Good afternoon everybody and welcome to our 3rd session in our NHSN Navigating Your Way Through this platform series. My name is Bea young and I will be your host this afternoon. I want to welcome you to our 3rd session and before we get started, I want to go ahead and review with you all a little bit about how you can interact with us in this, um, Nick series that we're gonna have uh, you want to go ahead. And ask your questions there is a panel called the Q, and a panel, you can open up that section at the bottom of the participant panel by clicking on the little arrow that points to Q and a, and it'll expand that make sure that you ask your question to all panelists. So we can address that either during this session live or we can type in an answer for you, or have to follow up on you. If we don't have a response for your question immediately. Another way that, uh, you can speak up and ask your questions is there should be a little hand, uh, icon next to your name. If you click on that icon, it old show you as a person that is raising their hand and is ready to come off of mute. Uh, so we can ask. So you can ask that question. So we'll go ahead and identify you, uh, unmute your line. So you can go ahead and ask your question. And then, once again you'll want to check on the chat feature, we will be drop it in some, uh, links on there. The 1st link that I'm going to go ahead and drop in there at this time will be the slide. So that if you want to go ahead and, um, download a copy of these slides, so you can writing your notes, um, or follow along. Uh, please do. So. And we'll go ahead and get that dropped in here. Finally, I want to go ahead and take the time to once again introduce our speaker for this session. Uh, YOLANDA, she is our health care quality improvement, specialist with TMF, health quality Institute. And prior to joining, uh, YOLANDA worked as a long term care administrator, and was the director of quality improvement in 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. And has obtained her lean 6 Sigma, green and black belt certifications from Purdue University. She holds a bachelor's of science in 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. Uh, YOLANDA is also, uh, our subject matter expert for long term care facilities and hospitals, and she has assisted, um, a lot of to send users with technical assistants and provides training to ensure data quality reporting to. So, if there is a question you have on, she is the 1 that. We'll have answers or know where to guide you too. So who who wanted to make sure that you take advantage of this session and the series, um, to help guide, uh, and lead you in the right direction so, with that YOLANDA, thank you. So much for joining us today, and I'm walking us through this next series. I'm going to go ahead and pass you the controls to the slides and. The floor is yours. Okay, thank you. So, must be in good afternoon. Um, today we're going to talk about the surgical side infections. So, 1 thing, you know, things that we want to use who to take out of, take with you on this learning process, is that we want you to to know how to describe your surgical site infection and surveillance methods because there are different than the ones that we have done before and then we also want you to be able to identify what is a or pair of the procedure. Um. They I know that we have also the ICD 9 codes and the cpt codes, and HSN has a specific list of procedures that are included under this, um, patient safety module. For surgical site infections and then we want you also to learn how to report events in HSN and utilize the and reporting application. So let's get started. 1st, I wanted to bring into the impact of surgical side infections, you know, on. On facilities as well as some patients, according to the patient safety, uh, network. They, they, um, have. You know, use the definition of the CDC for the, and they actually, um, you know. Understands it occurs, you know, it says he understands that occurs. At, or near the surgical incision within 30 days of the procedure. So that is part of the surveillance that you will maintain. And then they also bring the point about the approximately 3% of the patients will die due to this type of infections. And then, according to CDC on 2009, 2019, only 7% of the a standardized infection rate was decrease procedures. So wants you to utilize this, utilize your data to actually compare infection rates with similar facilities. So it's really important for us for us to ensure that your data's collected in a systematic and consistent manner. And because the CDC has to build some standards and symmetric guidelines to help you do that, um, some of the key elements preventing surgical site infections always includes making sure that safety patient safety as your top priority, utilize to track your infections and utilize also mechanism of feedback from your providers and patients, you can also utilize surgical safety evidence based. Right? It is to improve the systems and processes because even though infection prevention has evolved, there's still a lot of surgical side infections being report it. So. 1 of the things that, you know, we want to keep in mind is that