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
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
Step 2: Register
Agree to Rules of Behavior and register facility with NHSN using CMS Certification Number (CCN).
Time to complete step 2: 10 minutes
Immediately after registration, you will receive an NHSN email,
subject "Welcome to NHSN!"
Step 3a: Request Digital Certificate
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
Immediately receive NHSN email, subject "NHSN Digital Certificate Confirmation."
Step 3b: Install Digital Certificate
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
Step 4: Submit Forms Electronically
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
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 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
Within 3 business days, receive NHSN email, subject "NHSN enrollment approved."
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