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1. Hospital Commitment Form.
   hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn10.jsp
   August 01, 2014 - Hospital Commitment Form. … DATA VISUALIZATIONS DATA QUERY TOOLS Hospital Commitment Form … HOSPITAL COMMITMENT FORM MINNESOTA HOSPITAL ASSOCIATION AGENCY FOR HEALTHCARE RESEARCH AND QUALITY … ________________________________________________(Phone/Email) Please sign and return this form. … _____________________________________ Internet Citation: Hospital Commitment Form

2. HOSPITAL COMMITMENT FORM (pdf file)
   hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn10.pdf
   June 21, 2014 - HOSPITAL COMMITMENT FORM HOSPITAL COMMITMENT FORM MINNESOTA HOSPITAL ASSOCIATION AGENCY FOR … ________________________________________________(Phone/Email) Please sign and return this form.

3. Application Hcup Aoty 2021 021521 (pdf file)
   hcup-us.ahrq.gov/news/Application_HCUP_AOTY_2021_021521.pdf
   January 01, 2021 - Please submit this form in PDF with the additional application materials specified below. … Application Materials Nomination packages must include the following: • A completed application form … HCUP’s Outstanding Article of the Year Nomination Form https://www.hcup-us.ahrq.gov/news/awards.jsp … Clinical Award Policy Award HCUP’s Outstanding Article of the Year Nomination Form: Contact … HCUP’s Outstanding Article of the Year Nomination Form: Critieria 3.

4. HCUP CODING PRACTICES (pdf file)
   hcup-us.ahrq.gov/db/coding.pdf
   November 19, 2020 - Coding Conventions Values have been: Examples of data elements: Retained in the form … , Clinical Classifications Software Refined (CCSR) Some data elements are only retained in the form … Other data elements are retained in both an edited or uniformly recoded scheme and in its original form … In either case, the data element for the information retained in its original form uses the suffix _ … , expected primary pay source is uniformly coded as data element PAY1 and retained in its original form

5. (pdf file)
   hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQFINALREPORTVHI.pdf
   December 01, 2009 - ________________________________________________________________ Adding Clinical Data Final Report Form … ________________________________________________________________ Adding Clinical Data Final Report Form … ________________________________________________________________ Adding Clinical Data Final Report Form … ________________________________________________________________ Adding Clinical Data Final Report Form … ________________________________________________________________ Adding Clinical Data Final Report Form

6. HCUP Coding Practices
   hcup-us.ahrq.gov/db/coding.jsp
   November 01, 2020 - table: Coding Conventions Values have been: Examples of data elements: Retained in the form … Clinical Classifications Software Refined (CCSR) Some data elements are only retained in the form … Other data elements are retained in both an edited or uniformly recoded scheme and in its original form … In either case, the data element for the information retained in its original form uses the suffix _X … example, expected primary pay source is uniformly coded as data element PAY1 and retained in its original form

7. ___APS-DRGs-Weights_Public.book (pdf file)
   hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V23%20Weights%20Manual.pdf
   August 01, 2006 - THIS APPENDIX INCLUDES: • Organization Change of Information Form • Product Manual Feedback Form PS-DRGs … ® Normalized Weights User’s Guide 16 Appendix A: HSS Forms Organization Change of Information Form … Product Manual Feedback Form A PRODUCT MANUAL FEEDBACK FORM Use the feedback form below to provide … PS-DRGs® Normalized Weights User’s Guide 18 Appendix A: HSS Forms Product Manual Feedback Form A … Organization Change of Information Form Product Manual Feedback Form Contact Information Manual

8. APS-DRGs-Weights_Public.book (pdf file)
   hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V22%20Weights%20Manual.pdf
   March 01, 2005 - ® Normalized Weights User’s Guide 16 Appendix A: HSS Forms Organization Change of Information Form … S-DRGs® Normalized Weights User’s Guide 17 Appendix A: HSS Forms Product Manual Feedback Form AP … PRODUCT MANUAL FEEDBACK FORM Use the feedback form below to provide HSS with your feedback. … S-DRGs® Normalized Weights User’s Guide 18 Appendix A: HSS Forms Product Manual Feedback Form AP … Organization Change of Information Form Product Manual Feedback Form Contact Information Manual

