The Missouri Healthcare-Associated Infection Reporting System (MHIRS) site has been developed to provide information to healthcare providers on the Missouri Department of Health and Senior Services (DHSS) reporting requirements for healthcare-associated infections. With the passage of the Missouri Nosocomial Infection Control Act of 2004, hospitals and ambulatory surgery centers are required to report healthcare-associated infections to the DHSS. (For additional information on the statute and related rules, see Laws, Regulations and Manuals.)

Facilities may choose to report their data directly to the DHSS, using the MHIRS website application, or through the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Regardless of the reporting method, the healthcare facility must log on to the MHIRS registration site and complete a registration form.

MHIRS Registration Login

To access the MHIRS registration form, the healthcare facility must log on to the registration site. The login screen will prompt you to select your facility name and to enter your password. The password for the MHIRS registration has been mailed to each facility administrator.

Registration Form Instructions and Information

Once you have logged on to the MHIRS registration website, a screen will appear with your facility name and address information. You can then proceed to complete the registration form. Please note: An asterisk indicates a required data field.

  • Contact Information:
    • Primary Contact: this should be the person you want the DHSS to contact regarding infection data reporting issues and requirements.
    • Secondary Contact: this is the person you want the DHSS to contact in the event the Primary Contact is unavailable.
  • Reporting Method
    • DHSS System (MHIRS) - hospital data will be reported directly to the DHSS. The DHSS system is less sophisticated than the Centers for Disease Control and Prevention's (CDC) system. It is designed to capture the minimal data elements needed to calculate infection rates and will not provide the analytic capability available in the CDC system to assist hospitals with understanding and reducing infections.
    • CDC National Healthcare Safety Network (NHSN) System - hospital data will be reported directly to the NHSN. Methods will be devised to extract data that is required by Missouri law. The NHSN is a very sophisticated system and allows hospitals to do in-depth analysis of their data and to benchmark their results against peer group and national data.
    • Undecided at this time - mark this response if your facility has not yet determined which reporting system will be used.
  • Intensive Care Units
    • Definitions for ICU, NICU, central line, ventilator, central line days and ventilator days are embedded in the registration form for easy reference.
  • Surgeries
    • Descriptions for the surgery reporting categories, along with ICD-9-CM codes, are embedded in the registration form for easy reference.