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Archived COVID-19/Respiratory Pathogens and Vaccination Materials
Archived documents for reference only.
Effective July 15, 2020, NHSN’s Patient Safety Component COVID-19 Module no longer served as an option for hospitals to report their COVID-19 patient impact, capacity, staffing, and supply-related data to the Department of Health and Human Services (HHS). The materials posted on this site are for archival purposes only.
July 2, 2020 – NHSN Application Update
- Patient Impact and Hospital Capacity Pathway (57.130)
- Supplies Pathway (57.132)
June 4, 2020 – NHSN Application Update
- Patient Impact and Hospital Capacity Pathway (57.130)
May 14, 2020 – NHSN Application Update
- Patient Impact and Hospital Capacity Pathway (57.130)
April 13, 2020 – NHSN Application Update
- Patient Impact and Hospital Capacity Pathway (57.130)
- Healthcare Worker Staffing Pathway (57.131)
- Supplies Pathway (57.132)
March 26, 2020 – Patient Safety COVID-19 Module Launch
- Patient Impact and Hospital Capacity Pathway (57.130)
NHSN’s Long-term Care Facility (LTCF) Component COVID-19 Module serves as an option for long-term care facilities (specifically, skilled nursing facilities/nursing homes, long-term care for the developmentally disabled, and assisted living facilities) to report their COVID-19 resident impact, facility capacity, staffing, and supply-related data to the Department of Health and Human Services (HHS). The materials posted on this site are for archival purposes only. For current materials please refer to the Respiratory Pathogens and Vaccination Resources webpage.
NHSN Application and Table of Instructions Updates
- Resident Impact and Facility Capacity (57.144)
- Form [PDF – 167 KB] (print-only) – V.6 – NHSN Release 9.5.1
- Form [PDF – 170 KB] (print-only) – V.7 – NHSN Release 9.5.2
- Form [PDF – 170 KB] (print-only) – V.8 – NHSN Release 9.5.4
- Form [PDF – 170 KB] (print-only) – V.9 – NHSN Release 9.5.5
- Form [PDF – 100 KB] (print-only) – V.10 – NHSN Release 10.0
- Form [PDF – 242 KB] (print-only) – V.11 – NHSN Release 10.1.3
- Form [PDF – 364 KB] (print-only) – V.12 – NHSN Release 10.1.5
- Form [PDF – 257 KB] (print-only) – V.14 – NHSN Release 11.4
- Form (print only) V.15 – Release 11.6
- Table of Instructions [PDF – 606 KB] – V.6 – NHSN Release 9.5.1
- Table of Instructions [PDF – 534 KB] – V.7 – updated 2/18/2021
- Table of Instructions [PDF – 500 KB] – V.8 – NHSN Release 9.5.2
- Table of Instructions [PDF – 500 KB] – V.9 – NHSN Release 9.5.5
- Table of Instructions [PDF – 500 KB] – V.10 – NHSN Release 10.0
- Table of Instructions [PDF – 530 KB] – V.11 – NHSN Release 10.1.0
- Table of Instructions [PDF – 350 KB] – V.12 – NHSN Release 10.1.2
- Table of Instructions [PDF – 431 KB] – V.13 – NHSN Release 10.1.3
- Table of Instructions [PDF – 316 KB] – V.14 – NHSN Release 10.1.4
- Table of Instructions [PDF – 439 KB] – V.15 – NHSN Release 10.1.
- Table of Instructions [PDF – 431 KB] – V.16 – updated 9/14/2022
- Table of Instructions [PDF – 462 KB] – V.17 – updated 1/23/2023
- Table of Instructions [PDF – 452 KB] – V.18 – NHSN Release 11.4.
- Table of Instructions [PDF – 433 KB] – V.19 – NHSN Updated 9/25/23
- Table of Instructions [PDF – 853 KB] – V.20 NHSN Release 11.6.
