Patient Level Data Resources

Forms#

**NOTICE** Submit completed forms by email to your facility’s assigned OSHPD analyst or to the general Patient-level data emailbox.  Due to current circumstances, staff are not onsite at headquarters and faxes will not be retrieved on a timely basis.#

SIERA User Registration#

User Registration Information Sheet:  To access SIERA, all facilities must first download and complete the following forms:

• User Account Administrator (UAA) Agreement 

• Facility Contact Information

• Agent Designation Form (if applicable)

  • Designated Agent Registration Information Sheet:  All potential Designated Agents (DA) must first complete the following form:

  • Designated Agent User Agreement 

Other Forms#

• Appeal Process

• Extension Request

• No Data to Report: Verification to OSHPD that your facility does not have data to report for the current open report period.

• Modification for Consolidation: Prior to submitting separate data reports, a consolidated facility must request a modification. 

Quick Notes Technical Bulletins#

• Issue 61: SIERA Quick Tips and Resources
• Issue 60: New 2021 Edits and SIERA Terminology 
• Issue 59: Data Reporting 2021/SIERA FAQs – Part II
• Issue 58: Data Reporting 2021/SIERA FAQs
• Issue 57: System Upgrades and COVID-19 Reporting 
• Issue 56: Hospice and Newborn Reporting Reminders
• Issue 55: Survey for System Improvements
• Issue 54: Skilled Nursing Procedures/2019 Reminders
• Issue 53: Research at Risk/2019 Requirement Reminders
• Issue 52: 2019 Requirements are a Month Away
• Issue 51: MIRCal Contacts and Website Updates
• Issue 50: 2019 New Reporting Requirements
• Issue 49: 2019 MIRCal Regulations Approved
• Issue 48: Public Comment Period Open!
• Issue 47: Public Comment Period/Reporting Homeless
• Issue 46: Preserving Your Records
• Issue 45: 2017 Inpatient Data Element Changes
• Issue 44: Preserving Procedures Through Error Corrections
• Issue 43: ICD-10 Reporting External Causes

*Please note: Links referenced in old Quick Notes issues may be obsolete or no longer valid. Please consult the Inpatient and ED/AS Data Reporting Manuals to confirm CURRENT detailed information regarding reporting requirements for each data element.