DOI: 10.3886/e238555v1
title: CDC - 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 CDC’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 – Saturday).<br><br>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 – 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.<br><br>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.<br><br>For more information regarding NHSN’s collection of these data, including full reporting guidance, visit: NHSN Hospital Respiratory Data.<br><br>For data that is considered final for a given reporting week (Sunday – 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.<br><br>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.<br><br><b>Source: CDC National Healthcare Safety Network (NHSN).</b><b>Data source description</b> (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 – 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.<b>Data quality: This dataset represents preliminary weekly hospital respiratory data and metrics aggregated to national and state/territory levels reported to CDC’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 – Saturday). </b>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.<b>Inclusion criteria and metric calculations:</b><b>Facility types and status: </b>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.<b>For occupancy metrics through week ending October 5, 2024: </b>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.<b>For occupancy metrics beginning week ending October 12, 2024: </b>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.<b>For new hospital admissions metrics through week ending October 5, 2024: </b>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.<b>For new hospital admissions metrics beginning week ending October 12, 2024: </b>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.<br>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_datahttps://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-COVID-19-Hospitalization-Metr/82ci-krud/about_datahttps://data.cdc.gov/Public-Health-Surveillance/Respiratory-Virus-Response-RVR-United-States-Hospi/9t9r-e5a3/about_datahttps://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-COVID-19-Hospitalization-Metr/7dk4-g6vg/about_datahttps://data.cdc.gov/Public-Health-Surveillance/United-States-COVID-19-Hospitalization-Metrics-by-/39z2-9zu6/about_datahttps://healthdata.gov/Hospital/COVID-19-Reported-Patient-Impact-and-Hospital-Capa/g62h-syeh/about_data<br>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_datahttps://data.cdc.gov/Public-Health-Surveillance/Weekly-United-States-Hospitalization-Metrics-by-Ju/ype6-idgy<br><br><b>Note:</b><br><b>September 10th, 2025:</b> 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.<br><br><b>December 26th, 2024:</b> The following columns were added to this dataset as of December 26th, 2024:<br>numConfC19NewAdmPed0to4Per100k<br>numConfC19NewAdmPed5to17Per100k<br>totalConfC19NewAdmPedPer100k<br>numConfC19NewAdmAdult18to49Per100k<br>numConfC19NewAdmAdult50to64Per100k<br>numConfC19NewAdmAdult65to74Per100k<br>numConfC19NewAdmAdult75plusPer100k<br>totalConfC19NewAdmAdultPer100k<br>totalConfC19NewAdmPer100k<br>numConfFluNewAdmPed0to4Per100k<br>numConfFluNewAdmPed5to17Per100k<br>totalConfFluNewAdmPedPer100k<br>numConfFluNewAdmAdult18to49Per100k<br>numConfFluNewAdmAdult50to64Per100k<br>numConfFluNewAdmAdult65to74Per100k<br>numConfFluNewAdmAdult75plusPer100k<br>totalConfFluNewAdmAdultPer100k<br>totalConfFluNewAdmPer100k<br>numConfRSVNewAdmPed0to4Per100k<br>numConfRSVNewAdmPed5to17Per100k<br>totalConfRSVNewAdmPedPer100k<br>numConfRSVNewAdmAdult18to49Per100k<br>numConfRSVNewAdmAdult50to64Per100k<br>numConfRSVNewAdmAdult65to74Per100k<br>numConfRSVNewAdmAdult75plusPer100k<br>totalConfRSVNewAdmAdultPer100k<br>totalConfRSVNewAdmPer100k<br>totalConfC19NewAdmPercHospRepAbove80Pct<br>totalConfC19NewAdmPercHospRepAbove90Pct<br>totalConfFluNewAdmPercHospRepAbove80Pct<br>totalConfFluNewAdmPercHospRepAbove90Pct<br>totalConfRSVNewAdmPercHospRepAbove80Pct<br>totalConfRSVNewAdmPercHospRepAbove90Pct<br><br><b>November 21st, 2024:</b> This dataset was reposted with data through November 16th, 2024 due to a processing issue that has since been resolved.