COVID-19 Module Group DashboardCOVID-19 Module Group Dashboard When a user hovers over a dot (facility), an information box appears with a summary of data for the facility's reported

June 2020

1

NATIONAL HEALTHCARE SAFETY NETWORK: COVID-19 Module Group Dashboard

Description

As part of CDC’s ongoing COVID-19 response, NHSN has created a Dashboard for Groups to visualize their facilities’ COVID-19 data. The Dashboard is intended to provide daily summaries of measures collected under the COVID-19 Module pathways, 1) patient impact and hospital capacity, 2) healthcare worker shortage and the 3) supplies shortage pathways. The Dashboard, located on the NHSN Patient Safety Component Home Page, gives Group users an opportunity to view and access their facilities COVID-19 data via an interactive chart display. The Group Dashboard will include COVID-19 data of the facilities who have granted access to their data. This guide will help Group users understand how to use and interpret the COVID-19 Module Group Dashboard. All facility level data included in this guide are fictitious. They are intended for education purposes only.

TIP: The Dashboard is best viewed using the following internet browsers: Microsoft Edge, Google Chrome, Safari.

How to Access the COVID-19 Group Dashboard

Select “COVID-19 Group Dashboard” on the NHSN Patient Safety Component Home Page to view the Dashboard. To view data in the dashboard, no dataset generation is required. The data in the dashboard is updated as data is entered by facilities.

The Interactive Chart Displays: Patient Impact and Hospital Capacity (PIHC) Pathway of the Group Dashboard

There are 5 main tabs in the Patient Impact and Hospital Capacity Pathway of the Group Dashboard; one for each chart

display. Chart displays 2 through 5 can be exported to PDF for printing by using the Export to PDF button

June 2020

2


1. Daily Summary 2. Overall Patient Impact and Hospital Capacity 3. Heat Map Chart 4. Geographical Heat Maps 5. Funnel Plots

Within each tab is a list of measures displayed as numbers or proportions (%). Below is a list of the measures for the patient impact and hospital capacity pathway and how they are derived:

June 2020

3


Table 1: Details of the Patient Impact and Hospital Capacity Pathway Measures Included in NHSN Group Dashboard

The Daily Summary Icons

The daily summary provides an overall picture of the Group’s patient impact and hospital capacity burden. This quick display defaults to the data from the previous collection date. The date can be modified to show a different day’s data. In the Daily Summary, the Group will see, among others, the number of hospitals reporting COVID-19 data for the selected date. This number reflects the hospitals who have granted access to their COVID-19 data and have reported data for the selected date. Elements of these data can also be gathered in the Analysis and Report function of NHSN under the COVID-19 Analysis folder.

June 2020

4


In the instance where a particular data is not reported for a selected date, the data box will indicate, Data Not Reported, as shown in the screenshot directly below. In our example, this means, of the 4 participating facilities, none reported the numerator/denominator data used to calculate the measures indicated.

June 2020

5


The Overall Patient Impact and Hospital Capacity Chart

The overall patient impact and hospital capacity chart is intended to provide a snapshot of the overall Patient Impact and Hospital Capacity within the Group, using the most recent data reported in the last 3 days by the Group’s participating facilities. The measure displayed in this chart are separated into the Patient Impact and Hospital Capacity as shown in the screenshot below. NOTE: If data used in calculating a metric included on this display is missing, the bar is shown as “DATA NOT REPORTED”.

Measures included in the Overall Patient Impact and Hospital Capacity Chart are:

Patient Impact: Hospital Capacity

• Percent of COVID-19 patients on ventilators • Percent of Inpatients with COVID-19

• Percent of Ventilators in Use • Percent of ICU beds occupied • Percent of Inpatients beds occupied

June 2020

6


The Heat Map Chart

The heat map charts allow the Group to view the chronological changes in the various measures by facility and collection date in the past 7 days. The chart will show data for participating facilities within the Group. If a facility repots no data for the collection date, the chart shows blank. Users can hover over the legend to highlight the category of facilities/data they want to display on the map. When this happens, the categories that are not selected will dim.