- Table of Instructions – V.21 – Release 12.1
- COVID-19 CSV File Template (Facility) – Release 11.6
- COVID-19 CSV File Template (Group) – Release 11.6
- COVID-19 CSV File Layout (Facility) – Release 11.6
- COVID-19 CSV File Layout (Group) – Release 11.6
- Influenza/RSV File Template (Facility) – Release 11.6
- Influenza/RSV File Template (Group) – Release 11.6
- Influenza/RSV File Layout (Facility) – Release 11.6
- Influenza/RSV File Layout (Group) – Release 11.6
- Staff and Personnel Impact (57.145)
- Form [PDF – 120 KB] (print-only) – V.2 – NHSN Release 9.5.1
- Form [PDF – 155 KB] (print-only) – V.3 – NHSN Release 10.1.3
- Form [PDF – 267 KB] (print-only) – V.4 – NHSN Release 10.1.5
- Form – V.5 – Release 11.4
- Table of Instructions [PDF – 250 KB] – V.4 – NHSN Release 10.1.1
- Table of Instructions [PDF – 343 KB] – V.5 – NHSN Release 10.1.3
- Table of Instructions [PDF – 345 KB] – V.6 – NHSN Release 10.1.4
- Table of Instructions [PDF – 326 KB] – V.7 – Updated 1/23/2023
- Table of Instructions v.8 – Release 11.4
- CSV File Template (Facility) – Release 11.4
- CSV File Template (Group) – Release 11.4
- CSV File Layout (Facility) – Release 11.4
- CSV File Layout (Group) – Release 11.4
- Resident Therapeutics Form (57.158)
- Form [PDF – 71 KB] (print-only) – V.1 – NHSN Release 9.5.1
- Form [PDF – 34 KB] (print-only) – V.2 – NHSN Release 9.5.2
- Form [PDF – 80 KB] (print-only) – V.3 – NHSN Release 9.5.3
- Form [PDF – 82 KB] (print-only) – V.4 – NHSN Release 9.5.5
- Form [PDF – 82 KB] (print-only) – V.5 – Updated 01/11/2022
- Form [PDF – 75 KB] (print-only) – V.6 – NHSN Release 10.1.1
- Form [PDF – 74 KB] (print-only) – Form – V.7 – Updated 2/25/2022
- Form [PDF – 104 KB] (print-only) – Form – V.8 – NHSN Release 10.1.4
- Table of Instructions [PDF – 309 KB] – V.1 – NHSN Release 9.5.1
- Table of Instructions [PDF – 272 KB] – V.2 – NHSN Release 9.5.2
- Table of Instructions [PDF – 273 KB] – V.3 – Updated 03/26/2021
- Table of Instructions [PDF – 270 KB] – V.4 – NHSN Release 9.5.3
- Table of Instructions [PDF – 267 KB] – V.5 – NHSN Release 9.5.5
- Table of Instructions [PDF – 311 KB] – V.6 – Updated 01/11/2022
- Table of Instructions [PDF – 289 KB] – V.7 – Updated 2/25/2022
- Table of Instructions [PDF – 375 KB] – V.8 – NHSN Release 10.1.4
- Supplies and Personal Protective Equipment (57.146)
- Form [PDF – 71 KB] (print-only) – V.2 – NHSN Release 9.4.4
- Form [PDF – 165 KB] (print-only) – V.3 – NHSN Release 9.5.2.1
- Form [PDF – 120 KB] (print-only) – V.4 – NHSN Release 10.1.2
- Table of Instructions [PDF – 299 KB] – V.3 – Updated 7/14/2020
- Table of Instructions [PDF – 500 KB] – V.4 – NHSN Release 9.5.2.1
- Table of Instructions [PDF – 430 KB] – V.5 – Update February 10, 2022
- Table of Instructions [PDF – 300 KB] – V.6 – NHSN Release 10.1.2
- Ventilator Capacity and Supplies (57.147)
- Form [PDF – 110 KB] (print-only) – V.2 – NHSN Release 9.4.1
- Table of Instructions [PDF – 200 KB] – V.2 – NHSN Release 9.4.1
November 2020 – NHSN Application Update
- Resident Impact and Facility Capacity (57.144)
- Form [PDF – 150 KB] (print-only)
- Table of Instructions [PDF – 500 KB]
