CDC Resources

  • Airborne Precautions Sign v1 (Spanish)

    Sign displaying CDC-recommended airborne precautions everyone must take (Spanish).

  • Airborne Precautions Sign v1

    Sign displaying CDC-recommended airborne precautions everyone must take.

  • Legionnaires' Disease Fact Sheet CDC

    Legionnaires’ disease is a severe type of pneumonia caused by Legionella bacteria, typically spread through inhaling water droplets from contaminated sources like hot tubs, cooling towers, and complex water systems. Symptoms include cough, muscle aches, fever, shortness of breath, and headache, and the disease can be treated with antibiotics, though it is fatal in about 10% of cases. Certain individuals, particularly those over 50 or with weakened immune systems, are at higher risk for infection.

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  • Infection Control Assessment and Response (ICAR) Tool for General Infection Prevention and Control (IPC) Across Settings

    This ICAR form guides observations on water exposure risks in acute care, long-term care, and outpatient healthcare facilities, excluding hemodialysis settings. Separate resources are available for hemodialysis facility assessments.

  • Infection Control Assessment and Response (ICAR) Tool for General Infection Prevention and Control (IPC) Across Settings

    ICAR Module 11 assesses infection risks from water exposures and related policies in healthcare facilities, excluding hemodialysis settings.

  • Infection Control Assessment and Response (ICAR) Tool for General Infection Prevention and Control (IPC) Across Settings

    ICAR tools help healthcare facilities assess and improve infection prevention practices, with modules for acute care, long-term care, and outpatient settings. Not for use in outpatient hemodialysis; separate tools available.

  • How Many COVID Vaccines Are There?

    Fall 2023: CDC advises one dose of updated Pfizer or Moderna mRNA vaccine for all Americans 6 months and older against XBB.1.5. Novavax available for others. See FDA's 2023-2024 COVID-19 Vaccines Announcement for details.

  • Enhanced Barrier Precautions (EBP) Steps

  • Enhanced Barrier Precautions in Nursing Homes

    Protect nursing home residents from evolving health threats like MDROs with Enhanced Barrier Precautions (EBP) to stop the spread of germs.

  • Antibiotic Use in the United States, 2023 Update: Progress and Opportunities

    As the landscape of healthcare delivery changes, antibiotic stewardship guidance is evolving to support stewardship implementation, and ensure appropriate treatment of infections for all patients across the healthcare spectrum.

HHS Resources

  • Dietary Guidelines for Americans 2020-2025

    The Dietary Guidelines is designed for professionals to help all individuals ages 2 years and older and their families consume a healthy, nutritionally adequate diet. The information in the Dietary Guidelines is used in developing Federal food, nutrition, and health policies and programs.

  • HHS Cybersecurity Task Force Provides New Resources to Help Address Rising Threat of Cyberattacks in Health and Public Health Sector

    This new Knowledge on Demand platform offers awareness trainings on these five cybersecurity topics: social engineering, ransomware, loss or theft of equipment or data, insider accidental or malicious data loss, and attacks against network connected medical devices.

  • Minimum Criteria for Antibiotics Tool

    A decision support tool assists prescribers in choosing treatment for common infections in nursing home residents. By selecting the infection type and answering questions, users are informed if minimum antibiotic criteria are met (green checkmark) or suggested alternative actions (red "X").

  • Overdose Prevention Strategy

    This page outlines strategies for overdose prevention, harm reduction, treatment, and recovery.

  • OIG Semiannual Report to Congress Spring 2023

    Semiannual Report to Congress summarizing the activities of the Department of Health and Human Services (HHS), Office of Inspector General (OIG), for the 6-month period ending on March 31, 2023.

  • The SHARE Approach

    AHRQ’s SHARE Approach is a five-step process for shared decision making that includes exploring and comparing the benefits, harms, and risks of each option through meaningful dialogue about what matters most to the patient.

  • National CLAS Standards

    CLAS is a way to improve the quality of services provided to all individuals, which will ultimately help reduce health disparities and achieve health equity. CLAS is about respect and responsiveness: Respect the whole individual and Respond to the individual’s health needs and preferences.

  • AHRQ-Funded Patient Safety Project Highlights

    This publication summarizes AHRQ’s investments in this promising pathway toward better care, including examples of project findings and products, collective outputs, and impacts of this work. 

