Reminder: All ACFs Must Complete Quarterly Statistical Information Report

The Department of Health (DOH) has activated the Quarterly Statistical Information Report (QSIR) for the fourth quarter of 2017. All adult care facilities (ACFs) are required to complete the report, which encompasses the time period from Oct. 1, 2017 to Dec. 30, 2017. Additionally, facilities with a certified bed capacity of 80 beds or more, in which 20 percent or more of the resident population are persons with serious mental illness, are required to provide additional information, which is outlined in the Dear Administrator Letter (DAL).

The report must be submitted on the Health Commerce System (HCS) by Jan. 31, 2018. Failing to meet this deadline could result in enforcement action and the imposition of civil penalties. Questions pertaining to this DAL and programmatic requirements should be directed to DOH’s Georgina Raus or Jillanna Devik at 518-408-1133. Questions specific to the Roster of Adult Home Residents should be directed to DOH’s Matthew Gasbarro at 518-485-8781.

Below are two attachments provided along with the above DAL:

• Data Entry Instructions
• Definitions of Terms

Contact: Diane Darbyshire, ddarbyshire@leadingageny.org, 518-867-8828