- Staff and Personnel Impact (57.145)
- Form [PDF – 120 KB] (print-only)
- Table of Instructions [PDF – 250 KB]
October 2020 – NHSN Application Update
- Point of Care Testing (57.155)
- Form [PDF – 100 KB] (print-only)
- Table of Instructions [PDF – 350 KB]
August 2020 – NHSN Application Update
- Resident Impact and Facility Capacity (57.144) – Version 4
- Form [PDF – 100 KB] (print-only)
- Table of Instructions [PDF – 350 KB]
- Resident Impact and Facility Capacity (57.144) – Version 3
- Form [PDF – 100 KB] (print-only)
- Table of Instructions [PDF – 350 KB]
July 2020 – NHSN Application Update
- Supplies and Personal Protective Equipment (57.146)
June 2020 – NHSN Application Update
- Resident Impact and Facility Capacity (57.144)
- Form [PDF – 100 KB] (print-only)
- Table of Instructions [PDF – 350 KB]
May 2020 – NHSN Application Update
- Resident Impact and Facility Capacity (57.144)
- Staff and Personnel Impact (57.145)
- Supplies and Personal Protective Equipment (57.146)
- Ventilator Capacity and Supplies (57.147)
- Form [PDF – 110 KB] (print-only)
- Table of Instructions [PDF – 250 KB]
April 2020 – NHSN Application Update
- Resident Impact and Facility Capacity (57.144)
- Form [PDF – 100 KB] (print-only)
- Table of Instructions [PDF – 350 KB]
- Staff and Personnel Impact (57.145)
- Form [PDF – 120 KB] (print-only)
- Table of Instructions [PDF – 250 KB]
- Supplies and Personal Protective Equipment (57.146)
- Form [PDF – 120 KB] (print-only)
- Table of Instructions [PDF – 300 KB]
- Form [PDF – 110 KB] (print-only)
- Table of Instructions [PDF – 250 KB]Ventilator Capacity and Supplies (57.147)
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Archived Facility and Group Resources
- Guide to COVID-19/Respiratory Pathogens Module Data Entry [PDF – 474 KB]
- Guidance for Reporting to Resident Impact and Facility Capacity Pathway [PDF – 530 KB] – June 12, 2023
- NHSN LTCF COVID-19 Module: Groups and Supergroups – Viewing and Uploading COVID-19 Surveillance Data Reporting Pathway CSV Data Files (cdc.gov)
- NHSN LTCF COVID-19 Module Dashboard for Facility Users [PDF – 600 KB]
- NHSN LTCF COVID-19 Module Dashboard for Group Users [PDF – 600 KB]
- CMS COVID-19 Reporting Requirements for Nursing Homes [PDF – 200 KB] – June 10, 2021
- FAQs about COVID-19 Data Published by CMS [PDF – 200 KB]
- COVID-19 Module Data Alerts [PDF – 500 KB] – April 5, 2021
- Correcting COVID-19 Module Data [PDF – 600 KB] – April 5, 2021
- Guidance for reporting to the Resident Impact and Facility Capacity Pathway [PDF – 552 KB] – December 2023
- Guidance for reporting to the Staff and Personnel Pathway [PDF – 302 KB]– December 2023
- Guidance for OPTIONAL reporting to the RSV/Influenza Pathway [PDF – 791 KB]– December 2023
- Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID-19 Focused Survey Tool [PDF – 500 KB] – August 26, 2020
Previous LTCF trainings related to reporting COVID-19 resident impact, facility capacity, staffing, supply-related, and vaccination data for residents and healthcare personnel (HCP) through NHSN. The materials posted on this site are for archival purposes only.