  • Chartbook on Patient Safety

    This Patient Safety Chartbook is part of a family of documents and tools that support the National Healthcare Quality and Disparities Report (NHQDR). The NHQDR is an annual report to Congress mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129

  • Tips for Engaging Diverse Partners

    Building relationships with external partners that reflect the lived experience of individuals served by your organization can help you understand how best to meet those individuals’ needs and ultimately end disparities. Thoughtful outreach, feedback mechanisms, and engagement are foundational to building long-term, reciprocal relationships with diverse communities

CMS Resources

  • SOM Appendix Z Emergency Preparedness

    The document is about revisions to the State Operations Manual (SOM) Appendix Z - Emergency Preparedness.  This Transmittal includes revisions based on recent federal regulation changes via (CMS–3346–F) and is a follow up to memo QSO 20-07 released on December 20, 2019.  In addition to updates on the interpretive guidelines, this update also provides additional guidance on emerging infectious diseases.  We are making changes to Appendix Z to reflect lessons learned and additional guidance related to pandemic preparedness as a result of the COVID-19 public health emergency.  

  • Guiding an Improved Dementia Experience (GUIDE) Model

    CMS launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 31, 2023, a voluntary initiative to aid individuals with dementia and their caregivers. Letters of interest are accepted until September 15, 2023, with a full Request for Applications (RFA) expected in Fall 2023. The model begins on July 1, 2024, spanning eight years.

  • The CMS Innovation Center’s Approach to Person-Centered Care Listening Session (March 31, 2023)

    The CMS Innovation Center held a virtual listening session as part of our continuing partnership with patients.

  • Upload an Assessment for MDS Users

    The How to Upload an Assessment for MDS Users training video provides steps for uploading MDS assessments to iQIES.

  • Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users’ Guide, July 2023

    Effective with the July 2023 refresh, CMS revised the nursing-home level exclusion criteria on erroneously high number of administrators applied to the administrator turnover measure.

  • CMS Framework for Health Equity 2022–2032

    The CMS Framework for Health Equity provides a strong foundation for our work as a leader and trusted partner dedicated to advancing health equity, expanding coverage, and improving health outcomes. This includes strengthening our infrastructure for assessment, creating synergies across the health care system to drive structural change, and identifying and working together to eliminate barriers to CMS-supported benefits, services, and coverage for individuals and communities who are underserved or disadvantaged and those who support them.

  • SNF Quality Reporting Program FAQs

    This document contains the answers to frequently asked questions about The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP

  • Medicare Parts C and D Oversight and Enforcement Group - Division of Audit Operations
    This document outlines the program audit process for 2022. CMS will send engagement letters to initiate routine audits beginning February 2022 through July 2022. Engagement letters for ad hoc audits may be sent at any time throughout the year. The program areas for the 2022 audits include: CDAG-Part D Coverage Determinations, Appeals, and Grievances; CPE: Medicare Part C and Part D Compliance Program Effectiveness; FA--Part D Formulary and Benefit Administration; MMP-SARAG--Medicare-Medicaid Plan Service Authorization Requests, Appeals, and Grievances; MMPCC--Medicare-Medicaid Plan Care Coordination; ODAG--Part C Organization Determinations, Appeals, and Grievances; SNP-CC--Special Needs Plans – Care Coordination
  • Quality in Focus—Resources for Addressing LTC Medication Error Citations – For Providers (LTC-QIF-4) - CMS
    This QIF provides resources that may aid LTC providers in recognizing potential medication error deficiency citations and developing a Plan of Correction.
  • Quality in Focus Resources for Addressing LTC Treatment and Prevention of Pressure Ulcer Citations Training for Providers (LTC-QIF-3) - CMS
    This QIF provides resources that may aid LTC providers in recognizing potential prevention of pressure ulcer deficiency citations and developing a Plan of Correction.

NIH Resources

  • Pain Assessment in Hospitalized Older Adults with Dementia and Delirium
    Pain can have negative effects leading to prolonged hospital stays. Determining the presence of uncontrolled and untreated pain in patients with cognitive impairments such as delirium, dementia, and delirium superimposed on dementia (DSD) is challenging. One tool commonly suggested for use in assessment of pain in older adults with cognitive impairment is the Pain Assessment In Advanced Dementia (PAINAD) scale. Proper use of the PAINAD scale as part of a comprehensive pain management plan can help reduce the likelihood of a patient experiencing unrecognized and untreated pain. Using an individual example, this article illustrates best practices in pain assessment and management for a woman experiencing DSD during an acute hospitalization.

