CMS-10210 Population and Sampling

Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210)

08. Population and Sampling_vFINAL_508

Quality Measures and Procedures for Hospital Reporting of Quality Data

OMB: 0938-1022

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Hospital Inpatient Quality Reporting Program
Population and Sampling
Please Note: A data collection tool available within the Hospital Quality Reporting system via
the Hospital Quality Reporting Secure Portal allows hospitals to complete and submit their
population and sampling data. This document is a representation of the text contained in the
population and sampling data form and is for reference purposes only.
IQR – SEPSIS
Severe Sepsis and Septic Shock
Sampling Frequency (Drop Down)
• Monthly
• Quarterly
• Not Sampled
• N/A submission not required
Population
All fields must be filled in; if you have no data for a particular item you must put in “0.”

Medicare







0

Non-Medicare
Total

Total

0

0

0

0
0

Sampling
All fields must be filled in; if you have no data for a particular item you must put in “0.”

Medicare







0

Non-Medicare
Total
Cancel

January 2026

Total

0

0
Save & Return

0

0
0


File Typeapplication/pdf
File TitlePopulationandSampling
SubjectHospital Inpatient Quality Reporting Program, Population and Sampling
AuthorHSAG
File Modified2025-05-28
File Created2025-05-28

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