Census NHAMCS-100(ED) 2005 free printable template
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Form Approved OMB No. 0920-0278 Exp. Date 05/31/2007 CDC 64.136 NHAMCS-100(ED) PATIENT RECORD NO.: U.S. DEPARTMENT OF COMMERCE FORM (8-1-2005) Economics and Statistics Administration U.S. CENSUS BUREAU
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How to fill out Census NHAMCS-100(ED)
01
Obtain the Census NHAMCS-100(ED) form from the appropriate source.
02
Read the instructions carefully to understand the sections of the form.
03
Fill in the hospital identifier and the date of data collection at the top of the form.
04
Provide accurate information regarding patient demographics including age, sex, and race.
05
Record details of the visit such as reason for the visit, patient complaints, and any relevant medical history.
06
Document the diagnoses and treatments provided during the ED visit.
07
Include information about any referral or follow-up instructions given to the patient.
08
Review the completed form for accuracy and completeness.
09
Submit the form according to the submission guidelines provided.
Who needs Census NHAMCS-100(ED)?
01
Healthcare providers in emergency departments.
02
Public health researchers analyzing emergency department utilization.
03
Government agencies monitoring healthcare trends and policies.
04
Hospitals aiming to improve services and patient care in their emergency departments.
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What is Census NHAMCS-100(ED)?
Census NHAMCS-100(ED) is a survey instrument used to collect data on the utilization of emergency department services in healthcare facilities across the United States.
Who is required to file Census NHAMCS-100(ED)?
Healthcare facilities that provide emergency services and are selected to participate in the National Hospital Ambulatory Medical Care Survey (NHAMCS) are required to file Census NHAMCS-100(ED).
How to fill out Census NHAMCS-100(ED)?
To fill out Census NHAMCS-100(ED), respondents should follow the provided instructions to accurately record data about emergency department visits, patient demographics, the nature of the visit, and services rendered.
What is the purpose of Census NHAMCS-100(ED)?
The purpose of Census NHAMCS-100(ED) is to gather data that can be used to analyze trends in emergency department usage, assess the quality of care, and inform health policy decisions.
What information must be reported on Census NHAMCS-100(ED)?
Information that must be reported on Census NHAMCS-100(ED) includes patient demographics, reasons for visits, diagnoses, treatments provided, and any follow-up care needed.
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