Other Outside Resources

  • NPIAP Pressure Injury Training

    Module 1: Pressure Injury Staging

    Module 2: Other Wound Types and Skin Injuries

    Module 3: Pressure Injury Prevention

    Module 4: Pressure Injury Prevalence Guide

    Module 4 will be sold separately from this module package. Stay tuned for the launch of Module 4!

  • The Core Elements of Antibiotic Stewardship for Nursing Homes - Appendix A: Policy and Practice Actions to Improve Antibiotic Use

    This document contains more detailed explanations of policy and practice actions which can be taken by nursing homes as part of their antibiotic stewardship activities

  • Outbreak Considerations for Long-Term Care Communities

    Long-term care (LTC) communities (including nursing homes, skilled nursing facilities, memory care, group homes, and assisted living facilities) present unique health care concerns during infectious disease outbreaks and pandemics. Congregate living situations provide the opportunity for rapid disease spread and LTC residents tend to have characteristics that put them at increased risk of severe illness or death due to infection, including older age and presence of comorbid conditions. Increased risk of exposure to and transmission of infectious diseases is also a concern for LTC staff, who may have close physical contact with residents, often work extended shifts or in more than one location, and may require additional training in infection prevention practices. This compilation of considerations for LTC communities is based on lessons learned during the COVID-19 pandemic and infectious disease outbreaks and includes links to resources that can inform planning and response efforts.

  • CDC Yellow Book

    CDC Yellow Book: Health Information for International Travel is a resource for healthcare professionals providing care to international travelers. It compiles the US government’s most current travel health guidelines, including pretravel vaccine recommendations, destination-specific health advice, and easy-to-reference maps, tables, and charts.

  • Traffic Protocol Partnership: Monitoring The Medical Product Supply Chain

    This document from the Health Industry Distributors Association ( is about the partnership and protocol for monitoring the medical product supply chain in the health industry.

  • Disaster Behavioral Health

    When disasters strike, the ripple effects can be significant. Survivors may be injured or displaced, or may have loved ones in similar situations. The emotional, physical, and financial tolls can be jarring, and no one in the community is immune. Disaster behavioral health (DBH) includes the provision of mental health, substance abuse, and stress management services to disaster survivors and responders (ASPR ABC, 2012). Incorporating DBH into all phases of emergency management can ensure resident and responder preparedness, an effective, compassionate response effort, and a more resilient community moving forward. The resources on this page can help our stakeholders accomplish these goals.

  • Tips for Retaining and Caring for Staff after a Disaster

    When disasters strike, the ripple effects are significant. Survivors may be injured or displaced or may have loved ones in similar situations. Public health emergencies which may not have a clear “end point” (e.g., the COVID-19 pandemic) can take a significant toll on healthcare worker mental health and resilience. The emotional, physical, and financial tolls of these events can be jarring, and no one in the community is immune. Healthcare staff who maintain facility operations are no exception, and yet they are a critical component of the response phase and expected to care not only for their own loved ones, but community members and the facility, too. Healthcare leadership plays a vital role in ensuring

    staff feel cared for and safe.

  • Upcoming NC CLASP Sessions

    NC CLASP experts in antibiotic stewardship lead groups of professionals who work in outpatient clinics, acute care hospitals, and nursing homes across North Carolina to improve health and safety through enhanced antibiotic stewardship. We hope you’ll join us at one or more of the sessions listed below. Register here, or contact us at with any questions.

  • Fact Sheet for Healthcare Providers Administering Vaccine: Emergency Use Authorization of Novavax COVID-19 Vaccine, Adjuvanted

    The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for the emergency use of Novavax COVID-19 Vaccine, Adjuvanted (2023-2024 Formula) for active immunization to prevent coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in individuals 12 years of age and older. (1)

    The Novavax COVID-19 Vaccine, Adjuvanted is not licensed for any use. (1)

  • "Unscrambling the interoperability picture"

    An inside look at how to improve care by seeing the entire resident (and their records) over a longer stretch

    Post-acute care operators can confidently close digital gaps between themselves and referral partners, providers and other healthcare entities seeking access to resident records. 

    The sooner they realize this and tackle any perceived hurdles, the better for all involved, experts agreed during a recent McKnight's Online Expo presentation.

    Download this e-book for an inside look at how to achieve interoperability and improve care by seeing the entire resident (and their records) over a longer stretch.