So again, welcome to our call today. It's my pleasure to introduce our speaker for this session, which is Yolanda Velez. She's a health care quality improvements specialists with health quality Institute and before joining worked as a longterm care administrator, and was the director of quality improvement and infection control in acute care hospitals for more than 35 years. She was certified in both healthcare quality for acute care. Facilities and longterm care quality improvement. Mr. less obtained. Her lean 6 Sigma, green and black belt certifications from Purdue University. She holds a bachelor's of science and nursing from the University of Puerto Rico, a long term care administrator degree from San Marcos University in addition to a master's in healthcare administration and gerontology miss Velez is also our TMF NHSN subject expert matter for long term care facilities and hospitals where she assist any to send users with technical assistance and provides training to ensure data quality reporting. So, Yolanda is my pleasure to welcome you to this call. We thank you so much for taking time out of your busy schedule to help answer some of the questions and help our hospitals in our age quick project, uh, navigate their way to reporting their data into an. I've gone ahead and pass you the control so you can switch the slides and the floor is yours. Thank you. Thank you so much in good afternoon. We want to go ahead and cover a little bit about the device associated infection. So, on today's objectives we have that. We're going to describe general, um, in HSN surveillance rules and functions, we're going to navigate and website. And demonstrate some of the resources are available in. And also, we're going to be looking into a demo section where we're going to look into the reporting events specific for device associated infections. We'll look into some of the comedies in the collapsing. And then I also want to do a small demonstration on the reporting application. So, let's get started. Okay, so any surveillance has some key points are really important. Um. 1st, we want you to learn the protocols and criteria applying the criteria consistently. So you can understand and understand the importance. On only reporting events that meet the criteria. In exclude those that don't meet the criteria. This will ensure that a quality. You know, we want the data to be complete accurate. Reliable and comparative, so when CMS is comparing your, um. Your data, your outcome data it is compared to similar, you know, facilities. If you feel there is an issue with any of the and criteria when you're trying to apply it to your individual events, make sure that you can, I will encourage you to please. An email with your concerns, and they are, they're very interested on on your feedback. So don't feel afraid to consult with them. If you have any questions. Um, a great resource for bloodstream, um, infections in is your chapter 4. Are the patient safety manual, which has includes the bloodstream infections events. And that includes your central line associated bloodstream infections and the non central line of blood streams infections as well. So, in surveillance, you can see there's there are different types of surveillance that you can perform. 1st, we want to give you a little definition of what survey analysis. And that is the ongoing, systematic collection and analysis in interpretation of your health data. And it is important, because it can help you with the planning and implementation when you're trying to evaluate. How you're, you're performing in the care that you're providing to your patients. The different types of surveillance there are available is the active surveillance, and that actually is performed by your infection prevention. And when she tries to, you know, when she goes and searches for it, um. And identify infections in your facility, she can use multiple data source that she can include. Not only in the nursing world, but also, you know, medical records, but also in other sources, beyond that. The patient based survey that 1 is performed by counting. And assessing the risk factors. So, in monitoring your procedures and infection. All right, so. It requires, um, and discussion with the caregivers or their nurses. And then and it also includes the laboratory based. Findings so, in this surveillance, this is done by detecting infections based only on the findings of your lab results and then the other type of surveillance is your perspective surveillance in on this 1, this type of surveillance. You are trying to monitor, uh, your patients during the hospital stay. So, for it also includes, like, monitoring infections after, you know, they're being discharged. From your facility, so understanding the basic concepts will help you. Decrease subjectivity, when you're trying to, you know, to apply the criteria and perform the surveillance. So I'm on these basic concepts, we have the infection window period, and you will see that a lot of these terms are actually have some initials next to them. And you'll see them as we go through the slides. And sometimes they are referred in the in. Documents as, you know, buy those initials so just make sure that, you know, you, you can refer back to them on the glossary. Um. So, there is an infection window, period. There is the date of the event. The location attribution, the transfer rule. The repeat infection timeframe. And that's the I. T, and the secondary, um. Stream infection, attribution in the pathogen assignment, all these components are really important for you to understand them because eventually you will be applying them to the and criteria when you're trying to enter your events in. So, let's get started on I'm explaining what they are. In fiction window, period. Also known as