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Please see <a href="/nhsn/faqs/dialysis/faq-esrd-qip.html">FAQs about NHSN and the CMS ESRD QIP Rule</a>.</p> <p>Once a facility is enrolled in NHSN, additional users can be added. At least two users with administrator rights per facility are recommended to provide coverage for staff absences and turnover.</p> </div></div></div></div><div class="row "><div class="col-md-12"><div data-post-id="249" data-site-id="501" data-site-root-folder="nhsn" class="card mb-3"><h2 class="card-header h4 bg-primary">Step 1: Training and Preparation</h2><div class="card-body bg-white"><div class="float-md-left mr-md-3 pt-2"><img decoding="async" class="img-fluid" alt="2 healthcare personnel working on a laptop" role="presentation" src="/nhsn/images/training-lg.jpg?_=24551"></div> <p>Print and follow <a href="/nhsn/pdfs/dialysis/hd-enrollment-checklist.pdf" target="_blank">Home Dialysis Facility Enrollment Checklist <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 352 KB]</span></a> to ensure successful and efficient enrollment.</p> <p>Complete required training and <a href="/nhsn/forms/57.507_DialHomeSurv_BLANK.pdf" target="_blank">Home Dialysis Center Practices Survey <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 95 KB]</span></a>. Be sure to check trusted websites and spam blockers.</p> <p> </p> <p><strong>Time to complete step 1: 2 hours, 45 minutes</strong></p> </div></div></div></div><div class="row "><div class="col-md-12"><div class="card bg-transparent border-0 rounded-0 mb-3"><div class="card-body p-0 bg-transparent"><div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down arrow" src="/nhsn/images/downarrow.gif?_=24594"></div> </div></div></div></div><div class="row "><div class="col-md-12"><div data-post-id="213" data-site-id="501" data-site-root-folder="nhsn" class="card mb-3"><h2 class="card-header h4 bg-primary">Step 2: Register</h2><div class="card-body bg-white"><div class="float-md-left mr-md-3 pt-2"><img decoding="async" class="img-fluid" alt="Rules of Behavior" role="presentation" src="/nhsn/images/rob.jpg?_=24561"></div> <p>Agree to <a href="https://nhsn.cdc.gov/RegistrationForm">Rules of Behavior</a> and register facility with NHSN using CMS Certification Number (CCN) or CDC assigned enrollment ID.</p> <p> </p> <p><strong>Time to complete step 2: 10 minutes</strong></p> </div></div></div></div><div class="row "><div class="col-md-12"><div class="d-block text-center"><div class="card bg-transparent border-0 rounded-0 mb-3"><div class="card-body p-0 bg-transparent"><div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down" src="/nhsn/images/v-bar.gif?_=24558"></div> <p>After registration, you will receive two emails: ‘<strong>Welcome to NHSN!</strong>’ (immediately from NHSN)<br> and ‘<strong>Invitation to Register with SAMS</strong>’ (from SAMS-no-reply within 24 hours).</p> <div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down arrow" src="/nhsn/images/downarrow.gif?_=24594"></div> </div></div></div></div></div><div class="row "><div class="col-md-12"><div data-post-id="3903" data-site-id="501" data-site-root-folder="nhsn" class="card mb-3"><h2 class="card-header h4 bg-primary">Step 3a: Register with SAMS Partner Portal</h2><div class="card-body bg-white"><div class="float-md-left mr-md-3 pt-2"><img decoding="async" class="img-fluid" alt="Register with SAMS" src="/nhsn/images/register.jpg?_=24554"></div> <p>You will receive an email from the <strong>“U.S. Centers for Disease Control: SAMS Partner Portal – Invitation to Register.”</strong> It will include a web link to the SAMS registration page along with your assigned SAMS Partner Portal User ID (email address) and a temporary password. Please click on the link and enter the SAMS Partner Portal User ID and temporary password when prompted. Then follow the onscreen instructions to register and accept the SAMS Rules of Behavior.</p> <p><strong>Note</strong>: After being invited to SAMS, you have 30 days to complete the registration process.</p> <p> </p> <p><strong>Time to complete step 3a: 16 minutes</strong></p> </div></div></div></div><div class="row "><div class="col-md-12"><div class="card bg-transparent border-0 rounded-0 mb-3"><div class="card-body p-0 bg-transparent"><div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down arrow" src="/nhsn/images/downarrow.gif?_=24594"></div> </div></div></div></div><div class="row "><div class="col-md-12"><div data-post-id="3905" data-site-id="501" data-site-root-folder="nhsn" class="card mb-3"><h2 class="card-header h4 bg-primary">Step 3b: Identity Proofing Verification</h2><div class="card-body bg-white"><div class="float-md-left mr-md-3 pt-2"><img decoding="async" class="img-fluid" alt="Identity Verification Request" role="presentation" src="/nhsn/images/training-lg.jpg?_=24551"></div> <p>After successful online registration, you will receive an “<strong>Identity Verification Request</strong>” email from SAMS with instructions and a request to provide proof of your identity. SAMS supports two options for validating your identity using the New online preferred method Experian or the current secured document submission process.</p> <p>*Please follow the instructions carefully for your selected identity verification option, to ensure timely processing.