AHCA/NCAL: NHSN Clarifies Definition of Up to Date Vaccination in COVID-19 Vaccination Modules
In June 2022, the National Healthcare Safety Network (NHSN) began using the updated definition of up-to-date COVID-19 vaccination issued by the Centers for Disease Control and Prevention (CDC). All facility types reporting data through the COVID-19 Vaccination Module must use the updated definition.
Up to date COVID-19 vaccination includes:
- An individual who has received all doses in the primary series and all recommended booster doses, when eligible.
- Most individuals who are 50 years and older and have received a second booster dose.
- Reporting of up-to-date vaccination status is summarized in the table below.
Reporting of up-to-date vaccination status is summarized in the table below.
*Individuals with a moderately to severely immunocompromising condition are considered up to date in the following cases:
1. Received an additional dose less than three months ago, if primary series was the Moderna or Pfizer-BioNTech COVID-19 vaccine; or
2. Received an additional dose less than two months ago, if primary series was the Janssen COVID-19 vaccine; or
3. Received an additional dose and one booster dose less than four months ago; or
4. Received a second booster dose.
If data does not reflect the updated definition, facilities are encouraged to go back into NHSN and update their data.
CMS Posts “Errata” to MDS Manual
The CMS Minimum Data Set 3.0 Resident Assessment Instrument (RAI) Manual webpage was updated recently to include two important announcements including:
1. Changes to Chapter 3, Section I, of the MDS 3.0 RAI Manual v1.17.1R. In July 2022, CMS revised pages that clarify the need for a detailed evaluation and appropriate diagnostic information to support a diagnosis, such as for a mental disorder, prior to coding the diagnosis on the MDS. It also clarifies the steps that may be necessary when a resident has potentially been misdiagnosed. An example of when a diagnosis should not be coded in Section I due to lack of a detailed evaluation and appropriate diagnostic information to support the diagnosis has also been added to this section.
2. Changes to Appendix B of the MDS RAI Manual. CMS updated the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts for the states of California, Georgia, and Nebraska.
NYSHFA/NYSCAL CONTACTS:
Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15