Users can hover over the legend to highlight the category of facilities/data they want to display on the map. By hovering over category 62<105, the map is updated to only highlight the category's color (as shown with the red highlight), while dimming the other categories. In this example, the highlighted green bar, which is outlined below, indicates that facility 1067 General Hospital reported a number of inpatients with suspected or confirmed COVID-19 within the 62<105 category. To see the actual value for each facility, users can hover over the box for the collection date to see the data represented in the categories.

June 2020

7


Measures included in the Heat Map Charts are:

• Number of inpatients with suspected or confirmed COVID-19 • Number of COVID-19 patients awaiting an inpatient bed in ED or overflow locations • Percentage of inpatient beds occupied • Percentage of ICU beds occupied • Percentage of ventilators in use

The Geographical Heat Maps

The maps display the measures by the counties and states represented in the Group. These county maps include the most recent data reported in the last 3 three days by the Group’s participating facilities. The information displayed in these maps is more accurate in counties with higher participation.

The Geographical Heat Maps will default to the most current collection data and include all the participating facilities by county. Maps can be updated to include all counties in a selected state. Alternatively, data presented in maps can be limited to one or a few counties within a state.

June 2020

8


Measures included in the Geographical Heat Maps are:

• Percent of inpatients with suspected or confirmed COVID-19 • Percent of inpatients with suspected or confirmed COVID-19 on mechanical ventilator • Percentage of inpatient beds occupied • Percentage of ICU beds occupied • Percentage of ventilators in use

Funnel Plots

The funnel plot identifies outliers from overall average among reporting facilities in the Group/State. Facilities in orange are experiencing significantly higher level of COVID-19 related measure, compared to Group/State average. Facilities in blue have lower percentage. Facilities in grey have average level of COVID-19 related measure. The funnel plots show outlier facilities out of facilities with non-missing records in PIHC pathway, for the specified measure under consideration.

The control limits, as shown on the plots, are the inverse of binomial cumulative distribution function with continuity correction. Outlier is defined as a facility outside 90% control limits of the state average and overall average among reporting facilities to the COVID-19 module. For single-day cross-sectional analysis, complete data from the most recent day of the past 3 days from each facility was utilized.

June 2020

9


The Interactive Chart Displays: Healthcare Worker Shortage (HCW) Pathway of the Group Dashboard

There are 4 main tabs in the Healthcare Worker Pathway of the Group Dashboard; one for each chart display.

1. Daily Summary 2. Healthcare Worker Shortage-Bar Charts 3. Current Healthcare Worker Shortage by Location 4. Impending Healthcare Worker Shortage by Location

Within each tab is a list of measures gathered in the HCW pathway. Below is a list of the measures for HCW pathway:

Table 2: Details of the Healthcare Worker Shortage Pathway Measures Included in NHSN Group Dashboard

MeasureReporting/Participation

Number of facilities in the Group reporting HCW Shortage COVID-19 dataNumber of facilities reporting no current and no impending healthcare worker shortagesNumber of facilities reporting current healthcare worker shortagesNumber of facilities reporting impending healthcare worker shortagesIdentification of facilities reporting current healthcare worker shortagesIdentification of facilities reporting impending healthcare worker shortages

Healthcare Worker CategoriesEnvironmental ServicesNursesRespiratory TherapistsPharmacistsPhysicians Other Licensed Independent Practitioners Temporary Healthcare ProfessionalsOther HCP

June 2020

10


Healthcare Worker Shortage

The summary of healthcare worker shortage stacked bar charts is intended to provide a snapshot of the number of facilities experiencing HCR shortages within the Group, using the most recent data reported in the last 3 days by the Group’s participating facilities. NOTE: If data used in calculating a metric included on this display is missing, the bar is shown as “DATA NOT REPORTED”. Following the chart is a line list table that provides limited details on facilities contributing data to the chart above

Following the chart is a line list table that provides limited details on facilities contributing data to the chart above, as shown in the screenshot below.

