# NHSN HAI Surveillance Chart Review > Culture-triggered chart review against NHSN surveillance definitions, with every element located and page-cited for your infection preventionist. Canonical page: https://medrecords.ai/solutions/nhsn-hai-surveillance-review/ --- [Home](https://medrecords.ai/) ›[Solutions](https://medrecords.ai/solutions/) ›NHSN HAI Surveillance Review NHSN HAI SURVEILLANCE CHART REVIEW ## A positive culture isn't an infection. The definition decides. NHSN surveillance chart review services take a triggering culture and locate every element the applicable surveillance definition turns on — device days, symptoms, timing, and secondary attribution — each page-cited. Your infection preventionist applies the definition and makes the call; the reading is already done. [Test a file ](https://medrecords.ai/test-a-file/?src=nhsn-hai-surveillance-review) [Book a demo](https://medrecords.ai/demo/) Click any row → the source page it cites Surveillance review · Case #IME-4812 documented Adams, Timothy · culture-triggered chart 342 pp / 2 packets received logged 11 duplicate pages removed free p.140 — wrong patient quarantined Pages 342 Documents 27 Cited 100% ### The surveillance definitions are published. So is the validation audit. We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In NHSN surveillance, both are already published. The standard and the referee The rulebook - The NHSN Patient Safety Component manual for the surveillance year, with its device-associated and procedure-associated event definitions - The infection window period, date of event and repeat infection timeframe rules, which decide whether an event is new and where it is attributed - The CMS Hospital Inpatient Quality Reporting requirements, which tie NHSN reporting to payment - The state's own HAI reporting mandate, where one applies The referee - The state health department's NHSN validation audit, which re-reviews charts and scores agreement - CMS, whose Hospital-Acquired Condition Reduction Program and value-based purchasing run on the submitted data - The hospital's own infection prevention committee and its public reporting obligations Infection preventionist hours reading charts behind every positive culture Flat 10¢/page here, duplicates free Surveillance review · Case #IME-4812 cited 100% Packet342 pp / 2 packets · 11 deduplicatedlogged Definition elementsEach located and page-citedcited Device days & timingComputed from documented datescited Ambiguous elementsChart doesn't settle itflagged Review delivered · cited 100% · no event determination How it works ### 3 steps between the culture and the determination. 01 #### Send the triggered chart The chart behind the positive culture — microbiology, device documentation, vital signs, nursing notes, imaging — in any format. 02 #### We return the review, page-cited Every element the applicable definition names, located and cited, with device days and timing computed from documented dates, and unsettled elements flagged. 03 #### Your preventionist determines Applying the surveillance definition and deciding whether an event is reportable is the infection preventionist's judgment, and the submission is yours. The boundary, in writing ### Evidence for the preventionist, not an event determination. We locate and cite the elements the surveillance definition turns on, and compute device days and timing from documented dates. We do not determine whether an event meets the definition, classify an infection, or submit to NHSN. Applying the definition is the infection preventionist's judgment. Elements the chart doesn't settle are flagged rather than assumed. A surveillance determination built on an assumed device day is one that reverses at the state validation audit, and the agreement score is what gets published. Audit trail · Case #IME-4812 exportable 08:12Packet received · 342 pp / 2 packetssystem 08:3111 pages deduplicatedsystem 08:44p.140 flagged — wrong patientsystem 08:54Surveillance review complete · review complete · definition elements cited · cited 100%system 09:20Surveillance review reviewed · citations verifiedreviewer 09:26Surveillance review exported · NHSN submission made off-platformreviewer Every access logged · file deleted 30 days after delivery Why Medrecords AI ### The rules the platform never breaks. EVERY LINE CITED CASE #IME-4812 · ADAMS, T.342 pp 2/14 — ER visit, right knee p.4 4/18 — arthroscopic surgery p.61 p.140 — wrong patient quarantined Medrecords AI Read every page · cite every line #### HIPAA, under a signed BAA Every file is handled under our Business Associate Agreement, from the first byte. #### Never trains a model Your records are never used to train any AI model — ours or anyone else's. #### Every line cited If we can't cite it, we don't say it. Every sentence links to its source page. #### Deleted after delivery Files are deleted 30 days after delivery, with a full audit log of every access. Powered by the platform ### 4 capabilities behind every surveillance review. The surveillance review is 1 deliverable of the same platform that reads, sorts, and cites the whole record. [ #### Medical Records OCR Every page read in full — microbiology reports, device documentation, vital sign flowsheets, handwritten nursing notes — nothing skipped, nothing guessed. IN ACTION · 342 pp / 2 packets → 27 documents, read in full ](https://medrecords.ai/product/ocr/) [ #### Medical Chronology The admission builds itself into a timeline, so the infection window period and device days come from the record rather than a spreadsheet. IN ACTION · admission → culture → event date, 1 continuous timeline ](https://medrecords.ai/product/chronology/) [ #### Verifiable AI Citations If we can't cite it, we don't say it. Every definition element links to the page that documents it. IN ACTION · every element → cited 100% ](https://medrecords.ai/product/citations/) [ #### Medical Summary Reports The review formats straight into your surveillance workflow — your template, your letterhead. IN ACTION · surveillance review → preventionist worklist ](https://medrecords.ai/product/summaries/) FAQ ### NHSN surveillance review, answered. No. Applying the surveillance definition and determining whether an event meets it is the infection preventionist's judgment, and the NHSN submission is the hospital's. We locate and cite every element the definition turns on. We compute them from the dates documented in the chart and cite the pages those dates come from. If a device insertion or removal date is missing or contradictory, that's flagged rather than resolved by assumption. The validator re-reviews the chart against the same definition and scores agreement. Every element carrying a page citation is exactly what that comparison needs, and it makes a disagreement a discussion about the definition rather than about what the chart said. No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes. ### Send 1 file. We'll tell you what we can read. No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so. [Test a file ](https://medrecords.ai/test-a-file/?src=nhsn-hai-surveillance-review) [Book a demo](https://medrecords.ai/demo/) [See every case type we process →](https://medrecords.ai/solutions/case-types/)