FY 2027 CAUTI Validation Template

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Catheter-Associated Urinary Tract Infection (CAUTI) Validation Template
In support of the Centers for Medicare & Medicaid Services (CMS) Hospital-Acquired Condition (HAC) Reduction Program inpatient data validation efforts
for the Fiscal Year (FY) 2027 program year:
• Each hospital selected for CAUTI validation is to produce a list of positive urine cultures for intensive care unit (ICU) patients.
The line list should include all final results for all positive urine cultures with >= 10^5 colony-forming units (CFUs)/ml collected during an ICU stay.
• For each patient confirm:
° The patient had an ICU admission during this hospital stay; and
° The patient had a positive urine culture collected during the ICU stay with >= 10^5 CFU/ml.
(If the patient did not have an ICU admission when the culture was drawn, do not include these on the Validation Template.
Exclude positive cultures with more than 2 organisms present even if one or more results are >=10^5 CFU/ml.)
FY 2027 - CAUTI Validation Template
(Use this template for 1Q 2024 through 4Q 2024 positive urine cultures - all quarters must be submitted on separate templates)
FIELD (* indicates required field)
DESCRIPTION
SECTION
The National Healthcare Safety Network (NHSN)-assigned facility ID under which your hospital
NHSN Facility ID*
submits NHSN data.
Hospital's 6-digit CMS Certification Number (CCN). Do not include any hyphens.
Provider ID/CCN*
Hospital Information Section
Hospital
Name
associated
with
CCN.
Hospital Name*
Complete the first row in the
Enter the 2 character abbreviation for the state in which the hospital is located.
State*
spreadsheet. The information
Select from the drop-down list the calendar quarter to which the CAUTI Validation Template
provided in the first row will
Calendar Quarter*
pertains.
be applied to all positive urine
Hospital contact name for CMS to contact with questions.
Hospital Contact Name*
cultures listed on the template.
Phone number for hospital contact listed.
Contact Phone*
Email address for hospital contact listed.
Contact Email*
Select Yes or No from the drop-down list. Does the hospital have any final results for positive urine
Positive Urine Cultures (Y/N)*
cultures for ICU patients in the calendar quarter referenced?
The patient identifier assigned by the hospital. Use the same patient identifier that would be
Patient Identifier*
submitted to NHSN if the episode of care (EOC) would be reported as a CAUTI event.
The patient date of birth using MM/DD/YYYY format.
Birthdate*
Select Female, Male or unknown from the drop-down list to indicate the sex of patient.
Sex*
Enter date patient was admitted to hospital in MM/DD/YYYY format.
Admit Date*
Enter date patient was discharged from the hospital in MM/DD/YYYY format. If a patient has not Patient & Urine Culture Section
been discharged from the hospital enter "Not Discharged" for the Discharge Date field.
Discharge Date*
Complete for every final positive urine
Discharge dates that fall within the reporting quarter will be eligible for validation.
culture.
First name of patient.
First Name
Last name of patient.
Last Name

NHSN ICU Location*

Lab ID*
Urine Culture Date*

Select from the drop-down list, the NHSN ICU location to which the patient was assigned when the
positive urine culture was collected. Include only cultures collected during an ICU stay.
Only locations from the drop-down will be accepted; do not use a hospital-assigned location.
Lab ID, accession number or specimen number corresponding to positive urine culture.
Provide the date the urine culture was collected in MM/DD/YYYY format.

Urine Culture Time

Provide the time the urine was collected if easily available.

For additional information, view the appropriate CAUTI Abstraction Manual posted on the Inpatient Data Validation Resources
https://qualitynet.cms.gov/inpatient/data-management/data-validation/resources
page of QualityNet (direct link):
For the purposes of CMS inpatient data validation, please note the differences between NHSN data submission
and validation template/medical record submission, as described below:
Record
NHSN Data
Validation Template
Medical Record
Type
Submission
Submission
Submission to CDAC
Enter all positive cultures
Submit inpatient records,
Submit data per
according to the
Inpatient
including corresponding ICU
NHSN instruction.
instructions within the
documentation.
Validation Template.
Do NOT enter positive
cultures for patients that
had only a rehabilitation
Rehabilitation and psychiatric
CMS Inpatient
or psychiatric stay. These
stays are not valid for CMS
Rehabilitation
are not valid for CMS data
data validation. Records
Facilities (IRF) and
Submit data per
validation. Cultures
submitted for validation that
CMS Inpatient
NHSN instruction.
submitted on the
are not acute inpatient
Psychiatric
Validation Template that
admissions will be considered
Facilities (IPF)
are not inpatient
invalid.
admissions may result in
mismatch.

PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this
information collection is 0938-1352 (Expires 01/31/2026). The time required to complete this information collection is estimated to average 10 hours per response, including the time to review instructions,
search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for
improving this form, please write to CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. ****CMS Disclosure**** Please do not send
applications, claims, payments, medical records or any documents containing sensitive information to the PRA Reports Clearance Office. Please note that any correspondence not pertaining to the
information collection burden approved under the associated OMB control number listed on this form will not be reviewed, forwarded, or retained.
If you have questions or concerns regarding whereto submit your documents, please contact the Validation Support Contractor at [email protected].