</p> <p> </p> <p><strong>Time to complete step 3b: 35 minutes</strong></p> </div></div></div></div><div class="row "><div class="col-md-12"><div class="card bg-transparent border-0 rounded-0 mb-3"><div class="card-body p-0 bg-transparent"><div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down arrow" src="/nhsn/images/downarrow.gif?_=24594"></div> </div></div></div></div><div class="row "><div class="col-md-12"><div data-post-id="3891" data-site-id="501" data-site-root-folder="nhsn" class="card mb-3"><h2 class="card-header h4 bg-primary">Step 4: Access Approval and Account Activation</h2><div class="card-body bg-white"><p>Once your information is received and approved, you will receive your approval by email from <a href="mailto:sams-no-reply@cdc.gov">sams-no-reply@cdc.gov</a>. The subject will be “<strong>U.S. Centers for Disease Control: SAMS Partner Portal – SAMS Activity Authorization</strong>.” This email will contain web links to the SAMS Partner Portal and to the application. If you are approved for two or more applications, you will receive a separate email for each one. You will also receive a welcome email confirming the activation of your SAMS Partner Portal account.</p> <p>You are now ready to access your applications and the SAMS Partner Portal.</p> <p>The NHSN application requires users to be strongly authenticated. This means users must have an additional ‘token’, along with their password, to log in. The first option is a soft token that requires the installation of an Entrust Authenticator application on your phone, tablet, or computer. The second option is a hard token which is a physical Entrust grid card mailed to your home address. SAMS will communicate this authentication requirement to you in email along with instructions on how to complete the setup after account activation.</p> <p><strong>Note</strong>: Your SAMS grid card should be delivered to your home address via U.S. mail <strong>within 2 weeks after you receive your SAMS approval email</strong>. If you do not receive your SAMS grid card within two weeks, contact <a href="mailto:samshelp@cdc.gov">samshelp@cdc.gov</a> for assistance.</p> <p> </p> <p><strong>Time to complete step 4: 32 minutes</strong></p> </div></div></div></div><div class="row "><div class="col-md-12"><div class="card bg-transparent border-0 rounded-0 mb-3"><div class="card-body p-0 bg-transparent"><div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down arrow" src="/nhsn/images/downarrow.gif?_=24594"></div> </div></div></div></div><div class="row "><div class="col-md-12"><div data-post-id="3907" data-site-id="501" data-site-root-folder="nhsn" class="card mb-3"><h2 class="card-header h4 bg-primary">Step 5a: Complete NHSN Enrollment</h2><div class="card-body bg-white"><p>After setting up your credential device (via token or receiving your SAMS grid card), login to <a href="https://sams.cdc.gov/">SAMS</a>. Under the <strong>SAMS Multi-factor</strong> <strong>Login </strong>picture, click <strong>Login</strong>. On the SAMS home page, select ‘<strong>NHSN</strong> <strong>Enrollment</strong>’ to complete electronic enrollment for the desired component.</p> <p> </p> <p><strong>Time to complete step 5a: 40 minutes</strong></p> </div></div></div></div><div class="row "><div class="col-md-12"><div class="d-block text-center"><div class="card bg-transparent border-0 rounded-0 mb-3"><div class="card-body p-0 bg-transparent"><div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down" src="/nhsn/images/v-bar.gif?_=24558"></div> <p>Shortly after successfully submitting the forms, the Facility Administrator<br> and Primary Contact will receive a “<strong>NHSN Facility Enrollment Submitted</strong>” email.</p> <div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down arrow" src="/nhsn/images/downarrow.gif?_=24594"></div> </div></div></div></div></div><div class="row "><div class="col-md-12"><div data-post-id="43501" data-site-id="501" data-site-root-folder="nhsn" class="card mb-3"><h2 class="card-header h4 bg-primary">Step 5b: Accept “NHSN Agreement to Participate and Consent”</h2><div class="card-body bg-white"><div class="float-md-left mr-md-3 pt-2"><img decoding="async" class="img-fluid" alt="Login to NHSN" src="/nhsn/images/consent.jpg?_=24565"></div> <p>Either the component primary contact or NHSN facility administrator must login to <a href="https://sams.cdc.gov/">SAMS</a>, select Healthcare Personnel Safety Component, and review the “Agreement to Participate and Consent.”  Check the box to ‘Accept’ next to the appropriate contact name and then ‘Submit’. An email will be issued confirming this action.</p> <p><strong>Note:</strong> The consent form must be accepted within 60 days or the facility will be withdrawn.</p> <p> </p> <p><strong>Time to complete step 5b: 5 minutes</strong></p> </div></div></div></div><div class="row "><div class="col-md-12"><div class="d-block text-center"><div class="card bg-transparent border-0 rounded-0 mb-3"><div class="card-body p-0 bg-transparent"><div class="d-block text-center pt-2"><img decoding="async" class="img-fluid" alt="down arrow" src="/nhsn/images/downarrow.gif?_=24594"></div> <p><strong>Congratulations, enrollment is complete!</strong></p> </div></div></div><div class="text-right mb-2"><a href="#">Top of Page</a></div></div></div> </div> </div> </div> <div class="row d-none d-lg-block"> <div class="col pca"> <hr /> <div class="row"> <div class="col-md-3"> <div class="rx-row"> <div class="card border-0 mb-3 text-center"><div class="card-body bg-white"> <p> <a 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