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Fiscal Year 2016 (10/01/159/30/16) ESD CORE SURVEY DATA WORKSHEET Facility: CCN:Date: Surveyor:Use of this worksheet: The data elements that must be reviewed for a survey will change over time due to

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How to fill out fy2016 esrd core survey

01

To fill out the FY2016 ESRD Core Survey, follow these steps:

02

Begin by reviewing the survey instructions provided by the ESRD Core Survey team.

03

Gather all relevant data and necessary documents for accurate reporting.

04

Start with the demographic section and fill out all the required information about the facility and its characteristics.

05

Proceed to the patient-level data section and carefully enter the information for each patient as specified in the survey instructions.

06

Make sure to accurately report all required clinical and treatment data for each patient.

07

If you encounter any uncertainties or need clarification on specific items, refer to the provided survey instructions or contact the ESRD Core Survey team for assistance.

08

Review the filled survey for any errors or omissions before submission.

09

Once you have thoroughly reviewed the survey, submit it according to the specified submission method provided by the ESRD Core Survey team.

10

After submission, retain a copy of the completed survey for future reference or audits.

11

If you are responsible for completing the survey on behalf of a facility, ensure proper coordination and communication with all relevant staff members to collect accurate and complete data.

Who needs fy2016 esrd core survey?

01

The FY2016 ESRD Core Survey is needed by healthcare facilities that provide treatment for End-Stage Renal Disease (ESRD) patients. This includes dialysis centers, hospitals with dialysis units, nursing homes with dialysis facilities, and other healthcare organizations involved in ESRD care. The survey helps in collecting crucial data to assess the quality of care and outcomes for ESRD patients, which is used for research, policy-making, and regulatory purposes.

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What is fy2016 esrd core survey?

The FY2016 ESRD Core Survey is a survey required by the Centers for Medicare & Medicaid Services (CMS) to be completed by End-Stage Renal Disease (ESRD) facilities.

Who is required to file fy2016 esrd core survey?

All ESRD facilities are required to file the FY2016 ESRD Core Survey.

How to fill out fy2016 esrd core survey?

The FY2016 ESRD Core Survey can be filled out online on the CMS website or through a paper form sent by mail.

What is the purpose of fy2016 esrd core survey?

The purpose of the FY2016 ESRD Core Survey is to gather data on the quality of care provided by ESRD facilities.

What information must be reported on fy2016 esrd core survey?

The FY2016 ESRD Core Survey requires reporting on patient demographics, treatment procedures, facility staffing, and quality improvement efforts.

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