NHSN
Provider ID/CCN*
Facility ID*

Hospital Name*

State*

Calendar
Quarter*

Hospital Contact Name*

Contact Phone*

Contact Email*

Positive Urine
Cultures (Y/N)*

Patient Identifier*

Birthdate*

Sex*

Admit Date* Discharge Date*

First Name

Last Name

NHSN ICU Location*

Lab ID*

Urine Culture Date*

Urine Culture Time

Below is a list of NHSN ICU Locations applicable for CMS inpatient data validation CAUTI reporting.
CDC LOCATION LABEL
CDC LOCATION CODE
Inpatient Adult Critical Care Units
Burn Critical Care
IN:ACUTE:CC:B
Medical Cardiac Critical Care
IN:ACUTE:CC:C
Medical Critical Care
IN:ACUTE:CC:M
Medical-Surgical Critical Care
IN:ACUTE:CC:MS
Neurologic Critical Care
IN:ACUTE:CC:N
Neurosurgical Critical Care
IN:ACUTE:CC:NS
Oncology Medical Critical Care
IN:ACUTE:CC:ONC_M
Oncology Surgical Critical Care
IN:ACUTE:CC:ONC_S
Oncology Medical-Surgical Critical Care IN:ACUTE:CC:ONC_MS
Onsite Overflow Critical Care
IN:ACUTE:CC:OF_ONSITE
Prenatal Critical Care

IN:ACUTE:CC:PNATL

Respiratory Critical Care
Surgical Cardiothoracic Critical Care
Surgical Critical Care
Trauma Critical Care

IN:ACUTE:CC:R
IN:ACUTE:CC:CT
IN:ACUTE:CC:S
IN:ACUTE:CC:T
Inpatient Pediatric Critical Care Units
IN:ACUTE:CC:ONC_PED
IN:ACUTE:CC:B_PED

ONC Pediatric Critical Care
Pediatric Burn Critical Care
Pediatric Surgical Cardiothoracic Critical
IN:ACUTE:CC:CT_PED
Care
Pediatric Medical Critical Care
IN:ACUTE:CC:M_PED
Pediatric Medical-Surgical Critical Care IN:ACUTE:CC:MS_PED
Pediatric Neurosurgical Critical Care

IN:ACUTE:CC:NS_PED

Pediatric Respiratory Critical Care
Pediatric Surgical Critical Care

IN:ACUTE:CC:R_PED
IN:ACUTE:CC:S_PED

Pediatric Trauma Critical Care

IN:ACUTE:CC:T_PED

on CAUTI reporting.
LOCATION DESCRIPTION
Critical care area for the care of patients with significant/major burns.
Critical care area for the care of patients with serious heart problems that DO NOT require heart surgery.
Critical care area for the care of patients who are being treated for nonsurgical conditions.
Critical care area for the care of patients with medical and/or surgical conditions.
Critical care area for the care of patients with life- threatening neurologic diseases.
Critical care area for the surgical management of patients with severe neurologic diseases or those at risk for neurologic injury as a result of surgery.
Critical care area for the care of oncology patients who are being treated for nonsurgical conditions related to their malignancy.
Critical care area for the evaluation and management of oncology patients with serious illness before and/or after cancer-related surgery.
Critical care area for the care of oncology patients with medical and/or surgical conditions related to their malignancy.
Area previously used for non-patient care which has been repurposed to care for critically ill or injured patients.
Critical care area for the care of pregnant patients with complex medical or obstetric problems requiring a high level of care to prevent the loss of the fetus and
to protect the life of the mother.
Critical care area for the evaluation and treatment of patients with severe respiratory conditions.
Critical care area for the care of patients following cardiac and/or thoracic surgery.
Critical care area for the evaluation and management of patients with serious illness before and/or after surgery.
Critical care area for the care of patients who require a high level of monitoring and/or intervention following trauma or during critical illness related to trauma.
Critical care area for the care of oncology patients ≤18 years old who are being treated for surgical or nonsurgical conditions related to their malignancy.
Critical care area for the care of patients ≤18 years old with significant/major burns.
Critical care area for the care of patients ≤18 years old following cardiac and thoracic surgery.
Critical care area for the care of patients ≤18 years old who are being treated for nonsurgical conditions.
Critical care area for the care of patients ≤18 years old with medical and/or surgical conditions.
Critical care area for the surgical management of patients ≤18 years old with severe neurologic diseases or those at risk for neurologic injury as a result of
surgery.
Critical care area for the evaluation and treatment of patients ≤18 years old with severe respiratory conditions.
Critical care area for the evaluation and management of patients ≤18 years old with serious illness before and/or after surgery.
Critical care area for the care of patients ≤18 years old who require a high level of monitoring and/or intervention following trauma or during critical illness
related to trauma.

