Nevada Administrative Code
Chapter 439 - Administration of Public Health
HEALTH AND SAFETY OF PATIENTS AT CERTAIN MEDICAL FACILITIES
Section 439.935 - Participation in National Healthcare Safety Network: Data to be submitted by each type of medical facility or facility for skilled nursing

Universal Citation: NV Admin Code 439.935

Current through December 12, 2024

1. Each hospital described in NRS 439.805 that is required to participate in the National Healthcare Safety Network shall:

(a) Submit data to the National Healthcare Safety Network relating to all central line-associated bloodstream infection events.

(b) Commencing not later than January 1, 2015, submit data to the National Healthcare Safety Network concerning the influenza vaccination rate of the health care personnel of the hospital.

2. Each hospital described in NRS 439.805 that is required to participate in the National Healthcare Safety Network and that is not designated as a psychiatric hospital pursuant to NRS 449.202 shall:

(a) Commencing not later than February 1, 2011, submit data to the National Healthcare Safety Network relating to the healthcare-associated methicillin-resistant Staphylococcus aureus infection rate of patients for each patient care location within the hospital.

(b) Commencing not later than February 1, 2011, submit to the National Healthcare Safety Network the incident rate of hospital-onset methicillin-resistant Staphylococcus aureus bloodstream infections, which must be based on clinical cultures, for each patient care location within the hospital.

(c) Commencing not later than February 1, 2015, implement the Multidrug-Resistant Organism and Clostridium difficile Infection Module of the Patient Safety Component of the National Healthcare Safety Network.

(d) Commencing not later than June 1, 2012, submit data to the National Healthcare Safety Network concerning surgical site infections relating to a:
(1) Coronary artery bypass graft with both chest and donor site incisions;

(2) Hip prosthesis;

(3) Knee prosthesis; and

(4) Laminectomy.

3. Each hospital shall continue to report the information required pursuant to subsection 1 or 2 to the National Healthcare Safety Network at the times and in the manner prescribed by the National Healthcare Safety Network for submission of that information.

4. Each surgical center for ambulatory patients described in NRS 439.805 that is required to participate in the National Healthcare Safety Network shall:

(a) Submit data to the National Healthcare Safety Network concerning surgical site infections relating to a:
(1) Gallbladder surgery;

(2) Open reduction of a fracture;

(3) Herniorrhaphy; and

(4) Breast surgery.

(b) Commencing not later than October 1, 2014, submit data to the National Healthcare Safety Network concerning the influenza vaccination rate of the health care personnel of the center.

Each surgical center for ambulatory patients shall continue to report the information required pursuant to this subsection to the National Healthcare Safety Network at the times and in the manner prescribed by the National Healthcare Safety Network for submission of that information.

5. Each independent center for emergency medical care described in NRS 439.805 that is required to participate in the National Healthcare Safety Network shall submit data to the National Healthcare Safety Network concerning the influenza vaccination rate of the health care personnel of the center. Each independent center for emergency medical care shall continue to report the information required pursuant to this subsection to the National Healthcare Safety Network at the times and in the manner prescribed by the National Healthcare Safety Network for submission of that information.

6. Each obstetric center described in NRS 439.805 that is required to participate in the National Healthcare Safety Network shall submit data to the National Healthcare Safety Network concerning the influenza vaccination rate of the health care personnel of the center. Each obstetric center shall continue to report the information required pursuant to this subsection to the National Healthcare Safety Network at the times and in the manner prescribed by the National Healthcare Safety Network for submission of that information.

7. Each facility for skilled nursing that is required to participate in the National Healthcare Safety Network shall, commencing not later than:

(a) January 1, 2015, submit data to the National Healthcare Safety Network relating to all catheter-associated urinary tract infections.

(b) October 1, 2015, carry out the Summary Method of the Vaccination Module of the Patient Safety Component of the National Healthcare Safety Network.

(c) January 1, 2016, carry out the Clostridium difficile infection surveillance option of the Multidrug-Resistant Organism and Clostridium difficile Infection Module of the Patient Safety Component of the National Healthcare Safety Network.

(d) October 1, 2016, carry out the Influenza Vaccination Module of the Healthcare Personnel Safety Component of the National Healthcare Safety Network.

Each facility for skilled nursing shall continue to report the information required pursuant to this subsection to the National Healthcare Safety Network at the times and in the manner prescribed by the National Healthcare Safety Network for submission of that information.

8. A physician who performs a medical procedure at a medical facility that is required to report to the National Healthcare Safety Network shall report to the medical facility any facility-acquired infection which is diagnosed at a follow-up examination of the patient and which resulted from the medical procedure performed at the medical facility.

9. A medical facility or a facility for skilled nursing shall report all confirmed and all suspected instances of a facility-acquired infection acquired at another medical facility or facility for skilled nursing to the medical facility or facility for skilled nursing in which the infection was acquired. The medical facility or facility for skilled nursing which reports a confirmed or suspected instance of a facility-acquired infection pursuant to this subsection shall keep a record of that report for not less than 3 years after making such report.

Added to NAC by Bd. of Health by R044-10, eff. 10-15-2010; Added to NAC by Bd. of Health by R044-10, eff. 10-15-2010; A by R104-12, 10/24/2014

NRS 439.847, 439.890

Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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