Crosswalk

IPFQR Crosswalk.xlsx

Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)

Crosswalk

OMB: 0938-1171

Document [xlsx]
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2017 (old version) 2018 (new version) Type of Change Reason for Change Burden Change
CMS IPF HBIPS Data collection paper form_FY2020.docx CMS IPF HBIPS Data collection paper form_FY2020 v2.pdf Rev Proposed removal of two HBIPS measures from the IPFQR program. Yes - removing these two measures will reduce burden, as outlined in Supporting Statement A.
CMS IPF Vendor Auth_paperform_FY2020.docx CMS IPF Vendor Auth_paperform_FY2020 v2.pdf Rev Ensure the form is 508-compliant. No
FY 2020 IPF_NonMeasureData_PprTool_.docx Non Measure Data Collection Tool v2.pdf Rev Proposed removal of sample size data collection requirement. Yes - removing this requirement will reduce burden, as outlined in Supporting Statement A
TOB IMM collection form FY 2020.docx IQ 2018-04-13 V1 SUB TOB IMM collection form FY 2020 4-26.pdf Rev Combine data collection for TOB, IMM, and SUB measures and proposed removal of TOB-1, TOB-3 and 3-a, and SUB-1. Yes - removing these three measures will reduce burden, as outlined in Supporting Statement A.
Transition Measure collection form FY 2019.docx Data Collection Tool for Transition Record Measures v2.pdf Rev Ensure the form is 508-compliant. No
IPF_FY2020 SUB_form.docx N/A Remove Combined with TOB and IMM for IQ 2018-04-13 V1 SUB TOB IMM collection form FY 2020 4-26.pdf No
CMS IPF DACA Paper Form_FY2020.docx CMS IPF DACA Paper Form_FY2020 v2.pdf Rev Ensure the form is 508-compliant. No
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