Get the free Ambulatory Surgery Data Reporting Program Registration Form - oregon

This form is required for all Office Ambulatory Surgery Centers to report their patient case data to the Office of Health Analytics to comply with reporting requirements.

How to fill out ambulatory surgery data reporting

How to fill out Ambulatory Surgery Data Reporting Program Registration Form

1. Obtain the Ambulatory Surgery Data Reporting Program Registration Form from the designated health authority website or office.
2. Read the instructions carefully to understand the required information and submission guidelines.
3. Fill out the facility information section, including the name, address, and contact details of the ambulatory surgery center.
4. Provide information about the medical staff, including names, qualifications, and roles within the facility.
5. Indicate the types of surgical procedures offered at the facility, along with associated codes if applicable.
6. Complete the patient demographic section, ensuring accurate details about the patient population served.
7. Include any additional required data, such as licensing numbers or accreditation statuses.
8. Review the entire form for accuracy and completeness.
9. Sign and date the form as required by the program guidelines.
10. Submit the form through the specified method (online, by mail, etc.) as stated in the instructions.

Who needs Ambulatory Surgery Data Reporting Program Registration Form?

1. Ambulatory Surgery Centers that perform outpatient surgical procedures.
2. Healthcare professionals involved in the administration or management of ambulatory surgery services.
3. Facilities seeking to comply with state or federal reporting requirements related to ambulatory surgery.

For pdfFiller’s FAQs

What is Ambulatory Surgery Data Reporting Program Registration Form?

The Ambulatory Surgery Data Reporting Program Registration Form is a document used by healthcare facilities to report data related to ambulatory surgery procedures for regulatory and quality control purposes.

Who is required to file Ambulatory Surgery Data Reporting Program Registration Form?

Healthcare facilities that perform outpatient surgical procedures are required to file the Ambulatory Surgery Data Reporting Program Registration Form, including ambulatory surgical centers and hospitals with dedicated surgical units.

How to fill out Ambulatory Surgery Data Reporting Program Registration Form?

To fill out the Ambulatory Surgery Data Reporting Program Registration Form, health facilities need to provide administrative details, surgery types, patient demographics, and outcome data, ensuring accuracy and completeness.

What is the purpose of Ambulatory Surgery Data Reporting Program Registration Form?

The purpose of the Ambulatory Surgery Data Reporting Program Registration Form is to collect standard data on surgical procedures to improve patient care, monitor facility performance, and facilitate healthcare policy decisions.

What information must be reported on Ambulatory Surgery Data Reporting Program Registration Form?

The information that must be reported includes facility identification, types of surgeries performed, patient demographics, surgical outcomes, and any adverse events related to the surgeries.