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NHSN Dialysis Event Surveillance Instructional Webinar: Introduction to the NHSN Dialysis Event Surveillance Protocol (7/14/2017)

Please join the Centers for Disease Control and Prevention (CDC) for a National Healthcare Safety Network (NHSN) Dialysis Event Surveillance instructional webinar: Introduction to the NHSN Dialysis Event Surveillance Protocol. This webinar will be presented twice, once on August 3, 2017 and again on August 4, 2017.

NHSN Dialysis Event Surveillance reporting is required for Centers for Medicare and Medicaid Services (CMS) End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) rule. This presentation will provide a complete introduction to the NHSN Dialysis Event reporting requirements and the surveillance definitions necessary to complete accurate monthly reporting. CDC subject matter experts will be available to answer questions entered in the chat box, and continuing education credits will be provided courtesy of the National Association of Nephrology Technicians/Technologists (NANT). Please register for one of the following sessions:

Pre-registration is required:
Thursday, August 3 Webinar, 2:00-3:00pm ET:

Join the meeting online:
Listen-only audio will be available through your computer speakers.

Pre-registration is required:
Friday, August 4 Webinar, 2:00-3:00pm ET:

Join the meeting online: :

Listen-only audio will be available through your computer speakers.

CMS Announces Extension of the First Quarter 2017 National Healthcare Safety Network (NHSN) Reporting Deadline for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Reporting (6/29/2017)

The Centers for Medicare & Medicaid Services (CMS) would like to announce an extension of the 2017 First Quarter NHSN Reporting deadline. The deadline has been changed from Friday, June 30, 2017, to Monday, July 31, 2017, at 11:59 p.m. PT. The extension will allow facilities the opportunity to ensure their data is complete and accurate in accordance with ESRD QIP reporting policy.

According to our existing policy, the current ESRD QIP measure set is not designed to measure the quality of care provided to patients with acute kidney injuries (AKI) (81 FR 77930-77931). CMS will only use ESRD patient data to calculate the NHSN Bloodstream Infection (BSI) clinical measure, NHSN Dialysis Event reporting measure, or any other measure in the ESRD QIP for Payment Year (PY) 2019 and will not use AKI patient data. We also remind facilities to avoid entering AKI patient data for QIP scoring purposes for Calendar Year (CY) 2017 NHSN BSI data.

CMS does not require facilities to report AKI patients for use in the ESRD QIP BSI measure. We encourage facilities to consider reporting AKI patients on a voluntary basis for internal quality improvement efforts and Centers for Disease Control and Prevention (CDC) public health surveillance purposes.

In an effort to ensure that AKI patients are not included in PY 2019 ESRD QIP scoring calculations, guidance on how to report CY 2017 NHSN Dialysis Event BSI data involving AKI patients from the CDC is forthcoming. We encourage facilities to review CDC’s guidance and take appropriate action before July 31, 2017.

Thank you for your attention in this matter. If you have any additional questions or concerns regarding the extension, please contact CMS ESRD QIP team at with “Dialysis” in the subject line.

For more information about ESRD QIP, please visit

For more information about NHSN, please visit

Important NHSN Information (1/31/2017)

Annual Training

To fulfill the annual training requirement, at least one NHSN user at each facility must read the Dialysis Event Protocol and take the online Dialysis Event Surveillance Training after January 1, 2017 and before September 30, 2017. By completing the annual training and passing the post-test, you will earn 1.5 CME/ 1.3 CNE/ 0.1 CEUs.

Outpatient Dialysis Center Practices Survey

A new version of the Outpatient Dialysis Center Practices Survey will become available on February 1 and must be completed before your facility will be permitted to enter May 2017 Dialysis Event data. The survey will ask questions about your facility's practices during the first week of February 2017. Facilities will not be able to submit a completed survey until after February 7. Administrative users can create a survey by clicking 'Surveys' and 'Add' on the blue navigation panel in NHSN. A paper version of the new survey and a table of instructions can be found under the 'Data Collection Forms and Instructions' tab of the Dialysis Event homepage.

Manage NHSN Users

  1. Get access to NHSN! - At least one staff member at the facility is required to be trained and knowledgeable on how to report dialysis event data to NHSN. This is required regardless if electronic (clinical document architecture [CDA]) or manual methods are used to submit data. If your corporate organization reports on your facility's behalf, someone at the facility is still expected to review and verify the data reported are complete and accurate.
  2. Have a backup user! - We recommend every facility have at least two users with administrative rights in NHSN. Not only does this simplify issues related to staff turnover, it helps to ensure someone can report data to meet reporting deadlines if the primary NHSN user is on leave.
  3. Control who has access to your confidential data! - Once a user no longer requires NHSN access (e.g., he or she no longer works for the facility), deactivate his or her user profile immediately. For instructions on how to add or deactivate a user, see the January 2015 issue on the Dialysis Newsblast Archive webpage. If you have any questions, contact the NHSN helpdesk at and include "Dialysis" in the subject line.

The information on this page was reviewed 7/14/2017.

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