I. W. P. Is defined as the 7 days. During which all sides site infections criterias are met. It includes the collection date of the 1st, positive diagnostic tests. That is used in an element to meet the specific site infection. Plus, 3 days before and 3 days after. The date of the event is that date the 1st element was met on the site, that specific criteria. Infection criteria in occurs for the 1st time within the 7 day infection window. Period, um, so knew that for accurate determination of your, um. Date of event it is critical because the data event is used to determine if the event is actually, uh, help associated infection or if the patient came in with infection. So, if he came in with infection, then that's a, um, it also helps you allocate. Locate the just, um, assigned the location of district of attribution. So it's like, where are you going to assign that infection to what location of your facility. It helps you also, um, understand the association with that device if it's associated with the device, or it's not associated with the device and it has a 1 day and then the day 1 of that repeat infection timeframe. So, let's look for an example here you can see. This patient came in on the 5th. And here, um, he has, I wish this is this big enough for you to see it. Um, here you can see that there is. Some some results, so, for example, he came in, he has a temperature of 101.5. On day, 8 on the 8th day of hospital stay. And then he has another the following day, he also has a temperature and then on the 10th, he has a culture. Done and it was positive for. So, when you're looking at the, uh, the infection window, period, that is a 7 day period, you know, um, that meets the site a specific criteria. So, the collection date of the 1st, positive test, um, is 3 days before and 3 days after. So you have the positive culture here. Right on the 10th so it will be 3 days before in 3 days. After that is your when that is your infection window? Period, and then, um, the date of the event is defined as the date, and the data where it has the 1st element with met. So, for example, here, she had the patient had a temperature of 101.5 on the 8th. And and then that is actually the fine. The date of the event, so when you are going to enter the date of the event in in. To report an event on, um, that'd be a secretary for reporting purposes to. This is how you will determine, you know, what is your date of the event? So it won't be the day that you're collecting the culture or have the results of the culture is actually the 1st day that, um, has the 1st element was meant for the criteria. So, pressing on a mission mission means that. You know, you have the data of the event occurs on the date, the patient was made it or the day after to an inpatient unit. And then it also includes the 2 days before, and the 2 days after. The person on a mission will does not apply to your exercise. Or your lab IDs, you your ventilator associated infections. Um, the is the date, the event occurs. On or for, or after the 3rd day of. The calendar day of your mission, if the event occurs before emission. The date on the event equals the same date of the emission. In the day of mission is actually the date of the physical, the patient's physically admitted to impatient unit. Let's say, for example, somebody comes to your facility and he comes through the. He is there for 2 days and on the 3rd day, he's being admitted to the inpatient unit. The data for mission is the day that he was admitted to that impatient unit. So, here you can see this patient came. He was 2 days in the yard, and then he was transferred to the inpatient unit. When. Is Herman. You know, he had the 1st day of in yeah, the temporary. On day 4, as you can see, the day of admission is the day that he was transferred to the inpatient unit. Um, and you're trying to determine if it was present on a mission or not. And then here, the person that mission is the date of the event. The day that would be even occurs on the day of the admission or the date after. Mission to the inpatient unit, so in order for it to be. Um, considered an infection within, um. Being admitted with it, he has to have it either before, or in the day of ambition or the day after. So, it will be. Go through each of the 5th then if you want to hear, you have a. You know, you have here the culture, and this is actually the date that you are identifying, you know, because you have a window of infection and this is the day that you have the culture was on the 6. So, here, this is a window of, um. Infection window, period, because it has includes the results of the culture test and then 3 days after and 3 days before. But in order for you to determine if he was admitted, if he was, he came in with infection, or was that made it on pressing on the day mission president mission, it has to be. On the day that he was either a minute. And that that will be the 3rd or the day after. So that will be the 4th. So that's why I included, I merge these 2 dates so you can see that. That's actually. How you would determine the president our mission on this case in a specific because he has, um. In an infection that occurred 3 days after. You know, he came in to the hospital the here you have that has a health care associated infection. As the date of the event occurs on or the 3rd day. Ah, 3rd, calendar date of that mission. So, this infection, you know, he's still having some symptoms here. Here's when he has that. The confirm infection when you're looking at devise associated infections. Um, for example, if you're looking at, um, if you have an in dwelling cat that are. Please prior to admission. Indwelling catheter date. Counts as the date of you. Indwelling catheter a day count that. That determines, um, if it's a device associated infection