The number of facilities by reporting pattern by HCW categories chart, shows the number of facilities who have reported continuously, non-continuously or newly into the pathway. Where data is available, the chart will show a 10 days collection period. The reporting pattern is then calculated by taking a 3-collection dates-windows from within the 10-day collection period. Continuous reporting indicates reporting continuously within past 3 days, which includes the collection date. Non-continuous reporting indicates reporting noncontinuous within the past 3 days, which includes the collection date. And new reporters are facilities reporting for the first time to the pathway on the collection date.

June 2020

11


Current/Impending Healthcare Worker Shortage by Location

This set of geo heat maps identify location of facilities that have reported current and impending shortages for Environmental Services, Nurses, Respiratory Therapists, Pharmacists, Physicians, other Licensed Independent Practitioners, Temporary Healthcare Professionals, and other Healthcare Professionals. The current shortage defined as shortages on the date of the current collection date. The impending shortages is defined as shortages in the week following the date of the current collection date.

June 2020

12


When a user hovers over a dot (facility), an information box appears with a summary of data for the facility's reported data. In our example, facility 13427 is reporting impending shortage of healthcare workers in more than 1 category. Although, a user may select only one HCW category at a time in the drop-down box above, the information box will include information on other HCW categories for the selected facilities to provide users with comprehensive information on the selected facility.

The Interactive Chart Displays: Supply Shortage (HCW) Pathway of the Group Dashboard

There are 3 main tabs in the Healthcare Worker Pathway of the Group Dashboard; one for each chart display.

1. Daily Summary 2. Supply Shortage 3. Supply Shortage GeoMap

June 2020

13


Within each tab is a list of measures gathered in the Supplies pathway. Below is a list of the measures for Supplies pathway: Table 2: Det ails of the Supplies Shortage Pathway Measures Included in NHSN Group Dashboard

June 2020

14


Supply Shortage- Bar Graphs

The Percent of facilities who reported on-hand supplies chart is categorized by the supply items and by the days of availability category. The chart includes the most recent data reported within the last three days. The chart shows an information bar when you hover over the bar representing any of the days categories, example of which is outlined in the screen shot below.

Following the chart above are two additional charts displaying the number of facilities indicating reuse of supplies and their ability to obtain additional supplies, both categorized by the supply items. Like the chart above, the following charts also use the most recent data reported within the last three days.

June 2020

15


Supply Shortage- GeoMaps

The screenshot below displays an example of Supplies data reported by facilities in Georgia. In our example, facility 14605 is reporting 0 days of supplies for N95 masks and other respirators. Although, a user may select only one Supplies category at a time in the drop-down box above, the information box will include information on other Supply categories for the selected facilities to provide users with comprehensive information on the selected facility.

June 2020

16


Note to Groups with multi-state members NHSN recognizes that they are Groups within NHSN with participating facilities in different states. To get the most accurate depiction of the COVID-19 module data for their facilities, NHSN recommends that Groups with participating facilities in different states should view data by state instead of viewing all data by their overall Group. We anticipate that there may be differences in the state-level description of the COVID-19 Module. Additional Resources: CDC’s Coronavirus (COVID-19) website: https://www.cdc.gov/coronavirus/2019-nCoV/index.html NHSN COVID-19 website: https://www.cdc.gov/nhsn/acute-care-hospital/covid19/index.html Health Department Guide to Using the COVID-19 Module: https://www.cdc.gov/nhsn/pdfs/covid19/hd-access-508.pdf Group Guide to Using the COVID-19 Module: https://www.cdc.gov/nhsn/pdfs/covid19/group-access-508.pdf FAQs for COVID-19 Module: https://www.cdc.gov/nhsn/pdfs/covid19/covid19-faqs-508.pdf

https://www.cdc.gov/coronavirus/2019-nCoV/index.html

https://www.cdc.gov/nhsn/acute-care-hospital/covid19/index.html

https://www.cdc.gov/nhsn/pdfs/covid19/hd-access-508.pdf

https://www.cdc.gov/nhsn/pdfs/covid19/group-access-508.pdf

https://www.cdc.gov/nhsn/pdfs/covid19/covid19-faqs-508.pdf

Documents

COVID-19 Module Group DashboardCOVID-19 Module Group Dashboard When a user hovers over a dot (facility), an information box appears with a summary of data for the facility's reported