DOI: 10.3886/e242570v1
title: Weekly Hospital Respiratory Data (HRD) Metrics by Jurisdiction, National Healthcare Safety Network (NHSN) (Preliminary)

description: This dataset represents preliminary weekly hospital respiratory data and metrics aggregated to national and state/territory levels reported to CDCâ€™s National Health Safety Network (NHSN) beginning August 2020. This dataset updates weekly on Wednesdays with preliminary data reported to NHSN for the previous reporting week (Sunday â€“ Saturday).

Data for reporting dates through April 30, 2024 represent data reported during a previous mandated reporting period as specified by the HHS Secretary. Data for reporting dates May 1, 2024 â€“ October 31, 2024 represent voluntarily reported data in the absence of a mandate. Data for reporting dates beginning November 1, 2024 represent data reported during a current mandated reporting period. All data and metrics capturing information on respiratory syncytial virus (RSV) were voluntarily reported until November 1, 2024. All data included in this dataset represent aggregated counts, and include metrics capturing information specific to hospital capacity, occupancy, hospitalizations, and new hospital admissions with corresponding metrics indicating reporting coverage for a given reporting week. NHSN monitors national and local trends in healthcare system stress and capacity for all acute care and critical access hospitals in the United States.

For more information on the reporting mandate per the Centers for Medicare and Medicaid Services (CMS) requirements, visit: Updates to the Condition of Participation (CoP) Requirements for Hospitals and Critical Access Hospitals (CAHs) To Report Acute Respiratory Illnesses.

For more information regarding NHSNâ€™s collection of these data, including full reporting guidance, visit: NHSN Hospital Respiratory Data.

For data that is considered final for a given reporting week (Sunday â€“ Saturday), and reflects that which is used in NHSN HRD dashboards for publication each Friday, visit: https://data.cdc.gov/Public-Health-Surveillance/Weekly-Hospital-Respiratory-Data-HRD-Metrics-by-Ju/ua7e-t2fy/about_data.

CDC coordinates weekly forecasts of hospitalization admissions based on this data set. More information about flu forecasting can be found at About Flu Forecasting | FluSight | CDC, and information about COVID-19 forecasting and other modeling analyses for the Respiratory Virus Season are available at CFA's Insights for Respiratory Virus Season | CFA | CDC.

