CMS-10432 Screening for Metabolic Disorders

Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program
Online Data Entry Tool Content for Web-Based Measure Collection
FY 2020 and Subsequent Years
IPFs should complete the form in a fillable PDF format and submit via email to: [email protected].

CCN

Facility Name

Screening for Metabolic Disorders
Screening for Metabolic Disorders
NUMERATOR

CY 2018

Total number of patients who received a metabolic screening
either in the 12 months prior to, or during, the index IPF stay
DENOMINATOR

CY 2018

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 (current expiration: MM/DD/YYYY). 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

03/2016

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