CMS_10423_2-7_IPFDataentryScreenshot

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IPFQR Program HQR Secure Portal Images

1. Data Accuracy and Completeness Acknowledgement (DACA)

After logging in to the HQR Secure Portal, access the DACA by hovering over “Administration”
and then “DACA” in the
left menu.

Please see attached Word document for mockup of DACA form that has not been signed.

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2. Web-Based Data Submission

Starting with the summer 2023 data submission period, IPFs must submit data via XML file
upload into the HQR Secure Portal. The patient-level data submitted for the measures removed
in the FY 2027 final rule, SUB-2/2a and TOB-3/3a, were submitted via XML filed upload. IPFs
that use the CMS Abstraction & Reporting Tool (CART) to abstract IPFQR Program measure data
can only do so for the patient-level measures because the IPF module in CART is not designed to
abstract aggregate, facility-level data. Thus, IPFs using CART to create XML files for patient-level
reporting must manually enter the non-measure data and the data elements of the HospitalBased Inpatient Psychiatric Services (HBIPS)-2 and HBIPS-3 denominator value directly into a
data entry form in the HQR Secure Portal.
A data collection tool available within the Hospital Quality Reporting system via the Hospital
Quality Reporting Secure Portal allows hospitals to submit their PIX Survey data. This document
is a representation of the text contained in the measure data form and is for reference
purposes only.

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3. Non-Measure Data

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4. HBIPS Denominator

5. Zero Patient Attestation
Note: A data collection tool available within the Hospital Quality Reporting system via
the Hospital Quality Reporting Secure Portal allows hospitals to complete and submit
their Zero Patient Attestation data. This document is a representation of the text
contained in the Zero Patient Attestation data and is for reference purposes only.
If you have zero patient event or zero patient discharges for any measure below, select the
corresponding checkbox. By default this selection will not be made, and you will need to
submit as usual.
HBIPS-2
There are zero patient events to submit
HBIPS-3
There are zero patient events to submit
SMD
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There are zero patient events to submit
SUB-2
There are zero patient events to submit
SUB-2a
There are zero patient events to submit
SUB-3
There are zero patient events to submit
SUB-3a
There are zero patient events to submit
TOB-3
There are zero patient events to submit
TOB-3a
There are zero patient events to submit
TR-1
There are zero patient events to submit
IMM-2
There are zero patient events to submit
Submit

Cancel

IPFQR Program HQR Secure Portal Images
6. Vendor management
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7. Notice of Participation
Facilities must submit a Notice of Participation which will remain active unless the IPF
withdraws from the program.

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