Health Care Staffing Services Measures (v2023A)
Posted: 08/22/2022
Home » Job Appropriate Credentials

Release Notes:
Data Element
Version 2023A

Name:Job Appropriate Credentials
Collected For: HCSS-6, HCSS-7
Definition:Documentation in the personnel file that the employee has current and appropriate job credentials based on the discipline/ specialty/ profession and assigned duties.

Job credentials should be verified at the time of hire / rehire.

Question:Is there documentation of job appropriate credentials in the personnel file?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes)    There is documentation of job appropriate credentials in the personnel file.

N (No)    There is no documentation of job appropriate credentials in the personnel file, or unable to determine (UTD).

Notes for Abstraction:

  • If there is any documentation of job appropriate credentials in the personnel file, select “Yes.”
  • Documentation of employee job credentials may include but is not limited to:
    • Proof of current certification, licensure or registration (specific for the discipline) in accordance with federal and state regulations
    • Proof of education or training (specific for the discipline)
    • School diploma or transcripts
Note: The original, primary source document of a specific credential should be used to verify the accuracy of a qualification reported by an individual. It is acceptable to verify current licensure, certification, or registration with the primary source via a secure electronic communication or by telephone, if this verification is documented.
  • Credentials must match those required in the HCSS position description.
  • If documentation of job credentials is missing from the personnel file or expired, select “No.”
  • If unable to determine (UTD) from the personnel file that the employee’s job credentials are appropriate and current, select “No.”

Suggested Data Sources:

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

None

Job Appropriate Credentials
Health Care Staffing Services Measures (v2023A)
Discharges 01-01-2023 (1Q23) through 06-30-2023 (2Q23)

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