Source: CDC National Healthcare Safety Network (NHSN).
Data source description (updated November 15, 2024): As of October 9, 2024, Hospital Respiratory Data (HRD; formerly Respiratory Pathogen, Hospital Capacity, and Supply data or 'COVID-19 hospital data') are reported to HHS through CDC's National Healthcare Safety Network (NHSN) based on updated requirements from the Centers for Medicare and Medicaid Services (CMS). These data were voluntarily reported to NHSN May 1, 2024 until November 1, 2024, at which time CMS began requiring acute care and critical access hospitals to electronically report information via NHSN about COVID-19, influenza, and RSV, hospital bed census and capacity. Hospital bed capacity and occupancy data for all patients and for patients with COVID-19 or influenza for collection dates prior to May 1, 2024, represent data reported during a previously mandated reporting period as specified by the HHS Secretary, and data for collection dates May 1, 2024 â€“ October 31, 2024 represent data reported voluntarily to NHSN. All RSV data through October 31, 2024 represent voluntarily reported data; as such, all voluntarily reported data included in this dataset represent reporting hospitals only for a given week and might not be complete or representative of all hospitals during the specified reporting periods.
NHSN monitors national and local trends in healthcare system stress and capacity for all acute care and critical access hospitals in the United States. Data reported by hospitals to NHSN represent aggregated counts and include metrics capturing information specific to hospital capacity, occupancy, hospitalizations, and admissions. Find more information about reporting to NHSN: https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html.
Data quality: This dataset represents preliminary weekly hospital respiratory data and metrics aggregated to national and state/territory levels reported to CDCâ€™s National Health Safety Network (NHSN) beginning August 2020, and updates weekly on Wednesdays with preliminary data reported to NHSN for the previous reporting week (Sunday â€“ Saturday). While CDC reviews reported data for completeness and errors and corrects those found, some reporting errors might still exist within the data. CDC and partners work with reporters to correct these errors and update the data in subsequent weeks. Data reported as of December 1, 2020 are subject to thorough, routine data quality review procedures, including identifying and excluding invalid values from metric calculations and application of error correction methodology; data prior to this date may have anomalies that are not yet resolved. Data prior to August 1, 2020, are unavailable. As a result of data quality implementation and submission of any backfilled data, data and metrics might fluctuate or change week-over-week after initial posting.
Inclusion criteria and metric calculations:
Facility types and status: Many hospital subtypes, including acute care and critical access hospitals, are included in the metric calculations displayed on this page. Psychiatric, rehabilitation, and religious non-medical hospital types are excluded from calculations. Number of reporting hospitals is determined based on the NHSN unique hospital identifier and not aggregated to the CMS certification number (CCN). Only hospitals indicated as active reporters in NHSN are included.
For occupancy metrics through week ending October 5, 2024: hospitals that reported those data at least one day during a given week are included in the metric calculation, which are displayed as weekly averages.
For occupancy metrics beginning week ending October 12, 2024: hospitals that reported those data for Wednesday during a given week are included in the metric calculation, which are displayed as single day (i.e. Wednesday) values.
For new hospital admissions metrics through week ending October 5, 2024: hospitals that reported those data at least one day during a given week are included in the metric calculation, which are displayed as weekly totals. Under previous reporting requirements, new hospital admissions data were reported daily to NHSN, as the number of new hospital admissions for the previous day.
For new hospital admissions metrics beginning week ending October 12, 2024: hospitals that reported those data for an entire reporting week are included in the metric calculation, which are displayed as weekly totals. Under current reporting requirements, new admissions data are reported to represent the number of new admissions occurring on a given reporting date (rather than previous day) or during a given reporting week.
Find full details on NHSN Hospital Respiratory Data (HRD) reporting guidance, including additional information on bed type definitions at https://www.cdc.gov/nhsn/psc/hospital-respiratory-reporting.html.

Archived datasets updated during the mandatory hospital reporting period from August 1, 2020, to April 30, 2024:
https://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-COVID-19-Hospitalization-Metr/akn2-qxic/about_data
https://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-COVID-19-Hospitalization-Metr/82ci-krud/about_data
https://data.cdc.gov/Public-Health-Surveillance/Respiratory-Virus-Response-RVR-United-States-Hospi/9t9r-e5a3/about_data
https://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-COVID-19-Hospitalization-Metr/7dk4-g6vg/about_data
https://data.cdc.gov/Public-Health-Surveillance/United-States-COVID-19-Hospitalization-Metrics-by-/39z2-9zu6/about_data
https://healthdata.gov/Hospital/COVID-19-Reported-Patient-Impact-and-Hospital-Capa/g62h-syeh/about_data

Archived datasets updated during the voluntary hospital reporting period from May 1, 2024, to October 31, 2024:
https://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-COVID-19-Hospitalization-Metr/akn2-qxic/about_data
https://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-Hospitalization-Metrics-by-Ju/ype6-idgy


