Reporting And Data

Facilities must report annual HCP influenza vaccination summary data through the NHSN HPS Component. CDC is no longer collecting weekly influenza vaccination data for residents and healthcare personnel through the Long-term Care (LTC) Facility Component, and these tabs were removed in the NHSN application. Therefore, reporting weekly influenza vaccination data through the LTC Facility Component does not fulfill this reporting requirement.

*HHS has revised the Provider Relief Fund (PRF) Post-Payment Notice of Reporting Requirements that was issued on January 15, 2021.* Provider Relief Fund (PRF) recipients that received one or more individual payments exceeding $10,000 (not cumulatively) from the PRF will be required to report to HHS demonstrating their compliance with the terms and conditions which they agreed to.

All Rural Health Clinics (RHCs) who received and accepted the Rural Testing Relief Fund Payment (RHC COVID-19 Testing Program) or the RHC COVID-19 Testing and Mitigation Program must report monthly the number of COVID-19 tests collected system wide (across all entities associated with the RHC's Tax Id Number (TIN)) and the number of positive COVID-19 Tests as required by the Terms and Conditions of accepting the payment.

COVID-19 vaccine supply must be entered into VaccineFinder by all registered providers on a daily basis. Once there is widespread availability of the vaccine, the system will help the public search for provider locations offering vaccination near them.

UPDATE: Per the Nevada Hospital Association, major COVID-19 data reporting changes are expected mid-to-late May. This includes a significant reduction in the number of data elements collected, and a change from daily to once per week data collection.

Hospitals must report capacity and utilization data in order to assist the White House Coronavirus Task Force in tracking the movement of the virus, and to facilitate planning, monitoring, and resource allocation during the COVID-19 Public Health Emergency.

CMS is requiring facilities to report COVID-19 cases in their facility to the CDC National Health Safety Network (NHSN) on a weekly basis. CDC and CMS will use information collected through the new NHSN Long-term Care COVID-19 Module to strengthen COVID-19 surveillance locally and nationally; monitor trends in infection rates; and help local, state, and federal health authorities get help to nursing homes faster. Nursing home reporting to the CDC is a critical component of the national COVID-19 surveillance system and to efforts to reopen America.

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on the percentage of patients who left the emergency department before being seen. Reducing patient wait time in the ED helps improve access to care, increase capability to provide treatment, reduce ambulance refusals/diversions, reduce rushed treatment environments, reduce delays in medication administration, and reduce patient suffering.

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on the average time patients spent in the emergency department before being sent home. Reducing the time patients remain in the emergency department (ED) can
improve access to treatment and increase quality of care, potentially improves access to care specific to the patient condition and increases the capability to provide additional treatment.

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on the median number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital. The early use of primary angioplasty in patients with STEMI results in a significant reduction in mortality and morbidity. The earlier primary coronary intervention is provided, the more effective it is. Times to treatment in transfer patients undergoing primary PCI may influence the use of PCI as an intervention. Current recommendations support a door-to-balloon time of 90 minutes or less.

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on time-to-fibrinolytic therapy, which is a strong predictor of outcome in patients with AMI.

Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.