting: Up to Date: 8 Not Up to Date (populated by the system): 5
When to include a resident in the Up-to-Date count (use this decision tree for counts reported during quarter 3 and after (June 26 2023, and after)).
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Hospitalizations This is not a subset of the “Positive Tests” count. Include only the number of new hospitalizations with a positive COVID-19 test since the most recent date data were reported to NHSN. |
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Hospitalizations with a positive COVID-19 Test: Indicate the number of residents who have been hospitalized and have had a positive COVID-19 test in the 10 days prior to the hospitalization. |
Hospitalizations with a positive COVI-19 Test: This count includes residents who have been newly admitted to the hospital since the last date data was reported to NHSN and have also had a positive COVID-19 test in the 10 days prior to the hospitalization. This can include residents who have been counted in the positive test count and those who have not been counted in the positive test count. This is NOT a subset of the positive test count, meaning this does NOT ONLY include residents who have been counted in the positive test count for this reporting period.
Note: Only include residents who have been hospitalized during the reporting period and had a positive COVID-19 test in the 10 days prior to the hospitalization, date of specimen collection is calendar day 1.
Note: Admission to the hospital refers to residents who have been admitted as inpatient to the hospital. This does NOT include residents who have only been transferred to the Emergency Department or transferred to the hospital for observation. This count ONLY includes residents who have been officially admitted to the hospital.
To calculate the count for Hospitalizations with a positive COVID-19 Test, answer the following: Of the residents who were admitted to the hospital during this reporting week, how many of those residents have also had a positive COVID-19 test in the 10 days prior to the hospitalization?
Example: Since the last date data were reported to NHSN, 4 residents have been admitted to the hospital.
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Hospitalizations with a positive COVID-19 Test and Up to Date: Based on the number reported for “Hospitalizations with a positive COVID-19 Test”, indicate the number of residents who were hospitalized with a positive COVID-19 test and also up to date with COVID-19 vaccinations at the time of the positive COVID-19 test |
Hospitalizations with a positive COVID-19 Test and Up to Date: This count includes residents who have been newly admitted to the hospital since the last date data was reported to NHSN, have also had a positive COVID-19 test in the 10 days prior to the hospitalization, and are also up to date with COVID-19 vaccines. This is a subset of Hospitalizations with a positive COVID-19 Test, the count entered for this variable cannot exceed the number reported for Hospitalizations with a positive COVID-19 Test.
Note: This count must be less than or equal to the count entered for Hospitalizations with a positive COVID-19 Test.
To calculate the count for Hospitalizations with a positive COVID-19 Test and Up to Date answer the following:
Example: Since the last date data were reported to NHSN, 4 residents have been admitted to the hospital.
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Deaths Only include the number of new deaths since the most recent date data were reported to NHSN. |
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*TOTAL DEATHS: Number of residents who have died for any reason in the facility or another location since the last date Total Death counts were reported to NHSN.
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Total Deaths is defined by NHSN as residents who have died from any cause in the facility or another location, including COVID-19 related and non- COVID-19 related deaths. This count must include only new deaths since the last date counts for Total Deaths were reported to NSHN. Notes:
Example: DHQP SNF documented the following Total Deaths this week:
The following counts for Total Deaths were reported to NHSN: Monday: 2 Tuesday: 0 Wednesday: 0 Thursday: 1 Friday: 0 Saturday: 2 Sunday: 1 If Weekly Reporting Only: Total Deaths count for the reporting week: 6 Important: If reporting daily Total Deaths counts to NHSN, do not also report a weekly Total Deaths count since duplicate reporting will result in falsely inflated death counts. |
**COVID-19 DEATHS Based on the number of reported Total Deaths, indicate the number of residents with COVID-19 who died in the facility or another location.
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COVID-19 Deaths: Defined by NHSN as residents who died from SARS-CoV-2 (COVID-19) related complications and includes resident deaths in the facility AND in other locations, such as an acute care facility, in which the resident with COVID-19 was transferred to receive treatment. This count must include only new deaths since the last date counts for COVID-19 Deaths were reported to NSHN.
Conditional. Based on the number of reported new Total Deaths for the reporting period, indicate how many of the deaths were residents with either a positive COVID-19 viral test result, had signs and/or symptoms of COVID-19 as defined by the CDC, were on transmission-based precautions for COVID-19, or who died from ongoing complications related to a previous COVID-19 infection. Notes:
Example: The following example is based on the Total Deaths counts reported in the previous example. Monday: 1 Tuesday: 0 Wednesday: 0 Thursday: 0 Friday: 0 Saturday: 2 (previously submitted count was updated after receiving autopsy report indicating COVID-19 was cause of death) Sunday: 1 If Weekly Reporting Only: Total COVID-19 Deaths count for the reporting week- 4 Important: If reporting daily new COVID-19 Deaths counts to NHSN, do not also report a weekly Total for new COVID-19 Deaths since duplicate reporting will result in falsely inflated death counts. |
Optional Reporting: These data are NOT required
Influenza |
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Influenza Positive Tests and Vaccination Status of Newly Positive Residents |
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*POSITIVE TESTS
Number of residents with a newly positive Influenza test result. (numrespostest) |
Positive Tests: Defined by NHSN as a new positive influenza test result, also referred to as a positive flu test result. This count ONLY includes current residents of the facility, please do not include Influenza admissions in this count. Notes:
Important:
Important: If reporting daily Positive Tests counts to NHSN (specifically residents with newly positive viral tests results), do not also report a total weekly count since duplicate reporting will result in falsely inflated counts.
