5-Step Enrollment for Long-term Care Facilities
Note: Once your facility is enrolled in NHSN, you can add additional reporting options using your monthly reporting plan or activating a new component within the NHSN application. You do not need to re-enroll for each type of event reported.
Step 1: Training and Preparation
Print and follow LTCF detailed checklist [PDF - 209 KB] to ensure successful and efficient enrollment.
Complete required trainings:
Overview of the Long-term Care Facility Component January 2015 [PDF
- 350 KB]
Enrollment: Getting Access to NHSN for your LTCF [PDF - 1.8 MB] . Note: The Enrollment training is a useful guide through the enrollment process.
Facility Contact form [PDF - 63 KB]
Annual Facility Survey for LTCF [PDF - 66 KB] January 2015
These forms will assist with collecting the required information that will be needed to complete the electronic versions in Steps 2 and 4. Do not submit these forms to NHSN. Detailed instructions for completing the Annual Facility Survey for LTCF are located in the Table of Instructions [PDF - 433 KB] document.
Check trusted websites and spam blocker settings (see detailed checklist [PDF - 209 KB] ).
For detailed enrollment instructions, download the NHSN Facility Administrator Enrollment Guide March 2014. [PDF - 689 KB] . Note: This guide is not specific to Long-Term Care Facilities.
Time to complete step 1: 3 hours, 15 minutes
Step 2: Agree to NHSN Rules of Behavior and Register Facility
After electronically agreeing to the Rules of Behavior, you will be taken to a screen to register your facility. The facility registration information was previously collected on the Facility Contact form in Step 1.
Time to complete step 2: 10 minutes
After registration, you will receive two emails: ‘Welcome to NHSN!’
arrives from NHSN immediately and ‘Invitation to Register’
arrives from SAMS-no-reply within 24 hours.
Step 3a: Register with SAMS
From the ‘Invitation to Register’ email, log in to SAMS with your username (i.e., email address) and temporary password provided. Accept the SAMS Rules of Behavior and complete the online SAMS registration form.
Time to complete step 3a: 15 minutes
Within 24 hours of successful online registration,
receive SAMS ‘Identity Verification Request’ email.
Step 3b: Complete and Submit Identify Proofing Verification
From the ‘Identify Verification Request’ email, print the Identity Verification Form, complete it, and take it to a notary public for endorsement. Digitally upload, fax, or mail the completed form and supporting documentation to the CDC. You will receive ‘SAMS Account Activation’ and ‘SAMS Activity Authorization’ emails when your access is approved.
To access SAMS, you must receive your SAMS grid card, which will be delivered to your home address via U.S. mail within two weeks after you receive your SAMS approval email. Note: If you do not receive your SAMS grid card within two weeks, contact email@example.com for assistance.
Time to complete step 3b: 35 minutes
After Grid Card Received
Step 4: Submit NHSN Forms Electronically
Log in to SAMS using your password and SAMS grid card and select ‘NHSN Enrollment.’ Submit required NSHN forms, including facility contact information.
Time to complete step 4: 32 minutes
Immediately after submitting forms, receive NHSN email,
subject "NHSN facility enrollment submitted."
Step 5: Sign and Send Consent
Using the above NHSN email, open, print, and sign the consent form. Ensure two signatures are on the form and fax to CDC.
Tip: To open the consent form, you may need to log in to SAMS using your grid card and password, and then copy and paste the link into that browser window.
Time to complete step 5: 10 minutes
Within 3 business days, receive NHSN email, subject ‘NHSN enrollment approved.’
Congratulations, enrollment is complete!
Continue to NHSN Set-up (required before entering data into NHSN)
- Page last reviewed: February 26, 2015
- Page last updated: October 13, 2015
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