Att Z - Proposed changes Initial Hospital Intake Questionnaire

Att Z - Proposed changes Initial Hospital Intake Questionnaire.docx

National Hospital Care Survey

Att Z - Proposed changes Initial Hospital Intake Questionnaire

OMB: 0920-0212

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Attachment Z: Changes to the Initial Hospital Intake Questionnaire

Proposed changes are indicated in RED.


  • Added question about workmen’s compensation


OLD

NEW

.

20e. Discharges of patients whose bills are paid by workmen’s compensation.

  • Yes

  • No

  • Don’t know





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWilliams, Sonja (CDC/OPHSS/NCHS)
File Modified0000-00-00
File Created2021-01-24

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