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1. Prepare to Submit the Certification for Initial Listing Form | PSO
   pso.ahrq.gov/become/submit-certification
   August 01, 2021 - Patient Safety Activities Select the Prospective PSO Authorized Official (AO) Prepare to Submit … Certification for Initial Listing Form Maintain a PSO Listing Prepare to Submit … reviewed August 2021 Page originally created July 2021 Internet Citation: Prepare to Submit … https://pso.ahrq.gov/become/submit-certification   Back to Top

2. Sample Filing Timeline | PSO
   pso.ahrq.gov/maintain/sample-timeline
   June 01, 2022 - Sample Filing Timeline Sample Filing Timeline Once listed, a PSO must submit … As Needed: Disclosure Form Submit within 45 days whenever the PSO has relationships with a provider … Year 2: Scheduled: PSO Profile Form Submit by February 28th every year. … Year 3: Scheduled: PSO Profile Form Submit by February 28th every year. … Continued Listing Form Deadline: October 17, 2022 Submit no earlier than 6 months and no later than

3. How To Maintain a PSO Listing | PSO
   pso.ahrq.gov/maintain
   June 01, 2022 - By the time the PSO is due to submit its first Certification of Continued Listing  (PDF, 1.3 MB), it … View Sample Filing Timeline During each three-year listing period, PSOs must: Submit the Two Bona … If the PSO fails to submit the form by the deadline, it will receive a notice of a preliminary finding … Submit a Disclosure Statement whenever a relationship with a provider arises that requires disclosure … The PSO must submit a Disclosure Statement  (PDF, 240 KB) to AHRQ within 45 days whenever it has

4. Patient Safety Organization: Two Bona Fide Contracts Requirement (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_BonaFideContracts.pdf
   January 21, 2021 - PSOs are encouraged to submit the form as soon as the requirement is met during each 24-month period … Do not submit copies of the contracts with this form unless requested by AHRQ. … Failure to submit this form certifying compliance with the two bona fide contracts requirement by midnight … Please submit this form to AHRQ’s PSO Office via email, at pso@ahrq.hhs.gov. … To submit a hard copy, please send to: PSO Office, AHRQ, 5600 Fishers Lane, MS 06N100B, Rockville, MD

5. Patient Safety Organization: Disclosure Statement (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Disclosure.pdf
   October 12, 2022 - A PSO must submit a disclosure statement consisting of this form and the accompanying attachment for … be identical in all respects for each contracting provider at the time of submission, the PSO may submit … Please submit completed forms to AHRQ’s PSO Office via e-mail, at pso@ahrq.hhs.gov. … To submit a hard copy, please send to: PSO Office, AHRQ, 5600 Fishers Lane, MS 06N100B, Rockville, MD … I also certify that I will submit a new or revised disclosure statement, as applicable, to the Secretary

6. Forms | PSO
   pso.ahrq.gov/forms
   February 01, 2022 - Forms Patient Safety Organizations (PSOs) are encouraged to complete and submit … need to determine whether it has other relationships with the contracted providers that require it to submit … In order for the PSO to be considered for an additional 3-year period, PSOs must submit the Certification … The PSO Profile is voluntary; if a PSO elects to submit the Profile, the information should be entered

7. Patient Safety Organization: Change of Listing Information (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ChangeOfListingInfo.pdf
   December 17, 2021 - Please submit this form to AHRQ’s PSO Office via e-mail, at pso@ahrq.hhs.gov. … To submit a hard copy, please send to: PSO Office, AHRQ, 5600 Fishers Lane, MS 06N100B, Rockville, MD … change of parent organization(s) or a change in organizational structure that affects the PSO, please submit

8. Become a Patient Safety Organization | PSO
   pso.ahrq.gov/become
   March 01, 2022 - Patient Safety Activities Select the Prospective PSO Authorized Official (AO) Prepare to Submit … Conducting Patient Safety Activities Select the Prospective PSO Authorized Official ("AO") Prepare to Submit

9. Select the Prospective PSO Authorized Official (AO) | PSO
   pso.ahrq.gov/become/select-authorized-official
   August 01, 2021 - Patient Safety Activities Select the Prospective PSO Authorized Official (AO) Prepare to Submit … Requirements Establish Policies and Procedures for Conducting Patient Safety Activities Prepare to Submit

10. Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements | PSO
    pso.ahrq.gov/become/assess-compatibility
    August 01, 2021 - Patient Safety Activities Select the Prospective PSO Authorized Official (AO) Prepare to Submit … 2) and enters into a Patient Safety Act contract with the same provider, the PSO must complete and submit … Conducting Patient Safety Activities Select the Prospective PSO Authorized Official ("AO") Prepare to Submit

11. What Is the Role of the PSO Authorized Official? (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao.pdf
    July 01, 2021 - example, during the course of a PSO’s period of listing, there are certain specified forms the PSO must submit … A PSO’s failure to timely submit these forms could result in the PSO’s delisting.

12. Patient Safety Organization: Certification for Initial Listing (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO_InitialListing.pdf
    February 15, 2022 - An entity seeking listing must complete this form, and submit it to AHRQ’s PSO Office via email, at … To submit a hard copy, please send to: PSO Office, AHRQ, 5600 Fishers Lane, MS 06N100B, Rockville, MD … relationships required by section 3.102(d)(2) to be disclosed to the Secretary, the PSO will need to submit … relationships required by section 3.102(d)(2) to be disclosed to the Secretary, the PSO will need to submit

13. Establish Policies and Procedures for Conducting Patient Safety Activities | PSO
    pso.ahrq.gov/become/establish-policies
    August 01, 2021 - Patient Safety Activities Select the Prospective PSO Authorized Official (AO) Prepare to Submit … Patient Safety Rule Requirements Select the Prospective PSO Authorized Official ("AO") Prepare to Submit

14. PSO: Certification of Continued Listing (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ContinuedListing.pdf
    February 15, 2022 - A PSO seeking continued listing must complete this form and submit it to AHRQ’s PSO Office via email, … To submit a hard copy, please send to: PSO Office, AHRQ, 5600 Fishers Lane, MS 06N100B, Rockville, MD … relationships required by section 3.102(d)(2) to be disclosed to the Secretary, the PSO will need to submit … relationships required by section 3.102(d)(2) to be disclosed to the Secretary, the PSO will need to submit

15. What is the Role of the PSO Authorized Official? (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/Role%20of%20AO_July%202016_FINAL.pdf
    July 01, 2016 - course  of  a  PSO’s  period  of  listing,  there  are  certain  specified  forms  the  PSO  must  submit … A  PSO’s  failure  to  timely   submit  these  forms  could  result  in  the  PSO’s  delisting.   

16. Reset your password | PSO
    pso.ahrq.gov/user/password
    Submit Back to Top

17. What Is the Role of the PSO Authorized Official? (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao-june-2017.pdf
    January 01, 2017 - example, during the course of a PSO’s period of listing, there are certain specified forms the PSO must submit … A PSO’s failure to timely submit these forms could result in the PSO’s delisting.

18. Patient Safety Organization: Request For Voluntary Relinquishment (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Voluntary_Relinquishment.pdf
    January 03, 2022 - In order to request voluntary relinquishment, please submit this form to AHRQ’s PSO Office via email, … To submit a hard copy, please send to: PSO Office, AHRQ, 5600 Fishers Lane, MS 06N100B, Rockville, MD

19. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - The PSOPPC is developing a tool on the PSOPPC website that any member of the public can use to submit … Prepare to Submit the Certification for Initial Listing Form The Certification for Initial Listing … By the time the PSO is due to submit its first Certification for Continued Listing, it must be able … Overview of PSO Filing Timeline and Forms During each three-year listing period, PSOs must: Submit … Throughout listing, PSOs are encouraged to: Submit and update the PSO Profile Form The PSO Profile

20. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-listing-guide-2022.pdf
    January 01, 2022 - Prepare to Submit the Certification for Initial Listing Form The Certification for Initial Listing … By the time the PSO is due to submit its first Certification for Continued Listing, it must be able … Overview of PSO Filing Timeline and Forms During each three-year listing period, PSOs must: Submit … If the PSO fails to submit the form by the deadline, it will receive a notice of a preliminary finding … Throughout listing, PSOs are encouraged to: Submit and update the PSO Profile Form The PSO Profile