NOTE: Do NOT enter any Personally Identifiable Information (PII) into the IHTA system! In addition, please address only one vendor in any (each) QIR.
Participant: Originator
Action: Submit New QIR
If the Originator determines that an unresolved quality or patient safety issue qualifies for a QIR, the Originator submits a new QIR by completing the following steps:
Select Manage QIRs > New. The New QIR window displays.
The following fields are required to submit a new QIR:
Headline: Use this field to provide a brief description of the QIR for easy identification later.
Facility: Select the facility that is initiating the QIR from the drop-down menu.
NOTE: The facility selected in this drop-down menu is the facility initiating the QIR. This could be the Originator's assigned facility or another facility within the Originator's VISN.
Vendor: Select the appropriate Vendor from the drop-down list provided.
NOTE: Verify that you have selected the correct Vendor. This is an important step in ensuring that the submitted quality or patient safety issue is being viewed by the appropriate Vendor.
Cause of Complaint: Enter information regarding the issue or problem. The information provided should be enough detail for a clear understanding of the issue or problem. This field can be updated later on the Summary tab after the QIR is submitted, but before the National Administrator approves the QIR.
Recommendations and Remarks: Enter any other recommendations or additional remarks about the complaint/device/issue in the field provided.
NOTE: Originators are also required to enter the following text in the Recommendations and Remarks field: <Facility Number> <Facility Name>; for example, 605 Loma Linda VAMC. This is the same facility selected in the Facility field on the New QIR window. Alternatively, you can copy (Ctrl+C) and paste (Ctrl+V) the facility # and name from the Facility drop-down menu to the Recommendations and Remarks field.
Additional information can be added to the QIR (if known), including the following:
Type of Complaint: Select the Type of Complaint (i.e., New Item, Quality Complaint, and Similar Item). The Type of Complaint field is derived from the legacy QIR form.
Contract or Purchase Order Number: Enter alpha-numeric characters of the Contract or Purchase Order Number in the field provided.
Device Model: Select the Device Model from the drop-down list. When this item is chosen before selecting a Vendor, the application will automatically populate the associated Vendor field.
Serial Number: Enter alpha-numeric characters for the Serial Number when the QIR is for a specific device.
Attachment: If a document or graphic can provide additional information, add the document or graphic as additional reference material for the QIR. An attachment may be added at any time when the QIR is available for editing. (Refer to Add or Remove Attachments.)
Once all required information has been entered, click Submit.
An Information Message will display indicating that the new QIR was created successfully. The New QIR window will be blank for submitting another QIR. Click Cancel to close this screen.
The application generates an e-mail indicating that a new QIR was submitted. The status of this QIR is "New" and it is assigned a Tracking Number (TN).
See Also