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**Up to Date For the newly positive residents, indicate how many received Influenza vaccination 14 days or more before the specimen collection date.
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Vaccination Status: The occurrence, or lack thereof, receiving a dose(s) of the Influenza vaccine. The vaccination status pertains to residents with a newly positive Influenza test for the reporting week. The date vaccine was received is considered as Day 1. Include residents who received the vaccine while in the LTCF or outside of the LTCF.
Conditional. If the number of reported Positive Tests is greater than “0” for the reporting period, indicate the vaccination status of residents included in the positive test count.
Note: The Not Up to Date category is populated based on the counts entered for Up to date. To edit this category, please update/change the counts entered for Up to Date. Vaccination Status Definitions:
Note:
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Influenza Hospitalizations This is not a subset of the Influenza “Positive Tests” count reported above. Include only the number of new hospitalizations in residents with a positive Influenza test since the most recent date data were reported to NHSN.
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*Hospitalizations in residents with a positive Influenza Test: Number of residents who have been hospitalized with a positive Influenza test. |
Hospitalizations in residents with a positive Influenza Test: This count includes residents who have been newly admitted to the hospital since the last date data were reported to NHSN and have also had a positive Influenza test in the 10 days prior to the hospitalization. This can include residents who have been counted in the positive test count and those who have not been counted in the positive test count. This is NOT a subset of the positive test count, meaning this does NOT ONLY include residents who have been counted in the positive test count for this reporting period.
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.
Note: Admission to the hospital refers to residents who have been admitted as inpatient to the hospital. This does NOT include residents who have only been transferred to the Emergency Department or transferred to the hospital for observation. This count ONLY includes residents who have been officially admitted to the hospital.
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**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
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Hospitalizations with a positive Influenza Test and Up to Date: This count includes residents who have been newly admitted to the hospital since the last date data was reported to NHSN, have also had a positive Influenza test in the 10 days prior to the hospitalization, and are also up to date with Influenza vaccine. This is a subset of Hospitalizations with a positive Influenza Test, the count entered for this variable cannot exceed the number reported for Hospitalizations with a positive Influenza Test.
Note: This count must be less than or equal to the count entered for Hospitalizations with a positive Influenza Test.
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RSV (Respiratory Syncytial Virus) |
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RSV Positive Tests and Vaccination Status of Newly Positive Residents |
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*POSITIVE TESTS
Number of residents with a newly positive RSV test result.
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Positive Tests: Defined by NHSN as a new positive RSV test result. This count ONLY includes current residents of the facility, please do not include RSV admissions in this count. Notes:
Important:
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**Up to Date For the newly positive residents, indicate how many received RSV vaccination 14 days or more before the specimen collection date.
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Vaccination Status: The occurrence, or lack thereof, receiving a dose(s) of the RSV vaccine. The vaccination status pertains to residents with a newly positive RSV test for the reporting week. The date vaccine was received is considered as Day 1. Include residents who received the vaccine while in the LTCF or outside of the LTCF.
Conditional. If the number of reported Positive Tests is greater than “0” for the reporting period, indicate the vaccination status of residents included in the positive test count.
Note: The Not Up to Date category is populated based on the counts entered for Up to date. To edit this category, please update/change the counts entered for Up to Date.
Vaccination Status Definitions:
Note:
If a resident with a newly positive RSV test is to be included in the Not Up to Date category, that count will be automatically included once the counts for Positive Tests and Up to Date have been entered.
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RSV Hospitalizations This is not a subset of the RSV “Positive Tests” count reported above. Include only the number of new hospitalizations in residents with a positive RSV test since the most recent date data were reported to NHSN.
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*Hospitalizations in residents with a positive RSV Test: Number of residents who have been hospitalized with a positive RSV test. |
Hospitalizations in residents with a positive RSV Test: This count includes residents who have been newly admitted to the hospital since the last date data was reported to NHSN and have also had a positive RSV test in the 10 days prior to the hospitalization. This can include residents who have been counted in the positive test count and those who have not been counted in the positive test count. This is NOT a subset of the positive test count, meaning this does NOT ONLY include residents who have been counted in the positive test count for this reporting period.
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.
Note: Admission to the hospital refers to residents who have been admitted as inpatient to the hospital. This does NOT include residents who have only been transferred to the Emergency Department or transferred to the hospital for observation. This count ONLY includes residents who have been officially admitted to the hospital.
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**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 with RSV vaccine at the time of positive RSV test
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Hospitalizations with a positive RSV Test and Up to Date: This count includes residents who have been newly admitted to the hospital since the last date data was reported to NHSN, have also had a positive RSV test in the 10 days prior to the hospitalization, and are also up to date with RSV vaccine. This is a subset of Hospitalizations with a positive RSV Test, the count entered for this variable cannot exceed the number reported for Hospitalizations with a positive RSV Test.
Note: This count must be less than or equal to the count entered for Hospitalizations with a positive RSV Test.
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | TOI Resident Impact and Facility Capacity |
Subject | NHSN LTCF Table of Instructions |
Author | CDC/NCEZID/DHQP |
File Modified | 0000-00-00 |
File Created | 2024-10-31 |