QualityNet Security Administrator Registration
It is highly recommended that each organization designate two people as QualityNet Security Administrators —one to serve as the primary Security Administrator and the other, to act as backup.
- Download the QualityNet Security Administrator Registration Packet (PDF-85 KB).
- Follow the instructions for completing the Registration Form and Authorization Form. (The Registration Form must be signed and dated in the presence of a Notary Public, who must also sign the form and affix the Notary seal. The Authorization Form must be completed by the highest level executive at your organization.)
- Mail the original, completed forms to your state’s Quality Improvement Organization (QIO)*.
Once your completed registration materials have been received by your QIO*, the QualityNet Security Administrator there will enter your registration information and forward the original registration materials to the QualityNet Help Desk. You will be notified by e-mail when the registration process is complete and My QualityNet (the secure portion of the QualityNet website) is accessible. The e-mail will also contain your User ID. Your QIO's QualityNet Security Administrator will notify you of your initial password.
* Registration materials for Security Administrators representing data submission vendors or healthcare systems should be sent directly to the QualityNet Help Desk.