Why OIG Did This Review. The National Healthcare Safety Network (NHSN) has served as a critical source for monitoring the effects of the COVID-19 pandemic, and informing the Federal, State, and local pandemic response. In May 2020, the Centers for Medicare & Medicaid Services (CMS) issued a requirement for nursing homes to report COVID-19 data to NHSN. The Centers for Disease Control and Prevention (CDC) has operated NHSN since 2005, but nursing home reporting had been voluntary, with participation from only a small proportion of facilities. The reporting requirement resulted in the influx of thousands of nursing homes enrolling in and reporting to NHSN in 2020, while they, and CDC, also responded to the pandemic. This evaluation provides insights into nursing home experiences enrolling in and reporting to NHSN, and CDC efforts to facilitate reporting such as user support for facilities facing difficulties. These insights can help CDC address ongoing challenges, and mitigate potential issues in future updates or expansions. How OIG Did This Review. We administered an electronic survey to a simple random sample of 197 nursing homes from a population of 15,324 facilities that have reported COVID-19 data to NHSN, and interviewed a subset of facilities. We also interviewed CDC and CMS officials to understand CDC efforts to facilitate nursing home enrollment and reporting to NHSN. We based our findings on analysis of survey and interview responses.
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