Recent Trainings
LTCF COVID-19/Respiratory Pathogens Module
- LTCF COVID-19/Respiratory Pathogens Module: Optional Reporting of Influenza and RSV Vaccinations and Cases for Long-term Care Facility Residents – October 2023
- LTCF COVID-19 Module: Surveillance Pathway Updates – June 2023
(Guidance for Post-Public Health Emergency (PHE) Reporting) - LTCF COVID-19 Module: Surveillance Pathway Updates – May 2022
- Point of Care Test Reporting Tool – December 2021
- Updates to the NHSN COVID-19 Point of Care Test Reporting Tool – November 2021
- COVID-19 Resident Impact and Facility Capacity (RIFC) Pathway Updates – September 2021
- LTCF COVID-19 Module Modifications – July Release – July 2021
- COVID-19 Resident Therapeutics Reporting Pathway – June 2021
- COVID-19 Resident Impact and Facility Capacity Reporting Pathway – February 2021
- Office Hours: COVID-19 Module Updates for – August 2020
- Group Guide to Using LTCF COVID-19 Module – June 2020
- COVID-19 Module Enrollment Guidance for LTCFs – May 2020
- COVID-19 Module Overview for LTCFs – May 2020
- COVID-19 Data Quality Webinar – August 2020
COVID Vaccination
- NHSN Person-Level Vaccination Forms: June Release Updates – June 2023
- Updates to Weekly COVID-19 Vaccination Data Reporting: Long-term Care Facilities – June 2023
- Quick Learn Demonstration: Data Entry of Weekly Cumulative COVID-19 Vaccination Data – April 2023
- Refresher Training: Up to Date Vaccination Status: Long term Care – November 2022
- NHSN Person-Level Vaccination Forms: September Release Updates – September 2022
- Up to Date Vaccination Status: Surveillance Definition Change – September 2022
Up to Date Vaccination Status: Surveillance Definition Change – June 2022
- NHSN Person-Level Vaccination Forms: Office Hours and FAQs – June 2022
- Updates to Weekly COVID-19 Vaccination Data Reporting: Long-term Care Facilities – May 2022
- NHSN Vaccination Forms: Office Hours and FAQs – April 2022
- NHSN COVID-19 Vaccination Forms – April 2022
- COVID19 Vaccination Data Refresher Training and Updates – February 2022
- Review of COVID-19 Vaccination Modules: Frequently Asked Questions and Data Entry – November 2021
- Updates to Reporting Weekly COVID-19 Vaccination Data – September 2021
- NHSN Quick Learn Demonstration: Reporting Weekly Cumulative COVID-19 Vaccination Data – May 2021
Long-term care facilities can track weekly vaccination data for residents and healthcare personnel (HCP) through NHSN. The materials posted on this site are for archival purposes only.
Data Collection Forms
- Weekly COVID-19 AND Respiratory Pathogen Vaccination Summary Form for Residents at LTCFs (57.218) [PDF – 182 KB] – October 2023
- Table of Instructions [PDF – 247 KB] – June 2023
- Weekly COVID-19 Vaccination Summary Form for Healthcare Personnel at LTCFs (57.219) [PDF – 182 KB] – January 2024
- Table of Instructions [PDF – 287 KB] – January 2024
- 2023 LTCF Resident Weekly COVID-19/Respiratory Pathogens Vaccination Module Protocol [PDF – 414 KB] – October 2023
- Weekly Vaccination Summary Data – .CSV Import
- Uploading Group COVID-19 .CSV Data Files (11.4.1) [PDF – 773 KB] – June 2023
- Uploading Group COVID-19 .CSV Data Files (10.1.3) [PDF – 939 KB] – May 2022
- Uploading Group COVID-19 .CSV Data Files (10.1.1) [PDF – 1 MB] – February 2022
- Uploading Group COVID-19 .CSV Data Files (Pre 10.0) [PDF – 1 MB] – August 2021
- Vaccination Summary CSV Templates and Example Files for Residents of Long-Term Care Facilities (LTCFs)
- CSV File Template (11.4.1) [XLS – 103 B]– June 2023
- CSV File Template (10.1.3) [XLS – 177 B] – May 2022
- Example CSV File (10.1.3) [XLS – 243 B] – May 2022
- CSV File Template (10.1.1) [CSV – 2 KB] – February 2022
- Example CSV File (10.1.1) [CSV – 2 KB] – February 2022
- Influenza/RSV CSV Materials
- CSV File Template [CSV – 141 Bytes] – October 2023
- Vaccination Summary CSV Templates and Example Files for Healthcare Personnel of Long-Term Care Facilities (LTCFs)
- Example CSV File (11.4.1) [XLS – 858 B] – January 2024
- CSV File Template (11.4.1) [XLS – 15 KB] – June 2023
- Example CSV File (11.4.1) [XLS – 17 KB] – June 2023
- CSV File Template (10.1.3) [XLS – 442 B] – May 2022
- Example CSV File (10.1.3) [XLS – 559 B] – May 2022
- CSV File Template (10.1.1) [CSV – 3 KB] – February 2022
- Example CSV File (10.1.1) [CSV – 3 KB] – February 2022
- Person-Level COVID-19 Vaccination Forms – Instructions and Guidance Documents
- None at this time.