with an admission date. Or, to the 1st, day of inpatient location. So when you're looking at device associated infections here, it says an infection where a medical device. And later central line dwelling, Catherine was placed. Was in place for over 2 days. On the date on the date of the event. In the day of the device placement being the 1st day. So, that's how you will count your 2 days is neither. You know, is the data he was, it was placed and then the day after. So, you got 2 days in the device was also in place on the date of the event. Here you can see an example, let's say, for example, you have. You know, he has a, the culture here, let's go back to that. Um. That window, period, so, on the wind up here, he came into the on day 4 on day 1 on the 2nd day he's still in the eating and they placed. The catheter here, so this will be the device placement date is considered is day 1. Then he was transferred to the inpatient unit and here you have, the indwelling catheter was still in place. And this is considered the day of admission, because that's the day that he was transferred to the inpatient unit. Then you have on day for that, this is the date of the event, because this is the day that the 1st symptom occur. So his has a temperature of 101.5. The window, um, infection window, period. Remember it was based on this result. This is the day is come from an infection on the 663 days before. In 3 days after so that's why this is orange. If it would have been that he had an infection. On, um, that was present on admission it would have occurred. On the 3rd, and the 4th, which was the 1st new date that he was admitted in the day after. If it was considered a healthcare associated infection, then it would occur within the 3rd day. On or after the 3rd day of the calendar, um. Their calendar day after our mission, when you're trying to count your device days. That is actually your denominator data so when you're. Your denominator device days that's the count of central line on an impatient unit that is recorded in the month. Ah, the denominator say summary data so when you're counting your device days, you count it. You count is account of patients with a specific device in a patient care location and a. Give him a period of time, so. You're going to count all lines present at the time, even if you have not access them. So, if you know, if he has the central line on, you will still count that date. So, in this enclosed your ventilators, your centralize and your urinary catheters. Here you can see these aren't when you're coming to your days, you will call, like, for example, here, October 1st. To October 6, even though there were not access, I'm sorry until 2 were 5th because even though he was not access, he did not. He, um, he had the. The central line on, so. I'm sorry, you will kind of from the 1st, to the 6th because he didn't, they didn't access it, but it was still there. Um. So, if the central line is is in place. I said, you know, if it's being accessed, you will count it and if it's not being access, you will still count those days. Is a simple way to do it because, um, it is really hard to. To go back and forth counting while he's on the, he has the central line, we access the central line, and it will make it really hard for, um, the person, you know, abstract into data. For initials and reporting purposes to going back and forth between new. Looking at that medical records to see if it was access or not access. So once the central line, you know, the patient is admitted with the central line if it's access or not access, you will still count those days. As part of your denominator data, the location of attribution that is actually you want to make sure that you attribute infection to the right place. So inpatient locations where the patient is assigned on the data. The event is the location of attribution. I say, for example, somebody comes to your and he has he was placed central line. There were urinary catheter there and. There's some starting some symptoms of infection, um, the next day. Because it's not an inpatient unit. You, you know, once that patient goes into the inpatient unit, and then that inpatient unit, just the culture, and the results come up positive then that is actually the attribution of that of the location. But it will be to the inpatient unit. Um. You you can also. Make sure that you don't attribute you. Infections to any of the non vetted locations so none of the operating room beds or your interventional radiology best will count. If the patient is transferred to more than 1 location on the date of the infection or the day after. I'm sorry the day before the infection is attributed to the 1st location where he was housed and I'll show you an example and a little bit. The other goal that you need to understand is the transfer rule in here, the date of the event. On the transfer or the next day is where you're going to attribute that location. So if that if somebody is, you know, if you're transferring from 1 unit to the other, then. Um, you will attribute the locate the infection to the transferring unit. The patients stays in multiple locations within that transfer rule time rule. You will industrial to the 1st location. Here's an example so an example of a location. Let's say on 10, 1, you have the patient was on the unit a, on 10 2. He was transferred to unit from your he was trying he wasn't unity and then he was transferred to unit. On 10 3, that is your day of your event. When they 1st started, the 1st criteria was meant, he is on unit be. What would be your location of attribution? It will be your unit a, this is the 1st inpatient unit where he was located. On the facility example, you can see if this is about the transfer rule. So if from 10, 1, he was on facility a. On 10 too he