9. Clinical Content Enhancement Toolkit
   hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/project_initiation.jsp
   October 01, 2014 - and Commitment Letter ( PDF file, 58 KB; HTML ) Cover letter introducing the Hospital Commitment Form … (Developed by the Minnesota grantee) Hospital Commitment Form ( PDF file, 47 KB; HTML ) Mechanism … ) Contact Information for Submission of Clinical Laboratory Data ( PDF file, 276 KB; HTML ) Form

10. (pdf file)
    hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.pdf
    January 15, 2008 - You may register for this program in any of the following ways: Mail this completed form and check … Fax this form to (651) 659-1477.

11. SID File Composition
    hcup-us.ahrq.gov/db/state/siddist/sid_multi.jsp
    November 01, 2018 - Check the corresponding boxes and then click View File Composition (Top of Form) Arkansas … Wisconsin Check the corresponding boxes and then click View File Composition (Bottom of Form

12. Next Steps to AHRQ Lab/Pharmacy Participation (pdf file)
    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn11.pdf
    June 21, 2014 - Participation Next Steps to AHRQ Lab/Pharmacy Participation Sign and return the Commitment Form

13. NASS Description of Data Elements
    hcup-us.ahrq.gov/db/nation/nass/nassdde.jsp
    April 01, 2024 - Check the corresponding boxes and then click View Description of Data Elements (Top of Form) … Check the corresponding boxes and then click View Description of Data Elements (Bottom of Form

14. HCUP Supplemental Files Application (pdf file)
    hcup-us.ahrq.gov/tech_assist/centdist/HCUP-Supplemental-Files-Application-2021-08-04.pdf
    January 01, 2021 - This hard copy request form is provided as a courtesy in cases where the online HCUP Central Distributor … To request supplemental files, complete this form and submit it to the HCUP Central Distributor via postal … 0935-0206 expires 05/31/2022 For privacy protection, please consider password-protecting request forms

15. Healthcare Cost and Utilization Project (HCUP) NASS Notes
    hcup-us.ahrq.gov/db/vars/nass_stratum/nassnote.jsp
    August 01, 2019 - stratification of public versus private was used, with the voluntary and proprietary hospitals combined to form … to form a single "private" category.

16. Patient Demographics Questionnaire - Self (pdf file)
    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca15.pdf
    June 16, 2014 - RACE: Five racial categories are available on the form. … provided a list of Frequently Asked Questions to help answer any questions that you may have about this form

17. ___APS-Def_Public.book (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V23%20Definitions%20Manual.pdf
    August 01, 2006 - ® Definitions Manual 44 Appendix B: HSS Forms Organization Change of Information Form AP ORGANIZATION … S-DRGs® Definitions Manual 45 Appendix B: HSS Forms Product Manual Feedback Form AP PRODUCT MANUAL … FEEDBACK FORM Use the feedback form below to provide HSS with your feedback. … S-DRGs® Definitions Manual 46 Appendix B: HSS Forms Product Manual Feedback Form AP After completing … Organization Change of Information Form Product Manual Feedback Form Contact Information Manual

18. MHA/AHRQ Kick-Off Event
    hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.jsp
    July 01, 2016 - You may register for this program in any of the following ways: Mail this completed form and check … Fax this form to (651) 659-1477.

19. Healthcare Cost and Utilization Project (HCUP) NIS Notes
    hcup-us.ahrq.gov/db/vars/nis_stratum/nisnote.jsp
    September 01, 2008 - stratification of public versus private was used, with the voluntary and proprietary hospitals combined to form … to form a single "private" category.

20. HCUP State Ambulatory Surgery and Services Databases (SASD) File Composition
    hcup-us.ahrq.gov/db/state/sasddist/sasd_multi.jsp
    October 01, 2018 - Check the corresponding boxes and then click View File Composition (Top of Form) California … Wisconsin Check the corresponding boxes and then click View File Composition (Bottom of Form