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National Healthcare Safety Network (NHSN)

Welcome to the NHSN page where you will find resources to help you comply with specific requirements for hemodialysis facilities that take effect beginning in 2013. 

Healthcare associated infections (HAIs) are infections that patients acquire while receiving medical treatment, and are leading causes of deaths among hemodialysis patients.  Accurate surveillance and reporting of HAIs are crucial to prevention efforts and will ultimately lead to improved outcomes.  The Centers for Disease Control and Prevention (CDC) has developed an internet-based tool, NHSN, to assist healthcare facilities in tracking HAIs, and CMS has included HAI reporting as a payment incentive. 

In November 2014, the Centers for Medicare and Medicaid Services (CMS) published the final rule for the ESRD Quality Incentive Program.  Facilities must comply with the rule to receive full payment through the CMS Prospective Payment System (PPS).

Facilities reporting to NHSN for the CMS ESRD QIP rule must follow NHSN Dialysis Event Protocol and report:

Calendar year 2016 (payment year 2018): a minimum of 12 months of 2016 Dialysis Event data and Healthcare Personnel Influenza Vaccination Summary data for the October 2015-March 2016 influenza season. Dialysis Event data are due quarterly:

Healthcare Personnel Influenza Vaccination Summary data are due May 15, 2016.

    • January – March 2016 data are due on or before June 30, 2016.
    • April – June 2016 data are due on or before September 30, 2016.
    • July – September 2016 data are due on or before December 31, 2016.
    • October – December 2016 data are due on or before March 31, 2017.

How do I get started?

To meet this measure, facilities must do the following:

  1. Complete required training,
  2. Complete all enrollment steps,
  3. Join the “Network Group” (and also the Tennessee Department of Health (TDH) group for Tennessee facilities), and
  4. Report data according to NHSN standards. 

Links to training materials have been provided below to assist you in completing all of the required steps.  

How do I enroll in the Network 8 group?

The following document will walk you through the steps of enrolling in the Network 8 NHSN group.  Enrolling in the Network 8 group will enable your facility to receive reports from the Network showing how your facility compares to other facilities in your region and state. 

The two pieces of information needed are the group ID and the joining password:

  • The group ID # is 22674
  • The joining password is Network84U.


Please contact Kristi Durham for questions about NHSN or for referral to the TDH for joining their Group