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Non-NHSN operative procedures do not set a surveillance period nor are they eligible for SSI attribution. Those procedures identified by ICD-10-PCS or CPT operative procedure codes as an NHSN operative procedure will begin an SSI surveillance period only NHSN operative procedures are eligible for SSI attribution. How are Surveillance periods and SSI attribution determined? SSI Surveillance Period and SSI attribution Q4.
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See the SSI event Table of Instructions pdf icon ‘Event Details: Detected’ for complete guidance. Check RF regardless of readmission to a prior facility. Per the Instructions for Completion of Surgical Site Infection (SSI) Form (CDC 57.120) definition for ‘Event Details: Detected’: Check RF if SSI was identified due to patient readmission to the facility where the procedure was originally performed. How should the ‘Detected’ field be answered on the SSI event form? Q3: Following an NHSN operative procedure a patient is readmitted to a facility other than where the procedure was performed with evidence of infection BUT was subsequently readmitted back to the facility where the procedure was performed. What a facility includes in their monthly reporting plan may depend on their own internal facility risk assessment, any state required reporting, and any CMS required reporting. A facility is required to report (procedure and SSI event) data that represents what is included in their MRP. A facility selects reporting and indicates this via the NHSN Monthly Reporting Plan (MRP). What procedures am I required to report to NHSN? Please provide any other evidence of infection – please includes dates.Include tissue level (If you are unsure NHSN recommends consulting with the surgeon/physician to make that determination).Culture or non-culture based microbiologic tests performed and the results – please include collection dates.Other diagnostic testing performed – please include dates of these tests.Imaging tests performed and results of these tests – please include dates of these tests.Tissue level(s) that may be involved in the infection – superficial incisional, deep incisional and/or organ/space and dates of involvement.Patient signs and symptoms and dates of signs and symptoms.Please include findings from these procedures. Other procedures that access the surgical site during the SSI surveillance period and dates of these procedures (for example, CT-guided drainage, tap to knee).If a return to OR via same incision/surgical space, was the start time of the return to OR procedure within 24 hours of finish time of the prior operative procedure?.Whether the operative procedures are coded as NHSN operative procedures (if so, provide the NHSN operative procedure code(s) and category(s)).OR procedure(s) and date(s) of all OR procedures, including reoperations:.Please provide the following information when sending NHSN a question for SSI case review: Our hope is that the case review process will be educational for you for making future determinations. If you are unable to make a determination, please let us know specifically why you are unable to decide and clearly outline your question(s). Please provide specifics as to the criteria you have considered and which elements of the criteria you have determined the patient does or does not meet. Please note it is very important to provide NHSN your thoughts regarding the case you are requesting for review. When sending an inquiry to NHSN, what should the NHSN user provide when requesting assistance with an SSI case review? Event Detail – Level of SSI After Cardiac Procedures.Event Detail – Level of SSI After BRST Procedures.Surgical Site – Infection at Another Site.