Quality Measures and Procedures for Hospital Reporting of Quality Data

Hospital Reporting Initiative--Hospital Quality Measures

OMB: 0938-1022

IC ID: 204350

Documents and Forms

Document Name Document Type
Form CMS-10210 Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
CMS-10210 Data Accuracy and Completeness Acknowledgemenmt DACAForm2015_Final.doc Form and Instruction
CMS-10210 HVBP Review and Corrections Form VBP Review and Corrections Request Form_03_2013.doc Form and Instruction
CMS-10210 HVBP Appeal Request Form VBP Appeal Request Form_03_2013.doc Form and Instruction
CMS-10210 Validation Template CAUTI Validation TemplateCatheter-Associated Urinary Tract Infection (CAUTI).xlsx Form and Instruction
CMS-10210 Validation Template MRSA Validation Template for MRSA.xlsx Form and Instruction
CMS-10210 Validation Template CLABSI Validation Template for CLABSI_BloodCultureTemplate.xlsx Form and Instruction
CMS-10210 Validation Template CDI Validation Template for CDI.xlsx Form and Instruction
CMS-10210 Request for Withholding Data from Public Reporting Request for withholding.doc Form and Instruction
CMS-10210 Reconsideration Request Form electronic ReconsiderationRequest_English.pdf Form and Instruction
CMS-10210 Extroadinary Circumstances Disaster Waiver ExtraordinaryCircumstance_Disaster Waiver.docx Form and Instruction
CMS-10210 Healthcare Associated Infection Exception Form HealthcareAssociatedInfection_ExceptionForm.doc Form and Instruction
CMS-10210 HVBP Appeal Request Form Screen Shot HVBP Appeal Request Form_03_2013.pdf Form and Instruction
CMS-10210 HVBP Review and Correction Rquest Form Screen Shot HVBP Review and Corrections Request Form_03_2013.pdf Form and Instruction
CMS-10210 HIQR Notice of Participation Form Notice of Participation.docx Form and Instruction
CMS-10210 Reconsideration Request Form ReconsiderationRequest_English.docx Form and Instruction