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  1. pso.ahrq.gov/become/select-authorized-official
    August 01, 2021 - Prospective PSO Authorized Official (AO) Prepare to Submit the Certification for Initial Listing Form … The AO must have full authority to sign the certification for listing forms containing the attestations … for Conducting Patient Safety Activities Prepare to Submit the Certification for Initial Listing Form
  2. pso.ahrq.gov/sites/default/files/wysiwyg/pso-listing-guide-2022.pdf
    January 01, 2022 - The AO must have full authority to sign the certification for listing forms containing Page 18 … Once a PSO is listed, online forms pre-populate with the PSO’s administrative information. … PSO Authorized Oficials can access online forms for their PSO by logging in to their ‘My PSO Account … If necessary, forms can be downloaded from AHRQ’s PSO website, completed, and submitted by email or … The Change of Listing Information Form is an administrative form that can be used by the PSO’s Authorized
  3. pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - The AO must have full authority to sign the certification for listing forms containing Page 18 … Once a PSO is listed, online forms pre-populate with the PSO’s administrative information. … PSO Authorized Oficials can access online forms for their PSO by logging in to their ‘My PSO Account … If necessary, forms can be downloaded from AHRQ’s PSO website, completed, and submitted by email or … The Change of Listing Information Form is an administrative form that can be used by the PSO’s Authorized
  4. pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - HERF – Healthcare Event Reporting Form (HERF); it is one of 3 general forms of AHRQ’s Common Formats. … This form is not available in versions after Hospital version 1.2. … (PIF); it is one of 3 general forms of AHRQ’s Common Formats. … This form is not available in versions after Hospital version 1.2. … SIR – Summary of Initial Report (SIR) Form; it is one of 3 general forms of AHRQ’s Common Formats.
  5. pso.ahrq.gov/resources/acronyms
    August 01, 2021 - (HERF); it is one of 3 general forms of AHRQ’s Common Formats. … This form is not available in versions after Hospital version 1.2. … PIF – Patient Information Form (PIF); it is one of 3 general forms of AHRQ's Common Formats. … This form is not available in versions after Hospital version 1.2. … SIR – Summary of Initial Report (SIR) Form; it is one of 3 general forms of AHRQ's Common Formats.
  6. pso.ahrq.gov/sites/default/files/wysiwyg/saguide.pdf
    September 01, 2009 - requirements in Table 1 (Row # 19) is not addressed by either the initial or continued certification forms … Table 4 provides a crosswalk of the language from the rule and the initial and continued listing forms … Those forms are available at www.pso.ahrq.gov. … The forms must be submitted in their entirety and AHRQ will not accept a form that has been retyped … Changes in the Accuracy of a PSO’s Certifications reflected in Initial or Continued Listing Forms
  7. pso.ahrq.gov/sites/default/files/pso-program-acronyms.pdf
    March 01, 2017 - (HERF); it is one of 3 general forms of AHRQ’s Common Formats. … This form is not available in versions after Hospital version 1.2. … PIF – Patient Information Form (PIF); it is one of 3 general forms of AHRQ’s Common Formats. … This form is not available in versions after Hospital version 1.2. … SIR – Summary of Initial Report (SIR) Form; it is one of 3 general forms of AHRQ’s Common Formats.
  8. pso.ahrq.gov/user/password
    Reset your password You must have JavaScript enabled to use this form
  9. pso.ahrq.gov/user/login
    You must have JavaScript enabled to use this form.
  10. pso.ahrq.gov/pso/listed/geographic
    October 01, 2022 - To update PSO contact information, please use the Change of Listing Information form ; to update profile
  11. pso.ahrq.gov/faq
    April 01, 2023 - PSWP analyzed by the PSO forms the basis of protected recommendations from the PSO to the provider. … A health insurance issuer may not form a component PSO, but the other excluded entities listed in 3.102 … If the component PSO's parent is an excluded entity that is permitted to form a component PSO, the PSO … AHRQ has prepared a  PSO Certification for Initial Listing  form that an entity must use to certify that … What is the deadline for submitting the forms to become a PSO?
  12. pso.ahrq.gov/sites/default/files/wysiwyg/fda-guidance-pso.pdf
    December 01, 2010 - entities that seek to be component PSOs to sign an attestation that the statements on the application form … The application form also indicates that if the answer is “no” for any of the questions, additional … In addition, the form indicates that applicants must promptly notify HHS if any changes take place that
  13. pso.ahrq.gov/pso/listed
    To update PSO contact information, please use the Change of Listing Information form which can be accessed
  14. pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2024 - provider has no ongoing requirement to maintain the reported information, the subsequent collection of a form … in the PSES and reporting to a PSO would protect the later form as PSWP because the external obligation … The provider only maintains the forms outside of the PSES: The forms are not PSWP. … The provider only maintains the original forms in the PSES: The forms are original provider records … clear and discrete requirements would include requirements for a provider to fill out a particular form
  15. pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
    January 01, 2024 - identifiable patient safety work product’ means patient safety work product that— ‘‘(A) is presented in a form … information as that term is defined in the HIPAA confiden- tiality regulations; or ‘‘(C) is presented in a form
  16. Slide 1 (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - The provider only maintains the forms outside of the PSES: The forms are not PSWP. 2. … : The original forms are not PSWP. 3. … The provider only maintains the original forms in the PSES: The forms are original provider records … The provider maintains the forms outside of the PSES and within the PSES extracts information from the … forms to conduct further analysis: The forms are not PSWP. 23 The Guidance: External Obligations
  17. pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
    January 01, 2010 - people throughout 5- state area 13 Decision to Join a PSO Center for Patient Safety (CPS) forms … in setting up the electronic database and our patient safety evaluation system ► Policy and PSO form
  18. pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
    January 01, 2005 - identifiable patient safety work product’ means patient safety work product that— ‘‘(A) is presented in a form … information as that term is defined in the HIPAA confiden- tiality regulations; or ‘‘(C) is presented in a form
  19. pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
    September 01, 2016 - Patient Safety (TeamSTEPPS®) PSOs make patient safety culture initiatives available to members in the form
  20. pso.ahrq.gov/pso
    October 01, 2020 - Work With a PSO Become a PSO Maintain a PSO Listing PSOs Common Formats Forms

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