In the previous tutorial we covered NHSN
enrollment step 3 register with SAMS.
This tutorial will cover step four
submitting the NHSN long-term care
annual facility survey and the contact
information forms electronically to
begin let's go to the five-step
enrollment for long-term care facilities
webpage found at https colon slash slash
www.cdc.gov / NHSN slash LTC / enroll
dot HTML if you have not already done so
print and complete both the facility
contact form as well as the annual
facility survey for LTCF. Instructions
for filling out the annual survey can be
found here with your SAMS grid card in
hand go to the SAMS website which can be
found at https colon slash slash SAMS
dot CDC dot gov. Under the SAMS grid
card credentials click login
Next enter your SAMS username and
password that you set up in step 3 and
click login. Using your SAMS grid card
enter the values displayed into the
three boxes and click login
next you will be directed to the my
applications page click on NHSN
enrollment and then click on enroll a
facility please note that you will not
be able to save your work in progress
therefore it is essential to have your
forms completed prior to starting to
begin to fill out all of the required
fields as denoted by a red asterisk.
Next you will enter your CCN CMS
certification number along with the CCN
effective date and check
not applicable for other identifiers for
the facility type select LTC skilled
nursing facility then select if the
facility was operational in the year
prior to NHSN enrollment for the NHSN
components check the long-term care
facility component for NHSN facility
administrator fill out all of the
required fields as denoted by a red
asterisk, now click here to populate the
long-term care contact person from the
NHSN facility administrator as
previously entered next click here to
copy the facility address as previously
entered enter your email address here
and create a user ID we suggest using
your first initial and last name please
note that you will not use this user ID
for login purposes
next you will fill out the long-term
care annual facility survey please enter
all required information as denoted by a
red asterisk, when complete click continue
and then click Submit immediately after
you have submitted these forms you will
receive a pop up message confirming the
receipt of these forms along with a
tracker number
additionally you will receive an NHSN
email with a link to the required
consent forms if the email is not
receive immediately contact NHSN at
cdc.gov so that they can assist you
this concludes step 4 of the NHSN
enrollment process the final enrollment
tutorial will provide instructions
for completing step 5 sign and send
NHSN agreement to participate as well as
conferring data rights to HSAG and the
National Coordinating Center.