USER GUIDE AND SUBMISSION INSTRUCTIONS

---> The FY 2027 Validation Template User Guide and Submission Instructions , along with supporting document

To access, select [Hospitals–Inpatient], and then [Data Management], followed by [Data Validation], and lastly [R
https://qualitynet.cms.gov/inpatient/data-management/data-validation/resources

The only acceptable method of sending HAI Validation Templates is through the CMS Managed File Transfer (MF
https://qnetmft.cms.gov
HAI Validation Templates contain Protected Health Information (PHI) and cannot be sent via email -- even if a temp
workplace email, it would still be considered a security violation.

It is recommended to submit HAI Validation Templates at least a week prior to the submission deadline in case ther
transmitting files, and to allow time for revisions/corrections when necessary.
If you are unable to log in to the CMS MFT application, the first person to contact is your hospital's Security Official
If your SO is unable to establish your access, you will need to contact the Center for Clinical Standards & Quality (CC
It is recommended hospitals have two SOs at all times to ensure the ability to upload Validation Templates by the
We suggest hospitals ask their IT department to add [email protected] to their ‘Safe Senders List’ to ensure
HAI VALIDATION TEMPLATE COMPLETION & SUBMISSION TIPS
Prior to submitting HAI Validation Templates to CMS, it is recommended that quality assurance is performed
Review the [Definitions] tab to ensure correct information is entered in each field.
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Do not add, delete, rename, or change the order of the tabs.
Do not add, delete, or rename column headings.
Do not leave the first row blank or skip rows between patient data.
Make sure the Provider ID/CCN field is exactly 6 numeric characters (do not add a hyphen).
Make sure the State field contains the 2 character abbreviation for your state, not the full state name
Verify the Calendar Quarter listed on each Validation Template is correct.
Review all dates for accuracy and correct format as specified on the [Definitions] tab.
If a patient has not been discharged from the hospital, enter ‘Not Discharged’ for the Discharge Date fi
The 'Positive Urine Cultures' column cannot include rows listing both "Yes" and "No"; entering "No" in
Ensure all NHSN ICU locations are within the approved NHSN drop down on the template. Hospital-as
Be sure to populate all required fields on each consecutive row if there were multiple final positive cu
Perform quality check of data entered into this template against what was entered into NHSN; stay m
Check to ensure any cases with a separate Inpatient Rehabilitation Facility (IRF) or Inpatient Psychiatr
Append the file name with the 6-digit CMS Certification Number (CCN)/Provider ID, followed by an un
For example: 012345_1QYY_FYXX_CAUTI_ValTemp.xlsx

When submitting templates via the [Compose] button within the Mail area of the CMS MFT dashboard, input the s
with the 6-digit CCN/Provider ID, Submission Quarter, and Template type(s) attached.
For example: 012345 1QYY FYXX CLABSI & CAUTI Validation Templates

• When choosing a recipient, select the ellipsis button to the right of the To field and then select the [Groups] tab t
Do NOT select any individual person(s) from the recipient list; only select the "Validation Support Contr
Some individual accounts are not regularly monitored—sending to any one individual risks delay in proc

• Leave the 'Require Registered Users' box checked under Options. Un-checking this box puts the message at risk o

• We strongly encourage hospitals to add a check on the 'Read Receipt' box under Options.
After a file has been downloaded by someone on the Validation Support Contractor team, it will be in th
• It is suggested that users verify a message has been sent by clicking on the [Sent Items] button from the left-side
NOTE: It can take a couple minutes for messages to appear in the Sent Items folder. Please, do
as this significantly delays processing and requires version confirmation.

• You will receive email confirmation (usually within 2 business days of being downloaded) from the Validation Sup
Templates were processed. If you do not receive a processing confirmation, please include your hospita
email to [email protected]

th supporting documentation, can be found on the CMS QualityNet website.

alidation], and lastly [Resources]:

naged File Transfer (MFT) application:

a email -- even if a template were sent encrypted from a secure

on deadline in case there are difficulties with

spital's Security Official (SO).
Standards & Quality (CCSQ) Service Center by phone at 866-288-8912.
dation Templates by the established submission deadlines.

Senders List’ to ensure validation-related email notifications are received.

ance is performed on the data within the template.

dd a hyphen).
not the full state name.

for the Discharge Date field.
d "No"; entering "No" indicates no positive cultures for the quarter.
he template. Hospital-assigned locations will not be accepted.
multiple final positive cultures collected for the same patient.
tered into NHSN; stay mindful of differing CMS and NHSN deadlines.
F) or Inpatient Psychiatric Facility (IPF) CCN are not included on the template.
er ID, followed by an underscore and the quarter.

T dashboard, input the subject of the message

select the [Groups] tab to locate the "Validation Support Contractor" group.
alidation Support Contract" Group.
vidual risks delay in processing.

uts the message at risk of not being processed.

ctor team, it will be in the queue for processing.

utton from the left-side navigation panel of the MFT dashboard.
der. Please, do NOT re-send messages multiple times,

from the Validation Support Contractor letting you know the Validation
ase include your hospital's 6-digit CCN/Provider ID in an