Healthcare-associated infections (HAI) reporting requirements and the HAI Annual Report – June 2025

 

Healthcare-associated infections (HAI) reporting requirements and the HAI Annual Report – June 2025 All separately licensed healthcare facilities in Colorado must report healthcare-associated infections (HAIs) to the Colorado Department of Public Health and Environment (CDPHE) through the National Healthcare Safety Network (NHSN) as required in Colorado Revised Statutes (C.R.S) 25-3-601-607. Reporting requirements are determined by the HAI Advisory Committee and CDPHE and differ by facility type and reporting location. Facility types include: Acute care hospitals,  Ambulatory surgery centers,  Critical access hospitals,  Inpatient rehabilitation facilities,  Long-term acute care hospitals,  Outpatient hemodialysis centers, and  Pediatric hospitals. Colorado HAI reporting requirements and deadlines can be found on the HAI/AR Program website. In order to meet the reporting requirements, healthcare facilities must include the reportable conditions in their NHSN reporting plan AND confer rights to CDPHE by joining the appropriate CDPHE reporting group in NHSN.  Separately licensed healthcare facilities in separate locations should report separately, even if they share a CMS certification number (CCN). This is consistent with NHSN guidance for facilities that share a CCN. The Centers for Disease Control and Prevention (CDC) will aggregate the data from all applicable NHSN Org IDs and will send data to Centers for Medicare and Medicaid Services (CMS) under the single CCN for CMS reporting purposes. Additionally, healthcare facilities that do not have a CCN are able to use NHSN to fulfill Colorado reporting requirements. The HAI/AR Program in the CDPHE Communicable Disease Branch distributes a survey to healthcare facilities annually in order to determine HAI reporting eligibility and status of reporting. HAI reporting requirements are verified at the time of license renewal as well.  In April 2025, C.R.S. 25-3-603 was amended such that the publication date for HAI Annual Report was changed from July 15th to September 15th beginning in 2025. The timeline for reporting HAI reportable conditions to CDPHE has not changed. Healthcare facilities are responsible for the quality and accuracy of their data reported to CDPHE through NHSN for representation in the HAI Annual Report. NHSN offers training for HAI reporting on the NHSN website. NHSN has announced the Patient Safety Component Annual Training Summer Series to start in June 2025.  For questions about Colorado HAI reporting requirements and timeline, how to confer rights for data access to CDPHE in NHSN, the annual HAI reporting survey, or the HAI Annual Report, email the HAI/AR Program at cdphe_hai_ar@state.co.us. The HAI/AR Program offers NHSN office hours quarterly and provides technical assistance for NHSN reporting upon request. The HAI/AR Program website has information about the HAI Advisory Committee and HAI reporting.