CMS-10432 HBIPS-2 Measure Screen Shot

Inpatient Psychiatric Facility Quality Reporting Program

CMS IPF Data collection_screen shots_final_508

Inpatient Psychiatric Facility Quality Reporting Program

OMB: 0938-1171

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IPF HBIPS-2 Measure Example Screens

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IPF HBIPS-2 Measure Example Screens

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IPF HBIPS-2 Measure Example Screens

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IPF HBIPS-2 Measure Example Screens

These screen shots are for the Web-Based Data Collection function, which is expected to go live as part
of the Hospital Reporting tool set by June 27, 2013. These screen shots are mock-ups of the expected
functionality, which is still in development, and may not be fully representative. A paper-based form will
also be submitted in the PRA package.

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File Typeapplication/pdf
File TitleIPF HBIPS-2 Measure Example Screens
AuthorRoger Johnson
File Modified2013-05-13
File Created2013-05-13

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