-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ChangeOfListingInfo.pdf
September 30, 2024 - .***
Changes to PSO Entity Information
Name
Alternate Legal Name (if applicable)
Website
Street … Address
Mailing Address
Phone Extension (if applicable)
Reason for change(s)
https://pso.ahrq.gov … Name
Alternate Legal Name (if applicable)
Website
Street Address
Phone Extension (if applicable … Page 3 of 3
PSO Number:
PSO Name:
Name:
Alternate Legal Name if applicable:
Website:
Street … Address:
Mailing Address:
Phone:
Extension if applicable:
Reason for changes:
Name_2:
Alternate
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pso.ahrq.gov/maintain/sample-timeline
June 01, 2022 - If/when applicable, required to maintain the listing.
… If/when applicable, required to maintain the listing.
… If/when applicable, required to maintain the listing.
… If/when applicable, required to maintain the listing.
… If/when applicable, required to maintain the listing.
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Voluntary_Relinquishment.pdf
September 30, 2024 - when the Secretary accepts the entity’s certification submission and determines that
it meets the applicable … communication should be sent to:
Contact Name
Street Address
City State Zip Code
Phone Extension (if applicable … Safety Rule disposition
requirements as well as the terms of its business associate
agreements and all applicable … Authorized Official Information
Name
Title
Organization (if different from PSO)
Phone Extension (if applicable … PSO Name:
Contact Name:
Street Address:
City:
State:
Zip Code:
Phone:
Extension if applicable
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ContinuedListing.pdf
September 30, 2024 - Zip Code
Mailing Address (if different from street address) City State Zip Code
Phone Extension (if applicable … the Point of
Contact below:
Name
Title
Organization (if different from PSO)
Phone Extension (if applicable … ”, you are attesting that the PSO remains
in compliance with all of its prior attestations and the applicable … The PSO has made, if applicable to date, and will make disclosures to the
Secretary required by section … The PSO has made, if applicable to date, and will make disclosures to the
Secretary required by section
-
pso.ahrq.gov/sites/default/files/wysiwyg/pso-policies-procedures-topics-to-address.pdf
July 01, 2021 - PSO’s qualified staff and identify
staff shared between a component PSO and parent organization, if applicable … PSO’s independent contractor(s) with a description of the
activities performed by each contractor, if applicable
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO_BonaFideContracts.pdf
September 30, 2024 - Authorized Official Information
Name
Title
Organization (if different from PSO)
Phone Extension (if applicable … Page 2 of 2
Name:
Title:
Organization if different from PSO:
Phone:
Extension if applicable
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Disclosure.pdf
September 30, 2024 - I also certify that I will submit a new or revised disclosure statement, as applicable, to the Secretary … form must be signed and dated by the Authorized Official on record with AHRQ.***
Phone Extension (if applicable … Organization if different from PSO:
Authorized Official Phone:
Authorized Official Extension if applicable
-
pso.ahrq.gov/faq/what-is-a-pso
Department of Health & Human Services, lists entities as PSOs when they meet the applicable requirements
-
pso.ahrq.gov/become/assess-compatibility
August 01, 2021 - PSWP must remain confidential unless there is an applicable exception to confidentiality (also referred … may only be permissibly disclosed if the contemplated disclosure fits all of the requirements of an applicable
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO_InitialListing.pdf
September 30, 2024 - Code
Mailing Address (if different from street address)
City State Zip Code
Phone Extension (if applicable … Name
Title
Organization (if different from PSO)
Phone Extension (if applicable)
Email
Point … Point of
Contact below:
Name
Title
Organization (if different from PSO)
Phone Extension (if applicable … Secretary during its period of listing if it
can no longer comply with any of its attestations or the applicable … __________________________________________________
Yes No
Address
Phone Extension (if applicable
-
pso.ahrq.gov/taxonomy/term/2/feed
April 23, 2019 - Department of Health & Human Services, lists entities as PSOs when they meet the applicable requirements
-
pso.ahrq.gov/become/submit-certification
August 01, 2021 - administrative information about the entity applying for listing as a PSO and any parent organization(s), if applicable
-
pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
October 01, 2022 - First, when
information meets all of the applicable requirements of the definition of PSWP, any copy … Disclosures are only permissible if there is an applicable disclosure permission in the Patient
Safety … For details on what information can, and cannot, become PSWP, the applicable process and purpose
requirements … contrast, the rule regulates disclosures between separate legal
entities, for which there must be an applicable
-
pso.ahrq.gov/resources/acronyms
August 01, 2021 - First, when information meets all of the applicable requirements of the definition of PSWP, any copy … Disclosures are only permissible if there is an applicable disclosure permission in the Patient Safety … For details on what information can, and cannot, become PSWP, the applicable process and purpose requirements … contrast, the rule regulates disclosures between separate legal entities, for which there must be an applicable
-
pso.ahrq.gov/faq
April 01, 2023 - Department of Health & Human Services, lists entities as PSOs when they meet the applicable requirements … PSWP may only be disclosed pursuant to an applicable disclosure exception (see Patient Safety Rule Section … PSWP may only be disclosed pursuant to an applicable disclosure permission specified in the rule. … component PSO may only disclose PSWP to its parent organization (emphasis added) if permitted by an applicable … If the conditions of section 3.102(c)(3) and, when applicable, of section 3.102(c)(4)(ii)(B) of the Patient
-
pso.ahrq.gov/resources/hhs-guidance
August 01, 2022 - nor should it be relied upon as a substitute for familiarity with the Federal laws and regulations applicable
-
pso.ahrq.gov/resources/guides
August 01, 2023 - nor should it be relied upon as a substitute for familiarity with the Federal laws and regulations applicable
-
pso.ahrq.gov/forms/initial-listing
February 01, 2022 - Extension (if applicable)
CAPTCHA
What code is
-
pso.ahrq.gov/forms
February 01, 2022 - Secretary during its period of listing if it can no longer comply with any of its attestations and the applicable
-
pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao.pdf
July 01, 2021 - course of a PSO’s period of listing, there
are certain specified forms the PSO must submit to AHRQ, as applicable