The 2016 ICH CAHPS Facility Non-Participation Form
folder_openFacility Participation Requirementscalendar_todayPosted January 15, 2016

As noted in an e-mail message sent to in-center hemodialysis (ICH) facilities on January 14, 2016 and posted under the For Facilities menu on the ICH CAHPS Website’s home page, all in-center hemodialysis (ICH) facilities must determine whether they will be required to administer the ICH CAHPS Survey in calendar year (CY) 2016.

ICH facilities that determine that they are not required to administer the 2016 ICH CAHPS Survey and those that choose not to administer the survey must complete and submit the 2016 ICH CAHPS Facility Non-Participation Form to the ICH CAHPS Coordination Team. The 2016 Facility Non-Participation Form is now available on the ICH CAHPS website. To access this form, login to the website using your user credentials and choose “Non-Participation Form” under the For Facilities menu.

ICH facilities should note that the Facility Non-Participation Form is an annual form that is valid only for the year in which it was submitted. ICH facilities that submitted the Facility Non-Participation Form in CY2015 must submit a new 2016 Facility Non-Participation Form for the 2016 ICH CAHPS Spring and Fall Surveys.

The deadline to submit the 2016 Facility Non-Participation Form is 5:00 PM Eastern Time on February 28, 2016.

Please contact the ICH CAHPS Coordination Team at 1-866-245-8083 or via e-mail at ichcahps@rti.org if you have any questions or need more information about the Facility Non-Participation Form.