is on facility a, and then he was transfer to facility B. On 10, 3, you have the date of the event so that's when he 1st have. Half the 1st criteria for some scientists that met the criteria. So he was on facility. The location of attribution will be. You're transferring facility we are your 2nd location. So will be your facility 8. You also have the term about repeat infection timeframe. And this is used, you know, we use this event data for you until determined depth, 14 day window, um, to identify the for, which no new infections of the same time can be reported. So, let's say you have a patient that comes in. You have identified a UTI and then within those 14 days, he has, you know, he has another, uh, culture done. He hasn't, you know, another he has a organism identified. You will not counted as the new infection because it's still within that 14 day period. Will you will do is that if it's if it's a different pathogen, then you will add that pathogen to the original event. And here's an example, you have here the date of the event so you have, um. That it was the suty no, Catherine associated. He has a temperature of 102. And then within the 14, this is a 14 day window. So you have a 14 day UTI repeat infection timeframe. That could be, you know, that's your 14 days from the 1st day that he had a sentence. So this will be on your date of the event and then. Here you got that he has again, he had a culture on the 14. For 8, July, and then he had another culture done. He wasn't, he was for the folding all the time. He had another culture done on the 21st and then here, this culture came in with another organism. So you would not because this is within that. Repeat infection timeframe you will not consider that a new event. And enter it as a new event, what you would do is you will go to the prior event that you have entered in and add this micro organism. And has developed some worksheets so they have a worksheet generator that is on the CDC website. And on this form, if you enter the data. Um, you know, you can put your information here. Based on the science symptoms and the results, the test lab results, it will calculate your timeframe to look for. The return of infection as well as your infection window period. Another concept is the secondary bloodstream affection, attribution, period and this is when you want to assign a secondary. The stream infection this includes the period of infection window, period. Which is like, your 14 days and then it's going to include also the repeat infection and timeframe. Which is the Ford so this period actually is from 14 to 17 days, depending upon the date of the event. And each person has a lot of resources available. Actually, in their images and website, and I'll bring you into this in a little bit, because I want to show you where the. A worksheet in the checklist, you know, aren't available there. This a list of resources I put together, so you can click on these links this link to actually access the HCI calculator in the worksheets. Um, has updated the 2021 site specific infection checklist. This checklist are very, very useful. It has all the criteria and you can, if you have to say, for example, you're looking at a UTI, you want to see if it's a. The city, or in a booty, um, then you can use this checklist to to check the criteria. On 2021, there was, um, this is like all the checklists that are available so they have the lab. You know, confirm bloodstream infection. They have the pneumonia surgical site infection, ventilator associated events for adults and and then there's another resource that's your chapter. 17 has site specific infection checklist. It's also available there. This is the algorithm to, um. To identify if you have a reportable event in, you know, based on the infections that you identified. 1 thing that I wanted to make sure is that, you know, I know this is really tiny is really small to kind of go through it. But, um, it is really important that you'll look at it when you have questions about, is this a reportable event or not? Um, it does have a Docs walk you through, you know, if you have the science and sentence, if if you have any events in cultures are are available, and then has digital. Um. Options where you can see if you have to report it to then. And each person on this reporting a specific data on any device associated infections, it includes, you know, this module includes actually your collapsing, your central line associated bloodstream infections, your copies, your central line infections it includes your central line insertion practices. Your ventilators new for adults in npts and your events. So, this module is really comprehensive. Make sure that you, you go through your protocols and your criteria when you're applying, you know, the events criteria for. And I'm just going to go through this. This slide is just pretty fast, because I'm going to I want to bring you through the demo. Um, this is about reporting device, associated events. This is how, you know, you just have some steps and that's why I want to make sure that you have that on your handouts but I'll go through the demo and I'll show you a specifically how to do that. What you will do is you will click on event and then click add when you want to add an event. And this will open then this window. Um, so you can add even the, your. I wanted to enter into, you know, if you want to enter a bloodstream, then you will select the bloodstream option. And then you are going to have this once you enter your events and in HSN, you'll have to complete your summary data, monthly report, and this 1 on the summary data. So you're going to see that there are different options. You're going to see the device associated. I see you in other locations, the ones for the Nick, you, if you have