the majority of these societies are considered proven. So, in order to prevent, you know, help you prevent sighs CDC has put together the surgical site infection, um, module. So, it will help you track and trend your surgical site infections and your facility, and then they will use that data for comparison in benchmarking. Um, they have also developed. Like I say, you know, standards and protocols to help you guide um. To identify what is in, you know, what is a surgical site infection and what is not, um. So, if we want to define what a surgical site infection is, it has to meet the criteria of. And my best advice is make sure that you always use the images and criteria when trying to identify if in reality, something that you might think is a surgical site infection is a reality meeting that criteria or not um, also make sure that it is included in 1 of the relative procedures, um, if it's not in 1 of that list of procedures, then you don't, you know, it doesn't get reported to any chance then you might continue the surveillance at your facility level but it doesn't have to be reported there. And I'll show you eventually, when we go to the to the demo, what is the list of procedures. And then in 2021, the former, um, in HSN, they had a category other procedures so any other procedure that was not in the list of the list of procedures and it just said you could use that category. So, what they did in 2021 is they took it away. So that way, you know, you have to, um. Identify in what classification of those procedures does that case falls that falls end. And over other procedures are the ones included they're included in the IC 9. Um, I see, I see the 10, um, procedure codes, and then they're also included on the cpt codes. So those are, um, there is a group, you know, when that procedure that's on the, um, you can look for it. I see the 10 and then the group of procedures under that category can also be included on the. So. And it takes place, you know, in a project procedures, 1, that takes place during the operation. Or, at least women's session is being done either by laparoscopic or by open incision. And the other, um, definition they have is, it also takes place in the or. This, um, the C section room interventional radiology, or. The ones that are excluded are those who actually have. The, um, classification score of 6, those are not eligible for you to identify them as, uh, as surveillance case. So, if we went to look into the surveillance or different ways to do it. There are 3, you know, the 3 types of surveillance. You know, the, the 1 that's active the patient based, um. Can also be prospective for procurement and then the post discharge 1. so what they want you to do is to review your admissions missions. E. D. Uh, logs, you're operating room logs to identify, you know, your cases as well as, um. Your lab, your imagings and your diagnostic testing. You can also use your clinicians, um, and healthcare providers notes as well as the ICD, 10 codes, uh, diagnostic codes and the cpt codes. Um, you can also visit the units, you know, if you want to do it. Um, you know, on an ongoing basis, you can visit the units and then be able to talk to the staff to identify it also. Um, potential. You also want to perform surveys and goes that is your feedback. Um, and it can be done, um, with the surgeons as well. With the healthcare providers as well as the surgeons. And the patients and these can be done for inpatient and outpatient procedures. And it just ends surveillance has some key points. Um. We want you to perform surveillance of the, for, at least 1 in operative procedure category. When we go to the demo. I'll show you how, um, you will be able to identify those because if you are doing procedures at your facility, you want to be able to collect as, you know, all those procedures that you. Perform at the facility you want to list them, you want to include them on your surveillance for that. You'll have to do the reporting plan to include them in there and then you want to collect data on all the procedures that are being. Performed at your facility that are in that reporting plan. The numerator, um, that's being used, you know, when you look into the statistical data, um, it's your events. Your denominator in this case will be all the procedures that are performed. The procedures need to meet the and definition of an upper, the procedure. In order for it to be classified as it is and then also they want to you to include all those, um, that have, you know, infection present on that mission. Those are reportable events for those in this case is, you know. The emphasize will also be be attributed to the facility where the procedure is being performed. So, let's say, for example, you know, you have, um, of sister facility in the facility is the 1 performing the procedure. The patient comes into your facility with that infection at the beginning, you know, it will be attributed to that facility. The surveillance in in for the surgical sign, infections has a different, um. Timeframe so you will look at surgical procedures. Um, within this list that are, um, you'll have a surveillance for 30 days. You'll look for infections within the, you know, for 30 