Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us 2026

Get Form
Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

Definition and Meaning

Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us is a document specifically designed for collecting contact information related to healthcare-associated infections (HAIs) for facilities reporting through the National Healthcare Safety Network (NHSN) in Texas, United States. The form is used to gather crucial data from healthcare facilities about designated individuals responsible for HAI reporting, with sections dedicated to both mandatory and optional reporting contacts. It requires a certification statement from the facility's CEO or administrator, ensuring the accuracy and approval of the provided contact details.

Importance of Accurate Information

  • Correct contact details are critical for effective communication between the Texas Department of State Health Services (DSHS) and healthcare facilities.
  • Ensures timely updates on any changes in reporting requirements or procedures.
  • Facilitates efficient follow-up in case of reporting discrepancies or additional data needs.

How to Use the Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us

This form is typically filled out by healthcare facilities required to report specific infection data to state health authorities. The data collected aids in the monitoring and control of HAIs in Texas healthcare settings.

Steps for Utilization

  1. Review the form: Familiarize yourself with each section of the form to understand the types of information required.
  2. Gather necessary information: Compile data about each designated contact, ensuring completeness and correctness.
  3. Fill out the form: Enter information into the relevant sections, paying particular attention to mandatory fields.

Example Details to Include

  • Facility name and address
  • Names and titles of individuals responsible for HAI reporting
  • Contact numbers and email addresses for designated contacts

How to Obtain the Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us

This form can be accessed through the Texas Department of State Health Services website or directly from the NHSN platform for healthcare-associated infections reporting. Facilities can download the form in PDF format for manual completion or submission through designated electronic submission systems.

Steps to Complete the Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us

Completing this form requires attention to detail and precise data entry to ensure compliance with state reporting regulations.

Detailed Instructions

  1. Begin with facility information: Enter the full name and address of your healthcare facility, including any relevant identification numbers.
  2. List mandatory contacts: Identify individuals responsible for mandatory HAI reporting; fill in names, positions, and contact details.
  3. Optional contacts: Provide optional contact information for additional personnel involved in HAI monitoring and reporting.
  4. Certification: The CEO or administrator must review and sign the certification statement to confirm the validity of the provided information.

Key Elements of the Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us

The form can be divided into several essential elements that facilitate comprehensive data collection and ensure compliance with regulatory requirements.

Main Components

  • Facility Details: Basic information about the healthcare facility.
  • Mandatory Reporting Contacts: Key personnel responsible for compulsory reporting tasks.
  • Optional Reporting Contacts: Additional contacts that can provide support in data provision or follow-up.
  • Certification Statement: A formal declaration by a senior facility official validating the entered data.

Who Typically Uses the Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us

The primary users of this form are healthcare facilities within Texas that are mandated to report specific infection-related data through the NHSN. These include hospitals, long-term care facilities, and other healthcare providers that monitor and report HAIs.

decoration image ratings of Dochub

Common User Roles

  • Infection Control Practitioners
  • Quality Assurance Managers
  • Compliance Officers
  • Healthcare Administrators

State-Specific Rules for the Form 1 NHSN (HAI) DATA CONTACTS - dshs state tx us

Texas has specific requirements for the completion and submission of this form, ensuring local health authorities receive consistent and accurate data.

Texas Regulations

  • All healthcare facilities must submit this form in accordance with state-mandated deadlines.
  • Accurate and up-to-date information is mandatory and must reflect any personnel changes swiftly.
  • Non-compliance may result in penalties or non-approval of reporting status.

Digital vs. Paper Version

The form is available both in digital and paper formats, allowing facilities to choose the most convenient method for their processes.

Differences and Preferences

  • Digital Version: Allows for easier updates, error correction, and submission.
  • Paper Version: Useful in settings with limited access to electronic submission systems.

Understanding these options helps facilities select a method that complements their workflow and technological capabilities.

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
People can get infections from hospitals, surgery centers or other places that offer health care. Infections that patients get while or soon after receiving health care are called healthcare-associated infections (HAIs) and are a serious threat to healthcare safety.
The epidemiology of HAIs provide information on the magnitude of infections among patients, both outpatient and inpatient. It explains the occurrence and distribution of HAIs, what happens to whom, and where and when it happens. Epidemiology of Healthcare - Associated Infections International Federation of Infection Control 2016/04 3-Epidemiology2016 International Federation of Infection Control 2016/04 3-Epidemiology2016
The report finds that overall healthcare-associated infections were present in 7.6% of patients, a 1% increase on the last reported figures in 2016. UKHSA publishes latest survey on healthcare-associated infections GOV.UK government news ukhsa-publis GOV.UK government news ukhsa-publis
All cases of MRSA must be documented and submitted to the Texas Department of Health.
High-level messaging on the HAI and AMR burden According to research published by 2023 Balasubramanian et al., an estimated 136 million cases of health care-associated antibiotic resistant infections occur worldwide every year. Key facts and figures - World Health Organization (WHO) World Health Organization (WHO) World Hand Hygiene Day World Health Organization (WHO) World Hand Hygiene Day

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more
ccpa2
pci-dss
gdpr-compliance
hipaa
soc-compliance

People also ask

From the HAI Hospital Prevalence Survey 3% of hospitalized patients in the 2015 survey had one or more HAI. There were an estimated 687,000 HAIs in U.S. acute care hospitals in 2015. About 72,000 hospital patients with HAIs died during their hospitalizations.
Healthcare-Associated Infections (HAIs) The U.S. Centers for Disease Control and Prevention (CDC) estimates that 5 percent of all hospital admissions result in a healthcare-associated infection, culminating in approximately 722,000 infections and 75,000 deaths each year as well as $2833 billion in excess costs. Healthcare-Associated Infections Facts Figures - NC DPH North Carolina Department of Health and Human Services (.gov) hai figures North Carolina Department of Health and Human Services (.gov) hai figures

Related links