specific specialty care unit events, and you're going to have also the. And this is like, how the, um. The reporting of the summary looks so, let me bring you into this is about generating data, but I'll go through this. You want the demo because a lot easier to see it. Life so, let me go ahead and I'm going to share my screen while you do that YOLANDA we did have a question, come in in regards to, um, the devices and when, and where they are placed. So, if a device is placed in the, is that considered bedded location so counts in the location of attribution. Yes, it does. Thank you. Yes, it's the non bedded the ones that don't count. Okay. So this is my test facility. And I'm just going to bring you to this 1, because I really want to show you. Um, it took me out just bear with me. And while YOLANDA does that for us, um, just like to remind you, if you want to go ahead and submit a question you can do. So through our Q a feature. Or, also, if you want to ask a question, verbally, you can, um, as long as you connected through your audio, you can go ahead and raise your hand, which is located next to your name. And that will signal us that you have a question. And we will go ahead and mute your line. The other thing I wanted to mention is that, um, and I'll bring you here. Just kicking me out, let me see what they did now. 1 thing that I want to mention is that when you are actually mapping your facility is make sure that when you go into. Um, here on the at your facility, when you're looking at your locations. And I want to just mentioned this pretty fast, make sure that you are mapping your locations. Um, if you don't have, you know, you have a service of you provide services in your facility, make sure you have it mapped. So, that way, you can assign events that happened there. Um, it can not only that you can also create reporting plans that will pull your data. So. Make sure you include that, and then you make sure you include all your units if you have an observation unit. And that means you, if you have. If you have observation base and they are located in the hallway of the, but you're still using them with patient. You still count them. So, you know, make sure that, that you count for everything that you that you provided and there is a bit in there. Um, and you provide care for the patients there because. That way you account for everything. That you provided on the facility, the other thing is when you are creating your reporting times, I want to make sure that. Still 1, too. Um, that when you are. 3, any reporting plans for, um. For your. Okay here I have mapped. Um, sorry, YOLANDA, we kind of lost your audio there for a minute. If you don't mind repeating. Yes, I was going to say that, you know, in the I have here mapped the different units. You see, you have a. For met surgeon and a half CD facility for and but it's really important that you would include. Um, very wide in, you know, for the season. And then that you also include your facility white out, and the reason is because when you're trying to pull reports through, if you don't have those in there. Um, it won't do it. It will pull your reports. So, make sure that. You include your. For in Infinity, wait out, you can still keep your individual. Uh, units, if you want to look at reports and patterns and trends specifically to those specific units, but make sure that you also include the facility wide and facility in and out. Just, let me put these here so, make sure that you select all specimens. And then you can save it so that way, when you look at it, you have. These these here okay, so when you want to enter events, you will go into. I was going to explain it a little bit more. You have this patient tap here, because you might want to add your patients in here. Um, the demographic information, or you might want to find 1 that is already there. So, let's say, for example, I have, um. I have already answered my event on this patient, and I want to go back and add another pathogen on him. Then. Is that not that 1. If I wanted to enter information on, I wanted to look for it if this patient is already part of my P population, I can just click on patient and find and they will give me the. List of everything I have on the system and if I wanted to, um. To find that you find that patient, then it will give me this demographic. If I'm going to. And if I wanted to go into the events, and I want to know if I already had enter any event on, then I can do that. You know, even fine and then do find again. And this will give me a list of all my events that I haven't entered. Let's say, for example, I went into this UTI. And I hope you already entered this information. Have this patient who's my patients that are all 3? It's a female had a UTI. Um, it was an IC, you. Yeah, he had a fully in place. And the device was inserted in the. On 13 of 2021, he did have some signs and symptoms here in the pulse of a culture. And I had already, for example, this microorganism here. If I want is because I had a repeat infection, you know, I did another culture and it was positive. And I say I had. Oh, another pathogen I can come here to this pathogen on that same case on the same event and enter. You know, so, for example, if I wanted to put the E. Come here, and then you will open this enter so I can put here. Um, if it's resistant or no. Really sensitive so if I needed to add more, I could add more pathogens in here. So, if you want to add an event, you will go here to your event. You'll make sure you use your checklist with. Um, so you can gather the information and determine if you have to enter the report the event. Here. And she, this patient is a. Hello. And he was born on 10. I don't have to enter all these other things because that is not a mandate to feel. Uh, when you have a red asterisk, that's your mandate field and then here I have, for example, a UTI. Is going to ask me. What is my day of the event? That's what you needed to understand. How to what is your data for your event? Because that's the day that you have, um, that 1st symptom, identify them in the criteria. So, let's say, for example, that he. Had the 1st symptom on 1 0 5. 