days. And you also have the surveillance for 90 days. These are these tables are available in the and website. You also have a side a specific. Type of infections and begin to be by Oregon. Nobody space. The events, you know, we were talking about the numerator, the window and the infection window. Um, the precedent on admission categories as well as the or the repeat, um, timeframe. Definitions actually the ones that we had discussed in the prior, um, presentation. um module do not apply to the so you have to make sure that you use the surgical site infection protocol to be able to um do the surveillance And identify these events, um, and I say this, because you have a a 30 day in a 90 day window so you don't have, you know, it doesn't have to be a specifically using these definitions. Um, you also want to monitor all the patients having the, the procedures that they're coming to your facility and then on the date of event that is the date when the 1st element used to meet the infection criteria is reached. So it will, and it will reflect the best issue. So. If it occurs for the 1st time doing the surgical site infection procedure, um, period. All the elements are occurred. Within 7 to 10 days time frame with no more than 2 to 3 days between the elements. So, for example, if you have a surgical site infection that, um. You have, and when they talk about the elements is, like, you have all this risk factors as well, as you have the symptoms and the, the lab testing, um, all those events elements will occur within the 7 to 10 days timeframe. And then there's not more than 2 to 3 days between both of them. So, for example, if somebody, you have a positive culture right now. With a surgical site infection, and the next 1 occurs new 14 days later that 1 is a separate event. Cause it's not within that timeframe. So. And then this, so that's when it will be considered, for example, or secondary. Um, that's stream infection if it's more than that 17 days. Period the denominator for procedure. Here, the procedure includes, um, are included in the ICD 10. In the cpt codes, they also are included. Um, under your reporting plans, and it includes your, um, infections prior to surgery. There is a, um, entire, you know, section on infections prior to, um, the time of the surgery that, you know, I want you to be able to refer to on the protocols from. When trying to identify those. Here is the, the key components of. Denominator for procedures. What I'll do is I'll explain these and when I go into the demo, so it makes more sense to, you. And here, we're going to try to get you ready for reporting surgical site infections, and you have to number 1 identify your surgeons. And I'll show you that on life on the demo as well as creating your reporting plans. And then here, you will be adding your imperative procedures. And you will be reporting your events, I'm going to, um, jump into the demo. So that way, I can show you what we have learn up to now. Just bear with me for a minute. Okay, okay so. The 1st, important thing that you I want you to do is, you know, go into your facility tab. And click on locations, and the reason is because you can click on find so you can find all your locations. It is really important, because sometimes new facilities have to use for years. And many of sometimes this location has has changed. So, in order to make it. More efficient for you make sure that these locations are actually active. Let's say I'm going to do. This is my demo facility, so I'm just going to say that my oncology general hematology. Um. Unit is no longer available, you know, we close that unit. So what do I need to do? I need to go here and click. On the on the facility so it opens my facility here and then I can click just close this. I can click here on inactive and I can inactivate my facility and I can save it the reason why you want to inactivate it. If it's not, you know. Um, an active unit you're using is because you don't want to have to report data on that unit specifically if you're trying to, um, do it. Reports by you in it um. It does not mean that it will take away the data that it's on the system right now it will just not allow me to put more new data in it. It doesn't mean that I cannot come back here and change it. If I. You know, let's say they open the unit again if they did, then I can come back here and click on the on the unit. And come back here and activate it again, it's really important that you make sure that the units that you have, you know, in this demo, that's why you have so many so many units here. Um, but the units that you have in your facility map into, are actually the current ones that you have at your facility. Okay. Once you do that, the next step is to go into your search and list. You go to the facility and go to the surgeon and here I'm going to click finds so I can find the ones, the surgeons that I have listed. Let's say that, um, DC, um, is still working at the facility, but I have, um. Mister Elmer is not no longer there. So I'm going to do is I'm going to click on him and I'm going to, um. Deactivate him so I'm gonna put him as inactive. And I'm going to save it the reason why you cannot delete him is because. It might be, you