2020 Optional Case and QI Declaration

Please complete the form below to let the MSQC Coordinating Center know your optional case and QI case declaration for 2020.

Note: for large volume or bed-size hospitals only, we will reach out to you individually to verify your additional volume selection for 2020.  

2020 Optional Case and QI Declaration

2020 Optional Case Selection Declaration

Please choose one option below *

2020 QI Case Selection Declaration

Please choose *two* options below *

Declaration

Please check the box below *