Quality Measures and Procedures for Hospital Reporting of Quality Data

Documents and forms in this information collection

Document Name	Document Type
Form 10210 Data Accuracy Form Quality Measures and Procedures for Hospital Reporting of Quality Data	Form
Form 10210 Notice of Participation Quality Measures and Procedures for Hospital Reporting of Quality Data	Form and Instruction
Form 10210 Data Validation Appeal Form Quality Measures and Procedures for Hospital Reporting of Quality Data	Form and Instruction
Form 10210 Extraordinary Circumstances/Waiver Request Form Quality Measures and Procedures for Hospital Reporting of Quality Data	Form and Instruction
Form 10210 Healthcare Associated Infection Exception Form Quality Measures and Procedures for Hospital Reporting of Quality Data	Form
Form 10210 Reconsideration Request Quality Measures and Procedures for Hospital Reporting of Quality Data	Form and Instruction
Form 10210 Validation Review for Reconsideration Request Quality Measures and Procedures for Hospital Reporting of Quality Data	Form and Instruction
Form 10210 Inpatient Hospital Compare Quality Measures and Procedures for Hospital Reporting of Quality Data	Form and Instruction
10210 Data Accuracy Form DACAForm2015_Final.doc	Form
10210 Notice of Participation Notice of Participation.docx	Form and Instruction
10210 Data Validation Appeal Form HospQuarterlyValidAppeal_Part1.doc	Form and Instruction
10210 Extraordinary Circumstances/Waiver Request Form ExtraordinaryCircumstance.docx	Form and Instruction
10210 Healthcare Associated Infection Exception Form HAI Exception.docx	Form
10210 Reconsideration Request ReconsiderationRequest.docx	Form and Instruction
10210 Validation Review for Reconsideration Request Recon Request_Part 2.doc	Form and Instruction
10210 Inpatient Hospital Compare INPT_Apr2012_withholding_March[1].pdf	Form and Instruction

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.