NHAMCS-174 2012 free printable template
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NHAMCS-174 (10-5-2012) SAMPLE NATIONAL HOSPITAL AMBULATORY MEDICAL CARE SURVEY 2013 OUTPATIENT DEPARTMENT PATIENT RECORD Form Approved: OMB No. 0920-0278; Expiration date 12/31/2014 Assurance of confidentiality
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How to fill out NHAMCS-174
How to fill out NHAMCS-174
01
Obtain the NHAMCS-174 form from the appropriate source.
02
Fill in the facility identification information at the top of the form.
03
Specify the date of the survey by writing it in the designated field.
04
Provide details about the patient sample, including age, gender, and reason for visit.
05
Indicate the services provided during the visit in the corresponding sections.
06
Record any diagnoses and procedures based on the visit information.
07
Ensure all sections are completed accurately and legibly.
08
Review the form for any errors or missing information.
09
Submit the form to the relevant authorities by the specified deadline.
Who needs NHAMCS-174?
01
Health care facilities participating in the National Hospital Ambulatory Medical Care Survey.
02
Researchers analyzing trends in outpatient care.
03
Policy makers seeking data to inform health care planning and resource allocation.
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What is NHAMCS-174?
NHAMCS-174 is a data collection instrument used by the National Hospital Ambulatory Medical Care Survey (NHAMCS) to gather information about the provision of ambulatory care in hospital emergency departments and outpatient departments.
Who is required to file NHAMCS-174?
Hospitals that are participating in the NHAMCS are required to file NHAMCS-174, which includes both emergency departments and outpatient departments of those hospitals.
How to fill out NHAMCS-174?
To fill out NHAMCS-174, designated hospital staff must follow the specific instructions provided with the form, ensuring all required data points are accurately recorded, including patient visits and services rendered.
What is the purpose of NHAMCS-174?
The purpose of NHAMCS-174 is to collect data on the patterns of care and services provided in hospital outpatient settings, which can help inform healthcare policy, research, and resource allocation.
What information must be reported on NHAMCS-174?
Information that must be reported on NHAMCS-174 includes patient demographics, visit characteristics, types of services provided, diagnostic information, and treatment given during the hospital outpatient visit.
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