Performance Measurement Network

Question: Last Known Well

Q22010: Chief Complaint on ER Physician T-Sheet on Saturday 4/17/2010 states "Confused x24 hrs. No previous episodes". H/P indicates the wife went out of town Thursday(4/17/2010)and came back she noticed the patient was confused. Consult dictated on 4/18/2010 indicates the "wife returned yesterday and found the patient quite confused". What value should be selected for Last Know Well?

Answer:

Select "No" for Last Known Well. It appears that there was at least 2 days when the patient's status was unknown, although the dates provided do not match-up - i.e., 4/15 was a Thursday and 4/17 a Saturday. Also, the arrival date and time was not provided.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-04, Last Known Well ,

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