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5-Step Enrollment for Outpatient Dialysis Facilities - CMS QIP

For complete detailed enrollment instructions please download the NHSN Facility Administrator Enrollment Guide [PDF - 496 KB] October 2011. Please see FAQs about NHSN and the CMS ESRD QIP Rule.

Step 1: Training and Preparation

training

Print and follow detailed checklist [PDF - 213 KB] to ensure successful and efficient enrollment.

Complete required training and Outpatient Dialysis Center Practices Survey [PDF - 68 KB]. Be sure to check trusted websites and spam blockers.

Time to complete step 1: 4 hours, 15 minutes

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Step 2: Register

Rules of behavior screen

Agree to Rules of Behavior and register facility with NHSN using CMS Certification Number (CCN).

Time to complete step 2: 10 minutes

blue barImmediately after registration, you will receive an NHSN email,
subject "Welcome to NHSN!" down arrow

Step 3a: Request Digital Certificate

training

Use the password provided in the "Welcome to NHSN!" email to enroll in the Secure Data Network (SDN) and request the 'NHSN Enrollment' activity. Successful enrollment in SDN will automatically generate a request for your digital certificate.

Tip: Make a copy of your challenge phrase (password), noting upper and lower case letters and special characters.

Time to complete step 3a: 16 minutes

blue barImmediately receive NHSN email, subject "NHSN Digital Certificate Confirmation." down arrow

Step 3b: Install Digital Certificate

calendar pages

Within 3 business days receive PHIN email, "Action Required" and install digital certificate using instructions provided. Save a copy of your digital certificate.

Time to complete step 3b: 35 minutes

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Step 4: Submit Forms Electronically

training

Log in to SDN using your challenge phrase (password) and select NHSN Enrollment. Submit required forms.

Tip: Facility type must be 'AMB-HEMO - Hemodialysis Center'

Time to complete step 4: 32 minutes

blue barImmediately after submitting forms, receive NHSN email,
subject "NHSN facility enrollment submitted." down arrow

Step 5: Sign and Send Consent

monitor and envelop

Using the above NHSN email, open, print, and sign the consent form. Ensure 2 signatures are on the form and fax to CDC.

Tip: To open the consent form, you may need to log in to SDN using your challenge phrase and then copy and paste the link into that browser window.

Time to complete step 5: 10 minutes

blue barWithin 3 business days, receive NHSN email, subject "NHSN enrollment approved." down arrow

Continue to NHSN SET-UP (required before beginning reporting)

 

 

CMS requirements click here for more information

CDA
Contact NHSN:
  • Centers for Disease Control and Prevention
    National Healthcare Safety Network
    MS-A24
    1600 Clifton Rd
    Atlanta, GA 30333
  • Contact NHSN@cdc.gov
     
Contact Us:
  • Centers for Disease Control and Prevention
    1600 Clifton Rd
    Atlanta, GA 30333
  • 800-CDC-INFO
    (800-232-4636)
    TTY: (888) 232-6348
  • New Hours of Operation
    8am-8pm ET/Monday-Friday
    Closed Holidays
  • Contact CDC–INFO
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
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