might have data in tied to his name, so you don't want to be able to delete that data. You want that data to stay still in your database. Is there any questions with this? I want to make this demo section really interactive. So please if you have any questions, you raise your hand and or ask the questions on Chad and and we will read it for me. Um. I want you to be able to learn everything that you need to learn from here. If you do have a long list of surgeons, you can import that list into by clicking on the import button here. Um, it will just, you know, have you have to have like, a CSV file and then you can click on the, you can choose, you know, from your computer, the file and then you can submit it and it will, uh, upload the form. The list for you, you're in it. The other thing is, like, make sure that if you want to delete locations, or you went to inactivate locations. The only person that can do that is actually an HSN facility administrator so make sure that, you know, that person is current. If this person is still. Yeah, the facility that's great. If the person is no longer at the facility, that role can not be reassigned by anybody else. So you need to submit the and. And it's just a change form to. Through the CDC website, and, um, and then you can reassign, you know, as for the reassignment of that role. Just try to make sure that that role is always kept up today because this is the only way that can you can make changes to. The next thing I want to bring you up to is the reporting plan here, this reporting plan I'm just going to find it because I have 1 that I did for March. In here a half, like all the procedures that. This facility does hypothetically so I have if I want to. Sorry to activate this. So, I can make changes I have to click on that edit button in the bottom. Which will make this active and then I can say, I'm, I am no longer doing abdominal. Aortic aneurysm repair so I'm going to trash that. Because I'm not doing it anymore. Um, my facility is not doing any more, um. A gastric a surgery. I can take it out so you wanted to make sure that you have this up to date if you, for example. Need to ask them, then you can click on this at road and you can click on the list. And this is the whole list of all the surgical procedures. Um, the procedures that has on their system, so that you can select from there which ones do you do? So, let's say, for example, now they're doing introductions and then they're gonna ask me if it's inpatient or outpatient. So I'm gonna say they're doing it all patient. And then I can scroll down to the bottom. And click save, and that will save my plan. 1 thing that I also wanted to mention is that, let's say, for example, I'm doing the 1 for April. Pick here the month, and let's say, for example. In the month of April I had a situation going on and the facility I can, um. Let let me do something. 1st, I'm going to do the reporting path for the month. Right? So, I'm doing April. So, I'm going to click copy from the previous month and copies. Copies the previous month from for me, so I don't have to copy it all over again. See copies all my procedures again and they say, um. Doing this 1 too, and I'm going to save it. So, I have the April reporting plan done, but now. Something happened at my facility and. Go back here for April, let's say that something happen in my facility and we didn't have. Patients that whole month in order for me and I say, well, you know, I got. To report to and they just send my data. So what am I going to do if I didn't have patients on the facility? And I didn't do any procedures. I didn't care for anybody, so I go here to the bottom and click edit. This activates my reporting plan and then. I'm sorry, I'm screwing up and down. I click here where it says no, HSN patient safety models follow this month. And I just save it and that's telling me that. I'm just, I'm just telling you HSN. They're asking me if it's okay for me to do it do that. I'm counseling the plan for this month. Um. It's just a warning, so I can click. Yes, because what it does is actually tells. Don't don't, uh, create alerts for me that I didn't report on the month of April, because I didn't have patients to report data on. If you have to change it, you can click edit. And then take that off. And you can just create your reporting plans all over again. Is there any questions with the reporting plans? I don't see any questions coming in YOLANDA, but let me remind everybody if you want to verbalize a question. There is that hand icon next to your name that you can race, or you can drop in your question into the Q and a feature. Okay, great, thank you. And then here on the procedures, I'm going to tell you, um, let's say, for example, you are doing procedures at your facility, and let's say I was doing I had my plan here to do. Um, and this is my. My month of April, so I'm going to come here. So, April, I'm gonna click add, let's say I got a patient is. As patient number is 123. And that could be his medical record number or a number that you assign the patient. I have to put here the gender. It tells me that I don't have a patient listed with that number and that's okay. I can put here he's a mail and he was born on 10, 4 and 19. 