By default, the monthly plans are blank and require hospitals to designate what areas of surveillance are being followed. Areas of surveillance that a hospital does not identify in any given month’s plan are considered “out-of-plan.”
Hospital data for any surveillance module are only "in-plan" when:
CDI
Under the Multi-Drug Resistant Organism Module; Specific Organism Type is set to ‘CDIF – C. difficile’, Locations is set to ‘FACWIDEIN – FacWideIN’, Process and Outcome Measures is set to ‘Lab ID Event All Specimens’.
CLABSI
Under the Device-Associated Module, each individual location under surveillance is specified and the CLABSI checkbox is checked.
CLIP
Under the Device-Associated Module, each individual location under surveillance is specified and the CLIP checkbox is checked.
INFLUENZA
Under the Healthcare Personnel Vaccination Module, the Influenza Vaccination Summary’ checkbox is checked.
MRSA
Under the Multi-Drug Resistant Organism Module; Specific Organism Type is set to ‘MRSA – MRSA’, Locations is set to ‘FACWIDEIN – FacWideIN’, Process and Outcome Measures is set to ‘Lab ID Event Blood Specimens Only’.
SSI
Under the Procedure-Associated Module; each individual procedure category under surveillance is specified and ‘IN – Inpatient’ is selected.
VRE
Under the Multi-Drug Resistant Organism Module; Specific Organism Type is set to ‘VRE – VRE’, Locations is set to ‘FACWIDEIN – FacWideIN’, Process and Outcome Measures is set to ‘Lab ID Event Blood Specimens Only’.
January 2013