Notice of Participation

Hospital Inpatient Quality Reporting (IQR) Program

To participate in the Hospital Inpatient Quality Reporting (IQR) Program, each hospital must complete a Notice of Participation using an online tool on the QualityNet Secure Portal.

New hospitals and existing hospitals that wish to participate in the Hospital IQR Program for the first time must complete a Notice of Participation pledge that includes the name and address of each hospital campus that shares the same Centers for Medicare & Medicaid Services (CMS) Certification Number (CCN).

Hospitals that wish to participate in the Hospital IQR Program need to submit a Notice of Participation no later than 180 days from their Medicare Accept Date. These hospitals need to begin submitting program data starting with the first day of the quarter following the date when the hospital signed its Notice of Participation.

Hospitals that would like to participate in the program for the first time or that previously withdrew from the program and would like to participate again must complete a Notice of Participation by December 31 of the calendar year preceding the first quarter of the calendar year in which the Hospital IQR Program data submission is required for any given fiscal year.

A hospital that has previously indicated its intent to participate is considered an active participant until CMS determines a need for re-pledging, or the hospital submits a withdrawal to CMS through the online tool.

A collection tool available on the QualityNet Secure Portal allows hospitals to enter their Notice of Participation, Contact, Campus information, and National Provider Identifiers (NPIs). The collection tool can be accessed on the My Tasks screen in the Manage Pledges section by selecting the “View/Edit Notices of Participation, Contacts, Campuses, NPIs” link.

For help in viewing and accessing the online tool, reference the following resources:

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