2001, that is not a post procedure. This is, you know, it's not meeting it says. Your application. Not in video, or it is, you know, say for a simple it is that you're trying to look at that. So then you're going to select your unit. I say, for example, it was my mid unit telling me that this is a non implant. She is just an alert I'll have to come back here. I say we was not. I say that he was admitted on 0, 1. 0, 102,021. And here, I can say he has the Catherine place and has been there for over 2 days on. On the date of the event, or if it was, he just had it removed or he doesn't have a Catherine. If I say he doesn't have a Catherine. Then I'll have to select which ones of these it is. If I have. And it was removed, I just say the unit moved it. I'm sorry, the location of the device was inserted. And they say it was inserted in the mid search in the unit. And it was inserted on 1 0. And then I'm going to say if he has symptoms, or he doesn't have symptoms, he has symptoms here. And it this will open, I can select the, he had, um. Frequency superintendents in that he had a positive culture. You will tell me if I have a secondary bloodstream affection. I can say, no, I say that he had asked me if he has confirmed or suspected, I'm gonna say, suspected. The patient didn't die and he was discharged on 110 2020 minutes. I was going to ask me for the past if I don't have this culture. Then I don't get the passage in question. I say, for example, then, yeah. Is telling me that I have a validation error. Says the criteria selected is not applicable to the specific event so you'll get some some feedback and it is actually. Is the frequency where we have a temperature. Then it will say. Say he had a culture just gonna pick 1 specific. Um, and it will save it for me. And if I go back to that event, this is my patient. So this is my UTI, this is how your events. Be documented then there's summary report. Here is your summary data here I'm going to add 1 for January, because I don't have. So you have different options here in the summary data time. This is the device associated, intensive care unit. So this is your or other location. This is the 1 that you will select when you have a med search unit, or a medical unit, um, or any type of other unit. Another Ward, so, because they're falls into this other location category. For you, if it's sending. You are doing summary data type. So, you see, we have see what it does it. To drop down box we have a 1 specifically for. But this is the 1 that you'll use for the device associated. So I'm going to continue. And now this is good. So, if I have, for example, my location, let's say is my unit and I'm doing my report for January. 21, you have 2 boxes here 1 is this denominator data, which you can put in your total patient days and your central lines your UTI Catherine days, urinary catheter days a year later days. And your episodes off in later mechanism. Chemical ventilator, you can also see here on the right side that you have a sample value of, for estimated denominator data. This this type of estimate, um. Is when you can estimate the, um. Your number your denominator data, but it has to have at least, you know, when you call it when you. Like your data make sure that you collect your surveillance data that you collect your surveillance data on the same day at the same time, and make sure that it's not weekends because you do it on weekends. Your numbers are going to be different. Uh. If you're. So, I had from my, um. Sample patient days, and when you sample this. You know, 1 thing that they're recommending is that you should include, at least have at least, you know, 70, if you're doing centralized that you have at least 75 central line days. So your date. So you're you can do like, a better estimated. On your denominator data, if you have less than 75. let me see, I'm doing Central. If you have less than 75, uh, central line days. And does slack for for this month then. Don't use this sample just write them directly here. Because it might be less than that. Um. Let's say, for example, it was 75 and then I had. Um, 100 patient days. Sweet. So, you see it auto calculated this. The central line day for me, based on my total patient days. Um, let's say, for example, I had 20. Um, Catherine days, and I didn't have any events that I had reported right? I'm sorry, I had an event that have reported already here on this tab. So you see, this gets grayed out. If I, if I didn't have any classy on this month. Then I will just check off that, um, I don't have to enter any of this data if I don't have anything or I can just interest 0 If I want to make sure that. Everything goes to and then you can see. Say, 1 thing that is important to understand. Like I said, you have to have at least the minimum for you to be able to use this sample estimated value is that you have to have at least 75 central line days. If you don't use that piece, just just write them down your denominator data. And here's your information saved I did for the, for the sake of time I did do, um. The generate data set, which is how you will generate your report is you have to click on generate data set 1st and then this will spin to create your data reporting. But I already did that. So. What I'll do is, I'll go here to, um. I'll go here to analysis and go to report because I just wanted to show you a clients of what the report looks like. So, for the device associated