- Person-Level COVID-19 Vaccination Data – CSV Data Import
- Variable description and file layout for residents and healthcare personnel of LTCFs (11.5) [PDF – 334 KB] – April 2024
- Variable description and file layout for residents and healthcare personnel of LTCFs (11.5) [PDF – 364 KB] – October 2023
- Variable description and file layout for residents and healthcare personnel of LTCFs (11.4.1) [PDF – 208 KB] – June 2023
- Variable description and file layout for person-level vaccination forms [PDF – 213 KB] – October 2022
- Vaccination Person-Level CSV Templates and Example Files for Residents of Long-Term Care Facilities (LTCFS)
- .CSV File Template for LTCF Residents [XLS – 715 B] – June 2024
- .CSV File Template for LTCF Residents [XLS – 689 B] – April 2024
- .CSV File Template for LTCF Residents [XLS – 521 B] – June 2023
- .CSV File Template for LTCF Residents [XLS – 17 KB] – October 2022
- Example .CSV File for LTCF Residents [XLS – 1 KB] – April 2024
- Example .CSV File for LTCF Residents [XLS – 677 B] – June 2023
- Example .CSV File for LTCF Residents [XLS – 18 KB] – October 2022
- Vaccination Person-Level CSV Templates and Example Files for Healthcare Personnel of Long-Term Care Facilities (LTCFS)
- .CSV File Template for LTCF HCP [XLS – 567 B] – June 2024
- .CSV File Template for LTCF HCP [XLS – 534 B] – June 2023
- .CSV File Template for LTCF HCP [XLS – 17 KB] – October 2022
- Example .CSV File for LTCF HCP [XLS – 658 B] – June 2023
- Example .CSV File for LTCF HCP [XLS – 18 KB] – October 2022
- Resources
- Data Quality Alerts [PDF – 400 KB] – July 2021
- Retired Quick Reference Guides
- OLD Quick Reference Guide, How to Run a Report for Residents by Vaccine Manufacturer [PDF – 728 KB]
- OLD Quick Reference Guide, How to Run Reports for Healthcare Personnel by Vaccine Manufacturer [PDF – 624 KB]
In May 2024, CMS proposed a new standard requiring hospitals to electronically report information about COVID-19, influenza, RSV, and hospital bed capacity to the Federal Government in a standardized format and frequency specified by the U.S. Department of Health and Human Services (HHS) Secretary, and finalized the requirement on August 1, 2024 and established a November 1, 2024 effective date (See FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule, pgs. 898-905).
In light of the new reporting requirements, NHSN has released new guidance documentation and resources (including lists of data elements, definitions, and CSV import templates) for Hospital Respiratory Data (HRD reporting; formerly ‘COVID-19 Hospital Data reporting’), which is effective as of 10/9/2024. The former COVID-19 Reporting and FAQs are no longer active as of 10/9/2024. Please visit the NHSN HRD website here: https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html for more details and updated reporting guidance.
Please find archived COVID-19 Hospital Data reporting resources and information here: https://archive.cdc.gov/www_cdc_gov/nhsn/covid19/hospital-reporting.html