59. So, what it does is just verifying some information there for me. And then now I can click here and say, okay, so I did have. Um, knee surgery. Done and I don't have to put the cpt code or the. I see the 10 code because I'm using the code. So, I'm going to say he goes out kidney surgery. Okay. Um. And then I can put here the date of the procedure. So let's say that. I'm doing the month of April, so let's say that he had the procedure on 412 2021. This link here, or on linked to event is if I'm going to have an event, you know, eventually, um. I have to enter the data for the event, and it will link to the procedure. If it's the surgical site infection on the outpatient here, um, you will list if he has an outpatient, um. Case or he's not, um, in outpatient cases, consider the. That case that comes and goes on the same day. So he doesn't, um, the date of admission is the date of discharge is the same day. So, let me say that he's not. Unimpeded an outpatient. Patient, so now is asking me for the duration of the surgery. Let me say that it lasted 3 hours. In 20 minutes, then it's asking me if the room was clean, clean, contaminated, contaminated, dirty. Denise, can you surgery so let's say that it was a clean surgery. It's asking me for anesthesia. Is it generalized to show or not? It was then it's asking me is the patient. Healthy has mild systemic disease or severe systemic disease. He has some severe systemic disease. I'll put that. If you see, uh, here, you don't have a 6. So, it it only goes to 5. And then here on the emergency is telling me. Is the patient is a surgery. Um, an emerging procedure, or an urgent procedure. I'm going to say, yes, it's asking me if it's by trauma, you know, and sometimes you're going to have those patients that have knee replacement or hip replacement, because they had a fall and they broke their hip. Um, in that case, you will answer yes. To the trauma. Because on the trauma, what it means is that the operative procedure is done, because there was a blunt or penetrate penetrating traumatic injury. You know, to the patient before the the surgery was started. So, in this case, I'll say, no. It's asking me if it was the scope. So if, if it's asking me, if I reached, you know, we use an instrument to. Reach the operative area by scope my elaborate scope. Um. And the scope of the scope, so by any scope so I'll say, no. If he has diabetes in this, um, this risk factor actually is looking for. Um, being treated with insulin. Or or non insolent so it has to be, um, non insolent agents. Um, so I'm going to say that his diabetic. And the closure techniques, if it's primary, or is this other type of, um, other than primary and it was primary. And then here is where your surgeon list remember the surgeon list that we did at the beginning this is where you will use this surgeon code to identify the doctor. So I'm going to say that it was. You see, I only have 3 because I took out the other 1. Um, embedding he was like, 5. Okay. And then he was 200 pounds, for example. So here is how this is how you enter your procedures and then you just save it. So, now, my procedure is here, if I want it to print it, I can just look at it. Here's the procedure, so. You have to enter all the procedures that you stated you are going to be, including on your reporting plan. There is a, um, there is a. I think there is a way to upload them as well. And you can click here, you can find the ones that you have here. If you want to. I said I had this procedure of that. It was done on for 12 must say that I had an infection. 5 days later, so. It will be for for 17. okay so I'm going to add a procedure. Here I'm going to look for the for the patients, right? I can if I have the name of the patient, it's easier for me to direct that. If not, I can just. Close this, and I can put that it was 301 2 3. And you'll find the information for me to put this demographic information for me. If you want to, you know, everything that has, the red asterisk is a mandate, a field. So you have to put that in there. But if you want to complete the rest of the information, you can do that as well. Um, then here you have on the events, let's say, for example, he developed, um. He developed some, let's stream infection. In that case, then I had to put the data at the event so he had surgery on for 12. I'm going to put that data. The plan was for 17 2021. It's going to ask me if it was a post procedure. And I'm going to say, yes, because remember you have a surveillance window of 30 days in 90 days. So I'm going to say, yes, this is going to tell me what procedure that that he had. You know, say he hadn't kidney surgery. And the procedure was done on 412 2021. And I can link it to that procedure. To know, is link. And now I can say, okay, he didn't have that. It was on my surgical unit. And he was admitted on 4 102,021. And then I had to say that he has a central line. I'm going to put yes, he has hemodialysis central line. Um, but they was. The location when it was insert, it was inserted into E. D. And it was inserted on 402,021. Now is asking me if it has has extra. Referral a lot of support, I'll say, no. It doesn't have any ventricular assist it now um, to