Healthcare Staffing Services Measures (v2022B)
Posted: 2/1/2022
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Release Notes:
Data Element
Version 2022B

Collected For: HCSS-6, HCSS-7
Definition:Documentation in the personnel file that the employee’s clinical knowledge, experience, and skills are current and appropriate based on the discipline/specialty/profession and assigned duties.

A competency assessment should be done at the time of hire / rehire, and annually thereafter.
Question:Is there documentation of the employee’s competency in the personnel file?
Allowable Values:

Y (Yes)   There is documentation of employee competency in the personnel file.

N (No)   There is no documentation of employee competency in the personnel file, or unable to determine (UTD).
Notes for Abstraction:

  • If there is any documentation of employee competency in the personnel file, select “Yes.”
  • Documentation of employee competency may include but is not limited to:
    • Clinical skills checklists (specific for the discipline)
    • Competency assessments (specific for the discipline)
    • Certificates of continuing education / CEUs
    • HIPAA compliance training (specific for the discipline)
    • OSHA compliance training (specific for the discipline), e.g., fire safety, emergency preparedness, hazardous materials
    • Proof of current cardiopulmonary resuscitation training (CPR) (specific for the discipline)
    • Training and education records
    • References from previous employers
    • Verification of prior work experience in the profession assigned
  • If documentation of employee competency is missing from the personnel file or expired, select “No.”
  • If unable to determine (UTD) from the personnel file that the employee’s competency is appropriate and current, select “No.”
Suggested Data Sources:

  • Personnel file
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Healthcare Staffing Services Measures (v2022B)
Discharges 07-01-2022 (3Q22) through 12-31-2022 (4Q22)