Note:
November 19th, 2025: The following columns were added to this dataset as of November 19th, 2025:
pctInPtBedsOccAdult
pctInPtBedsOccPed
pctICUBedsOccAdult
pctICUBedsOccPed
pctConfC19InPtBedsAdult
pctConfC19InPtBedsPed
pctConfC19ICUBedsAdult
pctConfC19ICUBedsPed
pctConfFluInPtBedsAdult
pctConfFluInPtBedsPed
pctConfFluICUBedsAdult
pctConfFluICUBedsPed
pctConfRSVInPtBedsAdult
pctConfRSVInPtBedsPed
pctConfRSVICUBedsAdult
pctConfRSVICUBedsPed
pctConfC19HospPatsICU
pctConfC19HospPatsICUAdult
pctConfC19HospPatsICUPed
pctConfFluHospPatsICU
pctConfFluHospPatsICUAdult
pctConfFluHospPatsICUPed
pctConfRSVHospPatsICU
pctConfRSVHospPatsICUAdult
pctConfRSVHospPatsICUPed
numConfC19NewAdmPed0to4PctChg
numConfC19NewAdmPed5to17PctChg
totalConfC19NewAdmPedPctChg
numConfC19NewAdmAdult18to49PctChg
numConfC19NewAdmAdult50to64PctChg
numConfC19NewAdmAdult65to74PctChg
numConfC19NewAdmAdult75plusPctChg
totalConfC19NewAdmAdultPctChg
totalConfC19NewAdmPctChg
numConfFluNewAdmPed0to4PctChg
numConfFluNewAdmPed5to17PctChg
totalConfFluNewAdmPedPctChg
numConfFluNewAdmAdult18to49PctChg
numConfFluNewAdmAdult50to64PctChg
numConfFluNewAdmAdult65to74PctChg
numConfFluNewAdmAdult75plusPctChg
totalConfFluNewAdmAdultPctChg
totalConfFluNewAdmPctChg
numConfRSVNewAdmPed0to4PctChg
numConfRSVNewAdmPed5to17PctChg
totalConfRSVNewAdmPedPctChg
numConfRSVNewAdmAdult18to49PctChg
numConfRSVNewAdmAdult50to64PctChg
numConfRSVNewAdmAdult65to74PctChg
numConfRSVNewAdmAdult75plusPctChg
totalConfRSVNewAdmAdultPctChg
totalConfRSVNewAdmPctChg
pctInPtBedsOccAdultHospRep
pctInPtBedsOccPedHospRep
pctICUBedsOccAdultHospRep
pctICUBedsOccPedHospRep
pctConfC19InPtBedsAdultHospRep
pctConfC19InPtBedsPedHospRep
pctConfC19ICUBedsAdultHospRep
pctConfC19ICUBedsPedHospRep
pctConfFluInPtBedsAdultHospRep
pctConfFluInPtBedsPedHospRep
pctConfFluICUBedsAdultHospRep
pctConfFluICUBedsPedHospRep
pctConfRSVInPtBedsAdultHospRep
pctConfRSVInPtBedsPedHospRep
pctConfRSVICUBedsAdultHospRep
pctConfRSVICUBedsPedHospRep
pctConfC19HospPatsICUHospRep
pctConfC19HospPatsICUAdultHospRep
pctConfC19HospPatsICUPedHospRep
pctConfFluHospPatsICUHospRep
pctConfFluHospPatsICUAdultHospRep
pctConfFluHospPatsICUPedHospRep
pctConfRSVHospPatsICUHospRep
pctConfRSVHospPatsICUAdultHospRep
pctConfRSVHospPatsICUPedHospRep
pctInPtBedsOccAdultPercHospRep
pctInPtBedsOccPedPercHospRep
pctICUBedsOccAdultPercHospRep
pctICUBedsOccPedPercHospRep
pctConfC19InPtBedsAdultPercHospRep
pctConfC19InPtBedsPedPercHospRep
pctConfC19ICUBedsAdultPercHospRep
pctConfC19ICUBedsPedPercHospRep
pctConfFluInPtBedsAdultPercHospRep
pctConfFluInPtBedsPedPercHospRep
pctConfFluICUBedsAdultPercHospRep
pctConfFluICUBedsPedPercHospRep
pctConfRSVInPtBedsAdultPercHospRep
pctConfRSVInPtBedsPedPercHospRep
pctConfRSVICUBedsAdultPercHospRep
pctConfRSVICUBedsPedPercHospRep
pctConfC19HospPatsICUPercHospRep
pctConfC19HospPatsICUAdultPercHospRep
pctConfC19HospPatsICUPedPercHospRep
pctConfFluHospPatsICUPercHospRep
pctConfFluHospPatsICUAdultPercHospRep
pctConfFluHospPatsICUPedPercHospRep
pctConfRSVHospPatsICUPercHospRep
pctConfRSVHospPatsICUAdultPercHospRep
pctConfRSVHospPatsICUPedPercHospRep
pctInPtBedsOccAdultPercHospRepAbsChg
pctInPtBedsOccPedPercHospRepAbsChg
pctICUBedsOccAdultPercHospRepAbsChg
pctICUBedsOccPedPercHospRepAbsChg
pctConfC19InPtBedsAdultPercHospRepAbsChg
pctConfC19InPtBedsPedPercHospRepAbsChg
pctConfC19ICUBedsAdultPercHospRepAbsChg
pctConfC19ICUBedsPedPercHospRepAbsChg
pctConfFluInPtBedsAdultPercHospRepAbsChg
pctConfFluInPtBedsPedPercHospRepAbsChg
pctConfFluICUBedsAdultPercHospRepAbsChg
pctConfFluICUBedsPedPercHospRepAbsChg
pctConfRSVInPtBedsAdultPercHospRepAbsChg
pctConfRSVInPtBedsPedPercHospRepAbsChg
pctConfRSVICUBedsAdultPercHospRepAbsChg
pctConfRSVICUBedsPedPercHospRepAbsChg
pctConfC19HospPatsICUPercHospRepAbsChg
pctConfC19HospPatsICUAdultPercHospRepAbsChg
pctConfC19HospPatsICUPedPercHospRepAbsChg
pctConfFluHospPatsICUPercHospRepAbsChg
pctConfFluHospPatsICUAdultPercHospRepAbsChg
pctConfFluHospPatsICUPedPercHospRepAbsChg
pctConfRSVHospPatsICUPercHospRepAbsChg
pctConfRSVHospPatsICUAdultPercHospRepAbsChg
pctConfRSVHospPatsICUPedPercHospRepAbsChg


