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HRSA Electronic Handbooks

Children's Hospitals Graduate Medical Education

pdf
  • Health Resources and Services Administration
  • Academic Year: 2022-2023
  • Bureau of Health Workforce
  • OMB Number: 0915-0061
  • Annual Performance Report
  • OMB Expiration Date: 01/31/2025

CHD-2: CHGME Hospital Data – Hospital Discharge and Safety Data

Please answer the lead question below. If your children’s hospital has any patient safety initiatives in place during the most recently completed academic year, answer ‘Yes’ and proceed to complete this form. If not, please answer ‘No’ and click ‘Save and Validate’ to proceed to the next required form. If ‘Yes’ was answered, please select all patient safety initiatives your children’s hospital utilized. You may add additional ones not listed. Please click ‘Add Record’ after each selection. Each selected initiative will form a line on the table. Then indicate whether your children’s hospital utilized the selected initiatives in the most recently completed academic year (July 1 – June 30) and if any changes in the initiatives have occurred since the previous academic year. Also, please select all applicable reasons for the change and resulting benefits from any change(s) in the following columns. Please refer to the instruction manual and/or contact your Government Project Officer if you have any questions about how to complete this form.



Did your children’s hospital have any patient safety initiatives in place in the most recently completed academic year?
(complete CHD-2)(Click Save and Validate to proceed to the next form)
Add Patient Safety Initiative (add all that apply)


No.Patient Safety Initiative
(1)		Select Whether Initiative is Part of the Hospital's Patient Safety Program in Most Recent Academic Year
(2)		Select Whether the Hospital has made Changes in Initiative since the Previous Academic Year
(3)		Reasons for Change
(4)		Benefits of Initiative
(5)		Option(s)

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