Surveillance for C. difficile, MRSA, and other Drug-resistant Infections

• MRSA and CDI LabID Event Training [CBT – 60 min]
• MRSA Bacteremia and CDI LabID Event Reporting – May 2019
  • YouTube Link [Video – 103 min]
  • Slideset pdf icon[PDF – 6 MB]
• MRSA Bacteremia and CDI LabID Event Reporting and Analysis Group Exercise – May 2019
  • YouTube Link [Video – 18 min]
  • Slideset pdf icon[PDF – 425 KB]
• Multidrug-Resistant Organism (MDRO) and Clostridioides difficile Infection (CDI) Monthly Denominator Form for FacWideIN Surveillance in Acute Care Hospitals Changes in 2019
  • YouTube Link [Video – 17 min]
• Patient Safety Component (PSC) Updates to the 2018 Annual Facility Survey – January 2019
  • YouTube Link [Video – 42 min]
• Patient Safety Component (PSC) Annual Survey – January 2016
  • YouTube Link [Video – 6 min]

Additional Training

• General NHSN Definitions for 2019 – May 2019
  • YouTube Link [Video – 52 min]
  • Slideset pdf icon[PDF – 5 MB]
• Determining Healthcare Association or Present on Admission Infections and Other Rules – July 2017
  • YouTube Link [Video – 16 min]

Analysis Training

• Analyzing LabID Event Data – May 2019
  • Review updated LabID slides for 2020 pdf icon[PDF – 500 KB]
  • YouTube Link [Video – 56 min]
  • Slideset pdf icon[PDF – 4 MB]
• Data Entry and Analysis Training

Continuing Education

• Obtaining Continuing Education for NHSN Training Events

When conducting MDRO Infection Surveillance, please review the applicable protocol and Chapter 2, Identifying Healthcare-associated Infection (HAI) for NHSN Surveillance in the NHSN Module.

• Multidrug-Resistant Organism & Clostridioides difficile Infection (MDRO/CDI) Module Protocol, January 2021 pdf icon[PDF – 1 MB]
• NHSN Overview January, 2021 pdf icon[PDF – 150 KB]
• Identifying Healthcare-associated Infections (HAIs) in NHSN, January 2021 pdf icon[PDF – 1 MB]
• Patient Safety Monthly Reporting Plan, January 2021 pdf icon[PDF – 100 KB]

• FAQs: Multidrug-Resistant Organism & Clostridioides difficile Infection (MDRO and CDI)
• FAQs: Analysis
• FAQs: Annual Surveys
• FAQs: Locations
• FAQs: Miscellaneous
• FAQs: CDA

All Data Collection Forms are Print-only

• 57.128 Laboratory-identified MDRO or CDI Event January 2020 pdf icon[PDF – 100 KB]
  • Customizable form word icon[DOCX – 60 KB]
  • Table of Instructions for LabID MDRO-CDI form 57.128 pdf icon[PDF – 100 KB]
• 57.126 MDRO or CDI Infection Event January 2020 pdf icon[PDF – 100 KB]
  • Customizable form word icon[DOCX – 52 KB]
  • Table of Instructions for MDRO or CDI Event form 57.126 pdf icon[PDF – 400 KB]
• 57.127 MDRO and CDI Monthly Denominator Form January 2020 pdf icon[PDF – 56 KB]
  • Customizable form word icon[DOCX – 39 KB]
  • Table of Instructions for MDRO and CDI Monthly Denominator Form 57.127 pdf icon[PDF – 200 KB]
• 57.103 Patient Safety Component—Annual Facility Survey form January 2020 pdf icon[PDF – 250 KB]
  • Table of Instructions for Patient Safety Component – Annual Hospital Survey 57.103 pdf icon[PDF – 250 KB]
• 57.106 Patient Safety Monthly Reporting Plan form January 2020 pdf icon[PDF – 80 KB]
  • Customizable form word icon[DOCX – 60 KB]
  • Table of Instructions for Monthly Reporting Plan form 57.106 pdf icon[PDF – 100 KB]
• 57.115 HAI Custom Event form July 2020 pdf icon[PDF – 150 KB]
  • Customizable form word icon[DOCX – 80 KB]
    **Not to be used for CLABSI, CAUTI, SSI, VAE, pediatric VAP, or LabID events.**
    To be used in conjunction with the CDC/NHSN Surveillance Definitions for Specific Types of Infections, January 2020 pdf icon[PDF – 400 KB] Chapter in the NHSN Patient Safety Manual.

