Collection and Reporting of Quality Measures

Each Acute Hospital shall: (1) Report the ICU-related quality measures specified in guidance of the Commission; (2) Report the quality measures for each ICU to the Department in the form and manner specified by the Department; and (3) Post the reports provided to the Department pursuant to 958 CMR 8.11(2) on the Acute Hospital’s website, or as may be specified in guidance of the Commission.