For the PY 2021 study, CMS is proposing to select 150 facilities to participate in an NHSN Dialysis Event validation study by submitting 20 patient records covering two quarters of data reported in CY 2019.
The latest form for National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) (CMS-10639) expires 2023-01-31 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Supporting Statement A |
Supporting Statement A |
Supporting Statement B |
Supporting Statement B |
Approved without change |
Revision of a currently approved collection | 2024-01-19 | |
Comment filed on proposed rule and continue |
Revision of a currently approved collection | 2023-08-15 | |
Approved without change |
Revision of a currently approved collection | 2022-11-10 | |
Comment filed on proposed rule and continue |
Revision of a currently approved collection | 2022-07-19 | |
Approved without change |
Revision of a currently approved collection | 2021-11-10 | |
Comment filed on proposed rule and continue |
Revision of a currently approved collection | 2021-07-12 | |
Approved without change |
Revision of a currently approved collection | 2021-03-10 | |
Comment filed on proposed rule and continue |
Revision of a currently approved collection | 2020-07-15 | |
Approved with change |
Revision of a currently approved collection | 2019-12-23 | |
Comment filed on proposed rule and continue |
Revision of a currently approved collection | 2019-08-27 | |
Approved without change |
Revision of a currently approved collection | 2018-11-19 | |
Comment filed on proposed rule and continue |
Revision of a currently approved collection | 2018-10-03 | |
Approved with change |
Revision of a currently approved collection | 2018-05-08 | |
Comment filed on proposed rule and continue |
Revision of a currently approved collection | 2017-08-07 | |
Approved with change |
New collection (Request for a new OMB Control Number) | 2016-11-25 |