infections, you have different folders for each category. Let's say, for example, I want to look at the UTI. I can run my cottie even list if I want to. And this will give me all this stuff, you know, the, that I have reported. For the month, right? It will give me everything that I have listed you in my system but if I want to do it, just by the month, then I'll have to just create a modify report. But this is how you will be able to pull your reports from here. If you want to do different bar chart or pie charts, you can do that. If you want to look at your infection rates and your Cotty data, you can do that as well as your standardized utilization rate. So, if you want to look at your central line practices, if if I were to enter some information in there, I would have some, you know, data to pull out of here. Um, on the central line, I did it. Did 1, let me just run that 1. Is it does anybody have any questions about running reports about. And train data, you know, in any event data. And we did have a question come in YOLANDA asking, if they enter all positive cultures, even though they are not. No, so, um. Do you have to enter, um, the data. You know, the way I understand the images are reporting, you know, when. Please feel free to. I think we lost your audio, um, apologies. So, can you repeat that is actually. Actually, you know, oh, if you have an infection, um. You know, you'll have to look at that window of infection, period. Yes, if you have the infection, you have to look into the infection window, period to determine if it's an infection on a mission or if it's an infection in and any Justin is really interested on looking at the. So, please refer to that all the glory of them, because they will tell you if it has a positive if you have to report it or not. Depending on the days of the timeframe of that infection. Thank you Yolanda and another question came in asking how often you recommend running reports monthly, or as needed. You can run report as needed when you do this analysis and you do the generate data set what it does actually, is it pulls all your all the data that you have in the system. And it creates like a separate folder for you. And every time that you run, that report it overwrites that. That report, you know, that folder information um, you can run it as often as you want to, you know um, the other thing 1. Option that. For it's actually there's a report for even you run, like, um. Your quality data, So you can look to see if you're concerned about did I enter this information correctly on HSN where am I going to have alerts because my data's incorrect make sure that you run if it opens it make sure that you run that advance tab report because this 1 has, um. This data quality that it was just, you know, it was added, I think, on 2021. So, here you can run, you know, your. I say, for example, you can run to see if you have to duplicate reports procedures in there. You can see if you have to duplicate, um, events. So you can look. To any quality issue data, let's say, for example, I wanted to run this. If you don't have any issues, everything is, okay, you don't have any duplicate information in there. That was not supposed to be there. Let's say, for example, you have somebody came with a UTI is still within that return. Awesome. Yeah. Duplicate it, because it's still within that. Return of infection period. So, you know, that's the good thing to do, you know, to run this, um. You have, you can also run, like, you know, even level data. So, it gives you a lot of things here you can find it. Whenever you want to run it, but, um, you know, at a minimum, I actually. You know, want you to always look at your alerts because if you have. Issues with your data, you will have alerts. It will. Here we have this demo so we have all these procedures missing in the summary data missing because that is how. We know it was pending always check your alerts. Thank you locked in this room. The is run by, you can run it by the month. Here. You see, I create a reporting plans for January, February and March, um, for the training purposes. And since I have not done these reporting plans, this summary reports. Is telling me I have new alerts pending. Okay. Is there any other questions I do not see any other questions in the queue we are at the top of the hours so I want to go ahead and be respectful of everybody's time. Um, like I said, in the beginning, these sessions are being recorded, we will go ahead and share that recording with you and where you can access that on our website as soon as it is available. Um, apologies for the audio issues. We'll make sure to to figure out what was going on and get those resolved. If you have any questions that you were not able to ask during this life session. I encourage you to submit those questions directly to us via email at H, quick at dot. Org. And you will also when the call is over, be redirected to. Answer a couple of questions we appreciate your feedback on this session so that we ensure that we're able to, um. You know, modify anything that needs to be modified in order to make this learning series more beneficial to you that link to that. Uh, quick short survey is also in the chat link if you want to go ahead and click on that and answer that for us. Um, in the meantime, YOLANDA, thank you so much for the valuable information. We look forward to the next session we will be addressing and continuing this conversation and looking forward to seeing all of you join us again. Yes, and next week we will do, um, I will do more a demo so we spend a little bit more time on the demo and then. We have a little bit more thing for your questions than answers. Thank you, we appreciate you all joining us and hope you have a great rest of your day. You all may disconnect now.