September 10th, 2025: Data and metrics aggregated by HHS Region have been added to this dataset. Regions 1 through 10 are now included as options in the jurisdiction column. Information on HHS regions is available here: https://www.hhs.gov/about/agencies/iea/regional-offices/index.html.

December 26th, 2024: The following columns were added to this dataset as of December 26th, 2024:
numConfC19NewAdmPed0to4Per100k
numConfC19NewAdmPed5to17Per100k
totalConfC19NewAdmPedPer100k
numConfC19NewAdmAdult18to49Per100k
numConfC19NewAdmAdult50to64Per100k
numConfC19NewAdmAdult65to74Per100k
numConfC19NewAdmAdult75plusPer100k
totalConfC19NewAdmAdultPer100k
totalConfC19NewAdmPer100k
numConfFluNewAdmPed0to4Per100k
numConfFluNewAdmPed5to17Per100k
totalConfFluNewAdmPedPer100k
numConfFluNewAdmAdult18to49Per100k
numConfFluNewAdmAdult50to64Per100k
numConfFluNewAdmAdult65to74Per100k
numConfFluNewAdmAdult75plusPer100k
totalConfFluNewAdmAdultPer100k
totalConfFluNewAdmPer100k
numConfRSVNewAdmPed0to4Per100k
numConfRSVNewAdmPed5to17Per100k
totalConfRSVNewAdmPedPer100k
numConfRSVNewAdmAdult18to49Per100k
numConfRSVNewAdmAdult50to64Per100k
numConfRSVNewAdmAdult65to74Per100k
numConfRSVNewAdmAdult75plusPer100k
totalConfRSVNewAdmAdultPer100k
totalConfRSVNewAdmPer100k
totalConfC19NewAdmPercHospRepAbove80Pct
totalConfC19NewAdmPercHospRepAbove90Pct
totalConfFluNewAdmPercHospRepAbove80Pct
totalConfFluNewAdmPercHospRepAbove90Pct
totalConfRSVNewAdmPercHospRepAbove80Pct
totalConfRSVNewAdmPercHospRepAbove90Pct

November 21st, 2024: This dataset was reposted with data through November 16th, 2024 due to a processing issue that has since been resolved.
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