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licensing and certification

Table of Reporting Requirements

 

Requirement / Effective Date for ReportingVia​Due Date​

​CLIP July 1, 2008

  • ICU
  • PICU
  • NICU II, II/III, III
NHSN
​Must be inputted within 30 days after the end of the reporting period (month) per NHSN rules.

Influenza Vaccination – Staff Jan 1, 2008

  • Reporting of vaccination/ declination rates for employees was voluntary for 07-08 flu season.
  • Reporting of vaccination/ declination rates for employees and healthcare personnel have been mandated since the 2008-2009 influenza season.
  • Parallel reporting of vaccination outreach efforts for H1N1 vaccine was mandated for the 2009-2010 flu season.
  • ​Pre season survey (survey monkey) to the HAI Program
  • Post season survey (survey monkey) to the HAI Program
  • Outreach and vaccination/ declination numbers should be faxed or emailed to the HAI Program
  • ​Pre season survey will always be due by Oct 31
  • Post season survey will always be due one month after the end of the flu season – April 30

SCIP Jan 1, 2008
  • ​CMS
  • For facilities such as pediatric hospitals that do not report through CMS, the report is to be emailed quarterly to the HAI Program

​Ongoing

  • Follow CMS requirements
  • Quarterly reports for other facilities due to HAI Program Jan 31, Apr 30, July 31, Oct 31.

​SB 1058 Requires facility-wide reporting of the following, effective Jan 1, 2009:

  • HA MRSA BSI
  • HA VRE BSI
  • HA clostridium difficile infections (CDI)
  • CLABSI
  • SSI (per legislative language)
  • ​New requirement to report HA MRSA/VRE BSI via NHSN MDRO LabID module, Method D beginning April 1, 2010
  • New requirement to report C diff via NHSN MDRO LabID module, Method C beginning April 1, 2010
  • New requirement to report CLABSI facility-wide by location via NHSN beginning April 1, 2010

If reporting SSI thru NHSN, please consider voluntarily conferring rights to CDPH to see the data.
​​Facilities must confer rights to the CDPH Group to see all mandated data elements reported through NHSN
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