• MDRO & CDI LabID Event Calculator Version 2.0

  (must have javascript enabled)
  Operates based upon the currently posted LabID Event protocols in the NHSN MDRO & CDI Module.

• Healthcare Facility HAI Reporting Requirements to CMS via NHSN Current and Proposed Requirements January 2019 pdf icon[PDF – 102K]
• Reporting Requirements and Deadlines in NHSN per CMS Current Rules August 2019 pdf icon[PDF – 157K]
• Operational Guidance for Acute Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements Nov. 2019 pdf icon[PDF – 356K]
• Operational Guidance for Acute Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Clostridioides difficile Infection (CDI) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements Nov. 2019 pdf icon[PDF – 354K]
• Operational Guidance for Applicable Cancer Hospitals
  • Operational Guidance for Applicable Cancer Hospitals to Report Facility-Wide Inpatient (FacWideIN) Clostridioides difficile Infection (CDI) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Requirements, November 2019 pdf icon[PDF – 136K]
  • Operational Guidance for Applicable Cancer Hospitals to Report Facility-Wide Inpatient (FacWideIN) Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Requirements, November 2019 pdf icon[PDF – 138K]
• How to Set Up NHSN Reporting for Facility-Wide Inpatient MRSA Bacteremia and C. difficile LabID events for the CMS Inpatient Quality Reporting Program May 2019 pdf icon[PDF – 350 KB]
• NHSN Guidance for Acute Care Hospital FacWideIN MRSA/CDI LabID Denominator Reporting May 2019 pdf icon[PDF – 175 KB]
• Helpful Tips for FacWideIn MRSA Bacteremia LabID Event Reporting for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting (IQR) Program December 2014 pdf icon[PDF – 28K]
• Helpful Tips for FacWideIn CDI LabID Event Reporting for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting (IQR) Program December 2014 pdf icon[PDF – 28K]
• Using the “SIR – MRSA Blood FacwideIN LabID Data for Hospital IQR” Report April 2018 pdf icon[PDF – 300K]
• Using the “SIR – FacWideIN CDI LabID Data for Hospital IQR” Report January 2020 pdf icon[PDF – 300K]
• Centers for Medicare and Medicaid Services (CMS) Hospital Inpatient Quality Reporting Programexternal icon
• CMS’ Hospital Compare toolexternal icon

• NHSN Patient Safety Component Alerts pdf icon[PDF – 1 MB]
• Unusual Susceptibility Profiles Alert – January 2021 pdf icon[PDF – 650 KB]
• CDC Location Labels and Location Descriptions, January 2021 pdf icon[PDF – 1 MB]
• NHSN Key Terms, January 2021 pdf icon[PDF – 150 KB]
• CDC/NHSN Surveillance Definitions for Specific Types of Infections, January 2021 pdf icon[PDF – 1 MB]
• CMS Certified IPF Locations – July 2020 pdf icon[PDF – 350 KB]
• NHSN Organism List (All Organisms, Common Commensals, MBI Organisms, and UTI Bacteria) January 2021 excel icon[XLSX – 296 KB]
• CDC Vital Signs: Making Healthcare Safer
• SHEA-IDSA Guideline Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2018 Update by SHEA and IDSAexternal icon
• Mapping an HOPD in NHSN, October 2020 pdf icon[PDF – 400 KB]

• Patient Safety Analysis Resources
• Patient Safety Analysis Quick Reference Guides
• Patient Safety Component – Variable Reference List pdf icon[PDF – 3 MB]

SIRs on the 2015 Baseline

• Troubleshooting MRSA and CDI LabID Event SIR pdf icon[PDF – 220 KB]
• NHSN’s Guide to the SIR (updated March 2019) pdf icon[PDF – 2 MB]

SIRs on the Original Baseline

• Risk Adjustment for Healthcare Facility-Onset C. difficile and MRSA Bacteremia Laboratory-identified Event Reporting in NHSN March 2013 pdf icon[PDF – 420 KB]
  This report describes the risk modeling that CDC applied to LabID event CDI and MRSA bacteremia data submitted to NHSN, the results of which have been incorporated into the analysis options in the NHSN application.