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LOST TIME ANTICIPATED WITNESS NAME PHONE DATE ADMINISTRATOR NOTIFIED DATE PREPARED WERE THEY USED PHYSICIAN HEALTH CARE PROVIDER NAME ADDRESS WERE SAFEGUARDS OR SAFETY EQUIPMENT PROVIDED PREPARER S NAME TITLE WC8391r 03-12 Wolters Kluwer Financial Services Uniform FormsTM PHONE NUMBER WC-1-EDI 03-12 AI NOTE This form constitutes both the original notification of injury and detailed report of injury required by 287.

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What is missouri - chartis?

Missouri - CHARTIS stands for Missouri Comprehensive Healthcare-associated Infection Reporting and Information System. It is a reporting system used in Missouri to track and monitor healthcare-associated infections in healthcare facilities.

Who is required to file missouri - chartis?

All healthcare facilities in Missouri are required to file Missouri - CHARTIS. This includes hospitals, long-term care facilities, ambulatory surgical centers, and other healthcare settings.

How to fill out missouri - chartis?

Missouri - CHARTIS is filled out electronically through the online reporting system provided by the Missouri Department of Health and Senior Services. Facilities can access the system, enter the required data, and submit their reports online.

What is the purpose of missouri - chartis?

The purpose of Missouri - CHARTIS is to collect data on healthcare-associated infections in order to identify trends, assess infection prevention efforts, and implement strategies to reduce infections and improve patient safety in Missouri healthcare facilities.

What information must be reported on missouri - chartis?

Healthcare facilities must report various data on Missouri - CHARTIS, including the type of infection, the number of infections, patient demographics, healthcare procedures performed, and infection prevention measures implemented.

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