this. Default it to now. And then I have to come here and select what symptoms that he does he have. So, let's say he has chills. He has some. Pathogens if he has pathogens, this will be yes, and I'll be. Asked to complete this pathogen area here. I'll say he didn't die. If I save it without it, it will ask me then I need to enter a pathogen. So, let me put, um. See, it. Eva, I'm just picking 1. So, if that's the case, then I have to go in here and select, you know, if this is the sensitivity, or if it's resistant to the medicate to the micro organism and you have to mark them all cause if you don't do this, it won't let you save it. Just assuming I'm reading the antibiotic room, um, from the lab. So. And all of these here in this section, have to have a response or else, it's not going to accept it. Yeah, it's not gonna it's going to save it. If you don't have. Information here, um. Yolanda, as you're saving, there was a question that came in, um. Do they only report procedures that have any of the elements within the noted timeframe days? They have to enter all the procedures that they say, for example, if you go into the reporting plan and I look here. And I have done for the month of March, for example, this is all the procedures that I am going to be keeping surveillance on. If I do any of these procedures. I need to come here to this procedure tab and enter them. When they're being done, because remember, that is my denominator of my surgical site infections. So if I don't enter them here, then there's not a way for the statistics in HSN to be reliable. Because if you only enter, um, let's say, for example, I come here to my reporting plan. And I find a say, for example, I have all this list of surgery surgeries, and I have done C sections and I have done agile hysterectomies. But I only enter the vaginal hysterectomies when I'm trying to. I killed and it just I was trying to calculate my, um. Infection rate it will. It will not count all my denominator because I didn't enter all the procedures that I perform during that month. Is that answer your question? Okay, um. Yes, we got it. Okay. That makes sense. Okay, great. Yes, you have to enter them all because it's your denominator. So you want you want them to be all in there? Because if I do a lot of like, let's say, like orthopedic surgery, um, and that's my specialty in my hospital, then I want and I have like, you know, I did like a 100 surgeries and I only, I only put under procedures, only 20 of them. And then I had 10 surgical site infection, that's 50 surgical side infections. So I don't want this to be messed up because I didn't put all my procedures in. So just make sure that you always, if you say you're going to keep surveillance on these type of procedures, make sure that if they are being performed, you don't have to do them. You don't have to kill yourself, you know, and it just doesn't want you to do that. They want you to do is actually you can say I want to. I am going to just keep surveillance on my orthopedic ones. That's my main surgeries. We don't we do like, um, like a bowel surgery, like a. Once in the blue moon, so I'm not going to include that 1. Because my chances are, I might need even do 1, but let's say, for example, if in that month, um, because you can come back and re, edit your your reporting plan in that month, you did have last month, you know, 5 ball surgeries. Then you, you might want to come back to that month in the reporting plan and added that and add those. And do and add those procedures as well but, um. you know try to to make sure that that you're you're doing you know the surveillance on those that Are the most of you do it your facilities, you know, if you do it once and boom don't don't include that 1. because you can come back and edit it the day that you do it okay So, then these are the 2 things you have to do, you know, to enter your procedures and enter your events. And then, um, here you have your report, your summary data and this 1. This 1 is more about devices and about and this, we will cover this reporting plan piece, you know, next, you know, the next. Presentation that we do for the, um, and then I'll show you how to do those summary reporting plans. Um, 1 thing that I wanted to touch on is distance analysis tap. Here's where you can go into generate data sets and once you generate the data sets and that will spin, you know, a little bit and create that. And I won't I won't do it now because I did it a couple of days ago. I just went in a matter of saving time. Um. If you go here into once you click you update this, but this does, is it pulls all your data that you have enter into and puts it in a separate folder? So it sort of copies it. Um, it does not. Delete your data doesn't do anything to your data, just copies it to a separate folder and then you can run reports. So you can click on analysis and report. And then here, you can go into the procedure tab. Here's where you have your exercise, so you can look in your emphasized by a line listing. So, you can do a report of all your, you know, if you have any. Or you can, you can do it by bar charts and pie charts and you can also do it. By by surgeon, you can look at your by surgeon, but