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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
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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
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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
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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.
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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.
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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
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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.
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pso.ahrq.gov/user/password
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pso.ahrq.gov/user/login
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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
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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?
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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
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pso.ahrq.gov/pso/listed
To update PSO contact information, please use the Change of Listing Information form which can be accessed
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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
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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
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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
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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
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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
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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
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pso.ahrq.gov/pso
October 01, 2020 - Work With a PSO
Become a PSO
Maintain a PSO Listing
PSOs
Common Formats
Forms