ICR Documents

Supporting Statement A Document Date Uploaded NHCS 2014 - 2016 Supporting Statement Part A_Final 08 28 14.docx 08/29/2014 Supporting Statement B Document Date Uploaded NHCS 2014 - 2016 Supporting Statement Part B_Final_Atlanta073014.docx 08/18/2014 Supplementary Documents Title Document Document Type Date Uploaded Att A - Legislative Authority Attachment A - Legislative Authority to Collect Data on Hospital Utilization.rtf Supplementary Document 01/30/2013 Att B - 60 day FRN Attachment B - Federal Register Notice for NHCS.pdf Supplementary Document 08/18/2014 Att C - Data Collection Flowchart Attachment C - NHCS Data Collection Flow Chart.docx Supplementary Document 08/18/2014 Att D - Intro Letter to Hospitals Attachment D - Introductory Letter to Hospitals.docx Supplementary Document 08/18/2014 Att E - Ambulatory Intro Letter to Hospitals Attachment E - Ambulatory Intro Letter to Hospitals EDs OPDs.docx Supplementary Document 08/18/2014 Att F - UB-40 Data Elements Attachment F - List of UB04 Data Elements.docx Supplementary Document 08/18/2014 Att G - List of Variables for EHR Extraction of Inpt Discharges Attachment G - List of Variables for EHR Extraction of IP Discharges.docx Supplementary Document 08/18/2014 Att H - List of Variables for EHR Extraction of ED Visits Attachment H - List of Variables for EHR Extraction of ED Visits.docx Supplementary Document 08/18/2014 Att I - List of Variables for EHR Extraction of Outpt Visits Attachment I - List of Variables for EHR Extraction of OPD Visits.docx Supplementary Document 08/18/2014 Att L - Westat Data Security Plan Attachment L - Westat Data Security Plan.pdf Supplementary Document 08/18/2014 Att M - ERB Approval Attachment M - ERB Approval Notice for NHCS.pdf Supplementary Document 08/18/2014 Att T - Annual Ambulatory Hosp Interview Changes Attachment T - Hospital Ambulatory Interview Changes.docx Supplementary Document 08/18/2014 Att U - Changes to 2014 ED Patient Record Form Attachment U - ED PRF Changes.docx Supplementary Document 08/18/2014 Att V - Changes to 2014 Outpt Dept Patient Record Form Attachment V - OPD PRF Changes.docx Supplementary Document 08/18/2014 Att Q - ED Patient Record Attachment Q - Emergency Department Patient Record Form.docx Supplementary Document 08/21/2014 Att S - FAQ Brochure Attachment S - NHCS FAQ Brochure.pdf Supplementary Document 08/21/2014 Attachment M - Updated ERB Approval Attachment M- ERB Approval Notice for NHCS.pdf Supplementary Document 09/04/2014 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received