CMS – Acute Care Hospitals (ACH)
View operational guidance and resources for Acute Care Hospitals (ACHs) to report data to NHSN for fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) and Promoting Interoperability (PI) Program requirements.
CLABSI
- Operational Guidance for reporting CLABSI Data [PDF – 150 KB]
- How to Set up CLABSI and CAUTI Reporting per NHSN Protocol for the CMS Inpatient Prospective Payment System [PDF – 395 KB]
- Using the “SIR-CLAB Data for Hospital IQR” Report, January 2017 [PDF – 220 KB]
CAUTI
- Operational Guidance for reporting CAUTI Data [PDF – 150 KB]
- How to Set up CLABSI and CAUTI Reporting per NHSN Protocol for the CMS Inpatient Prospective Payment System [PDF – 395 KB]
- Using the “SIR-CAUTI Data for Hospital IQR” Report, January 2017 [PDF – 220 KB]
MRSA
- Operational Guidance for reporting FacWideIN MRSA Data [PDF – 200 KB]
- How to Set Up NHSN Reporting for MRSA Bacteremia and C. difficile LabID Events, May 2019 [PDF – 350 KB]
- How to Report FacWideIN Denominator data, January 2021 [PDF – 300 KB]
- Using the “SIR – MRSA Blood FacwideIN LabID Data for Hospital IQR” Report, April 2018 [PDF – 300 KB]
CDI
- Operational Guidance for reporting FacWideIN CDI LabID Event Data [PDF – 200 KB]
- How to Set Up NHSN Reporting for MRSA Bacteremia and C. difficile LabID Events, May 2019 [PDF – 350 KB]
- How to Report FacWideIN Denominator data, January 2021 [PDF – 300 KB]
- Using the “SIR – FacWideIn CDI LabID Data for Hospital IQR” Report, January 2020 [PDF – 350 KB]
SSI
- Operational Guidance for reporting SSI Data [PDF – 200 KB]
- How to Report No Procedure or SSI Events for the CMS Inpatient Quality Reporting Program, February 2017 [PDF – 250 KB]
- Using the “SIR – Complex 30-Day SSI Data for Hospital IQR” Output Option, January 2017 [PDF – 350 KB]
Healthcare Personnel (HCP) Influenza Vaccination
- Operational Guidance for reporting HCP Influenza Vaccination Data – December 2022 [PDF – 120 KB]
- Checklist for HCP Influenza Vaccination Reporting, September 2021 [PDF – 250 KB]
- Tips for Submitting HCP Influenza Vaccination Summary Data, January 2020 [PDF – 320 KB]
Antimicrobial Use and Resistance
- Operational Guidance for reporting AUR data – August 2023 [PDF – 239 KB]
- AUR Module Reporting for the CMS Promoting Interoperability Program – March 2023
- FAQs: AUR Reporting for the CMS Promoting Interoperability Program – October 2023
- Promoting Interoperability – Guidance for Facilities – March 2023 [PDF – 250 KB]
- Promoting Interoperability – Guidance for Facilities – March 2023 – En Español [PDF – 358 KB]
- Office Hours: AUR Module Reporting for the CMS Promoting Interoperability Program – Spring 2024 [PDF – 1 MB]
