This article is intended to cover the basic workflow of submitting Direct Secure messages via Epic to NHSN, as well as common failure points and what to do when encountering issues during the process.
If any use cases are not covered, please submit a ticket to Rosetta Health via Freshdesk.
Flow of Data
Below is a diagram of the process of what happens once a submission is made in Epic by a facility:
Facility via Epic (Green):
The facility will select cases via Epic that will be submitted to NHSN. Once those cases have been selected, they will then be submitted via Epic and sent to RosettaHealth's Rest API to build the Direct Secure Message (DSM).
Once a response has been received, Epic will process this response.
Rosetta Health (Orange):
Epic, using RosettaHealth's Rest API, will create a Direct Secure Message using the selected cases as a message payload, which then will be sent to NHSN. NHSN will process the submission and send the response back via RosettaHealth to the facility in Epic using a Direct Secure Message.
NHSN/CDC (Blue):
Once a Direct Secure Message has been received from the facility, CDC will process this submission and generate a response. Once it has been successfully processed, a Direct Secure Message with the response will then be sent back to the facility via RosettaHealth/Epic.
Common Issues/Troubleshooting
Q: "I am unable to make a submission"
A: This is likely an issue with the configuration/setup in Epic. We advise reaching out to your Epic Support team if there are any issues making a submission in Epic.
Q: "Why hasn't the status of my submission changed?"
A: Typically, if a submission was successfully made in Epic and used RosettaHealth's Rest API to create a Direct Secure message, the issue is that CDC was not able to process the Direct message that was sent to them.
Since NHSN handles all processing of Direct messages received, we advise anyone who encounters this issue to please contact NHSN Support directly at: nhsncda@cdc.gov.
Note: Rosetta Health will provide a PDF of the last month of traffic to assist in troubleshooting with NHSN support.
Q: "How long does it take to get a response back from NHSN?"
A: NHSN requires that you wait at least 48 business hours before contacting them regarding submissions to allow them to be processed.
NOTICE: During various times of the month, typically there is a noticeable increase in NHSN reporting which results in a longer delay in the response back from NHSN. Please allow several days after reporting to NHSN before expecting to receive your responses from NHSN.