you can look at them by procedures. Another way to look at this is you can go into this advanced button here in the bottom. And you can't. And you can click on this procedure tap and here you will see all the procedures that you have done. You see, here, I just pulled the 1 that I, I put it, um. For the month of, um, I did it on February, so I included that 1 there. So these 2 reports, you know, you have a lot of reports here is available that you can look at. Um. You can also do it by, you know, if he wants to look at your facility data and specifically you can also look, um. As some of the different reports for your facility, and you can also do it by pathogen. And here, you can do the event list so if you wants to look at your events, you report off your infections. Here's my list for everything that I entered so I got it some that I have to report it. And why doesn't it you might be asking, but you just enter 1 event why is why it didn't pull that event that you just entered is because remember, I did this generate data set 2 days ago if I would have done it today it will pull my data that I just entered. So just make sure that you always update your. You generate your data set again if you enter data so it pulls your current information. Okay, okay. Um. If there's no question, that's all I got I was going to pass it into because I know she has a section that she wanted to share with, you. Yeah, there's just 1 other question, YOLANDA, um, regarding the, um, let's see here. Hold on. Let me go back. The list of surgeons, um, it has to be uploaded into or can it be entered as well? You can manually enter it, you know, here, let's say, for example, I wanted to add, um, 15 for Dr Harris. Um, John. And I want to make him active, I just add it. So now, when I come here to my display, all. Doctor is here you can manually enter them um. 1 thing that, you know, is important is to make sure that is active. So it, it pulls them pulls the ones that you need when you're trying to assign them to the procedures, but you can manually enter each 1 of them. If you don't have that many. Um. I just say that, you know, in hospitals, you care hospitals, they might have a long list of surgeons and that's when they can import. Import import them to just to make it easy for them. Okay, and if if they're going to import it, import them is there a template that they're supposed to be? Um, utilizing, or is it just any CSV file? That includes the information. If there is a specific format, because it has to include all these components and works all in the mechanics. So, um, you know, make sure that you. We can, we can put that in the website if you want, um. Okay, you post that on the website so they can have it available. But, um, the other thing I wanted to tell you is, like you have, I'm gonna take you here. Um, let me see if I'm sharing this or not. Stop sharing this. Yes, this is the CDC website where you can find information about your patient safety modules. And 1 thing that I wanted to mention is that there is a surgical site form in a denominator, um, procedure form. It's just, um. Pull it here you see, this is the denominator procedure form. Like, you can do it on paper as well if you want to do it on paper and then you can go into. Put it into your, um, and database or. You can also do it. You can also do the surgical site infection. Event for him, so it is available and it does have on that site. It does have also the instructions. Um, so it is here. So, I, I believe they should be the surgeon list should be available in 1 of these. And 1 of these locations, so also we can locate that and then put that. Make that available to you all um, as far as the searching quotes, YOLANDA, do they have to be the hospital the codes at the hospital uses, or does and have. A specific codes that they want them to use no, they can use whichever code they want. 1 thing that I will suggest you to do, is that, you know, based on my experience with, with, uh, quality improvement, you know, you can use their, um, their license number. You know, their ID number or the number that you have assigned for them um, because when you're pulling reports on and you want to take them to some of your meetings, um, you don't have, you know, it doesn't disclose their name. It just says a number. So, they'll they'll know who they are. If you use their license number. But nobody else will so it still protects the information. That's a great especially. If you're looking for patterns and trends. Physicians are excellent but they don't like their data to be displayed and they'd be put on the spot. Mm. Hmm. So, usually, what we do in quality improvement. In hospitals is basically do it by code. So, when we look at patterns and trends, we're looking to see if. You know, all the infections belong to 1 surgeon, or if they're spread all over. Um, but you don't want to put them on the spot. So that way you have them by code. Perfect and then, um. If, uh, let's say, do they still have to enter data or check a box? Um, if a type of surgery is not performed that month and in HSN, if they are, if that is the type of surgery that they're tracking, but there was no. Uh, surgery is performed in that category. Is there