CMS-10432 Screening for Metabolic Disorders Measure

Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)

Screening for Metabolic Disorders collection form FY 2018

Inpatient Psychiatric Facility Quality Reporting Program

OMB: 0938-1171

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Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program
Online Data Entry Tool Content for Web-Based Measure Collection

FY 2018 and Subsequent Years

IPFs should complete the form in a fillable PDF format and submit via email to: [email protected].

CShape1 Shape2 CN Facility Name

Screening for Metabolic Disorders


Screening for Metabolic Disorders

NShape3 UMERATOR CY 2016

Total number of patients who received a metabolic screening

either in the 12 months prior to, or during, the index IPF stay


DENOMINATOR CY 2016

Shape4

IPF patients discharged with one or more routinely

scheduled antipsychotic medications during the measurement period




PRA DISCLOSURE STATEMENT

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1171. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleInpatient Psychiatric Facility Quality Reporting (IPFQR) Program Online Data Entry Tool Content for Web-Based Measure Collection
SubjectInpatient Psychiatric Facility Quality Reporting (IPFQR) Program Online Data Entry Tool Content for Web-Based Measure Collection
AuthorCMS
File Modified0000-00-00
File Created2021-01-24

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