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INSTRUCTIONS: Hospitals must refer to the appropriate version of data dictionary for abstraction guidelines that apply to this measure. Use of italic and underlined font throughout this tool indicates
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To fill out Appendix A-3 data abstraction, follow these steps: 1. Review the instructions provided for completing Appendix A-3.
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It is used to organize, summarize, and present data in a structured format for further analysis or reporting purposes.

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Appendix A-3 data abstraction is a standardized form used to collect and report certain data related to healthcare services, quality measures, and performance metrics.
Healthcare providers, organizations, and institutions that participate in certain government programs or quality reporting initiatives are required to file appendix A-3 data abstraction.
To fill out appendix A-3 data abstraction, organizations must complete all required fields accurately, providing necessary quantitative and qualitative data related to their services and outcomes. Follow the guidelines and instructions provided with the form carefully.
The purpose of appendix A-3 data abstraction is to standardize the collection of data that helps assess the quality of care, support quality improvement initiatives, and facilitate reporting to regulatory agencies.
Information that must be reported includes patient demographics, treatment outcomes, service utilization data, and metrics specific to quality measures relevant to the organization.
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