something that they have to do? They don't have to do anything um, if they don't they say, for example, I'm doing the month of March and in March, I didn't have all this list of procedures that I'm doing. Um, and let's say I didn't do limit invitations. I don't have to, um. To come back here and edit this reporting plan, because I'm just saying to them to images and this is what I'm going to maintain surveillance on. What is important is that if you do them include them on the procedure tab, so then it counts towards your denominator number. But if you don't do them, you don't have to come back here and add them. Unless you are not doing them anymore, let's say, for example, if you you stop doing limp applications. Then you might want to come back here and just take it out because you don't you're not going to do them anymore. Perfect, thank you so much. Of course, and while we wait to see if there's any other questions come in, I want to go ahead. I'm going to. I'm gonna take the, the control from your really quickly YOLANDA cause I want to share with everybody. Um. Where all of the recordings are. Being placed for these events that we're having plus any additional resources that our consultants identify as valuable that have been helping, uh, some of our other partners and hospitals that we are supporting through our aqyq contract. Um, we have set up all of this, uh, you will need to utilize your facility level account. That has been provided to you. If you are insure, uh, what account that is, please, uh, reach out to your consultants, and they will go ahead and help with that, or you can send an email directly to us. Um, Victor, if you don't mind dropping in our email address into the chat, while I share where they can access these recordings, you will need to go into. That facility level account, log in with the username and password that was provided to you and then under our hospital quality improvement initiative, there was a button that is set up that is called and support. Once you click on that. Um. Well, not get corrected, but you will be able to see Libby. Log in as myself in, I can show you here really quick. Um, you will be able to see the 2 recordings that have been set up along with also any of the resources that we had provided to you. Um, during these events, um, the next couple of sessions will also be shared in this, uh, behind this button and so you will be able to access those, um, recordings and the resources and anything else that we, um, identify as being a useful across our. Are H, quick partners? Um, I also wanted to make mention. That for the next series, which was originally scheduled for next Thursday, we had, um, an emergency come up and we are going to have to postpone that 1 more week. So it will actually be taking place November the 4th at the same time between 12 and 1. uh, we'll go ahead and send out, uh, a calendar update and a reminder. If you have not already received that from Webex directly. So you can go ahead and adjust your calendar. And if for whatever reason, you aren't able to join us that week. Um, we apologize for the inconvenience, but please rest assured that that recording will also be added onto this page and you will have access to all of those resources that are shared and embed. Anytime you have any questions. On, um, on and how to enter data, or how to pull a report, or, uh, anything administrative, uh, please reach out to your consultant or directly to our H, quick dot org, email address and we will be happy to help to support those needs for you. So, I will pause there and see if there are any questions. Let me go back here to my screen. I don't see any questions, uh, any closing words uh, YOLANDA. The only thing that I wanted to offer is, like, if you have a need for a specific training, you want to have a hands on yourself. With an HSN, if you need to if you want to do that, please reach out to your consultant and they'll get in contact with me, I can coordinate that. Um. Sometimes, you know, we all learn in different ways and some people learn by, by doing and I actually like to have them, you know, walk them through, um. By doing it themselves and so that way they can remember. So. This is something, you know, I really want to make sure that you take the most of and that. You were here to support you and and help you. Yes, thank you in the chat. I've gone ahead and dropped in 1 last URL link. We appreciate your feedback on this event. If you don't have an opportunity to click on that and answer a couple of questions, you will automatically be redirected to that side. Um, and it's only 4 questions we appreciate your feedback. That's how we make sure that we address the issues that are important to you. So. Um, I don't see any further questions and with that said we look forward to our last session where we will be talking about. I believe it's and Marcia. Um, is that right? Yes, yes. And. Yeah, so That'll be That'll be a great conversation. Uh, once again that's going to be postponed from next Thursday to November the 4th, which is the following Thursday same time same place and we'll. Look forward to connecting with you all then. Um, thank you guys for joining us and you mail now disconnect.