The National Health Service Corps (NHSC) Site Data Tables form serves as a comprehensive tool for documenting a range of critical metrics relevant to NHSC member sites. These sites, pivotal in delivering healthcare services, are required to detail various aspects of their operation, including patient demographics, insurance coverage, service charges, collections, adjustments, and more. The form begins with a basic identification section, capturing the site's name, address, date of preparation, and reporting period, which spans six months. It delves into detailed tables enumerating patients and visits by primary insurance type, financial data concerning patient service charges and collections, the number of patient applications for the Sliding Fee Schedule (SFS), and the staffing composition across service categories. Specifically designed to encapsulate the scope of activities and services provided, these data tables facilitate a granular view of healthcare delivery at NHSC sites. Importantly, the form differentiates between various payer sources, acknowledges the sliding fee scale's role in making healthcare accessible, and outlines the staffing necessary to support comprehensive primary care. It is tailored to ensure accountability and transparency, catering to sites not currently receiving grant support from the HRSA/BPHC, except for certain auto-approved entities like Federally Qualified Health Centers. By mandating this meticulous documentation, the NHSC aims to ensure that member sites uphold standards of care and effectively address the needs of their communities.
| Question | Answer |
|---|---|
| Form Name | Nhsc Site Data Tables Form |
| Form Length | 11 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 2 min 45 sec |
| Other names | nhsc site data, nhsc fill in data table, site data tables, nhsc data |