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Form Approved OMB No. 09200666 Exp. Date: 01/31/2024 www.cdc.gov/nhsnDialysis Patient Influenza Vaccination Denominator Page 1 of 1×required for saving×Facility ID# *Vaccination type: Influenza×Month:
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The 57506 NHSN OMB forms are official forms used within the National Healthcare Safety Network (NHSN) for reporting healthcare-associated infection data and other relevant information required by the Centers for Disease Control and Prevention (CDC).
Healthcare facilities that participate in the NHSN, including hospitals, nursing homes, and other healthcare settings, are required to file 57506 NHSN OMB forms as part of their reporting obligations.
To fill out the 57506 NHSN OMB forms, facilities need to provide accurate data according to the guidelines outlined by the NHSN. This usually involves collecting data on infections, patient demographics, and facility characteristics, and inputting it into the standardized forms.
The purpose of the 57506 NHSN OMB forms is to collect necessary data to monitor and improve healthcare quality and patient safety by tracking healthcare-associated infections and other indicators within healthcare facilities.
The information that must be reported includes data on healthcare-associated infections, patient demographics, healthcare personnel, and details specific to the facility and its operations.
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