Performance Measurement Network

Question: Must the patient refuse both pharmacological and mechanical VTE prophylaxis to count as a reason for no prophylaxis?

Patient refused Lovenox , NIHSS=0 on admission, IPC's not administered. Is this documentation sufficient to select "Yes" for reason for no prophylaxis? Is specific documentation for no IPC's required in addition to the above documentation?

Answer:

Select 'A' None for "VTE Prophylaxis" and 'Yes' for "Reason for No VTE Prophylaxis-Hospital Admission". Patient refusal of one form of prophylaxis, i.e., lovenox, is a sufficient reason. It is not necessary for the patient to refuse both pharmacological and mechanical prophylaxis. See Version 3.3_1 data element definition for "Reason for No VTE Prophylaxis-Hospital Admission".

http://www.jointcommission.org/specifications_manual_for_national_hospital_inpatient_quality_measures/

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-01, STK-1,

Copyright © by the contributing authors. All material on this collaboration platform is the property of the contributing authors.
Ideas, requests, problems regarding Performance Measurement Network? Send feedback
This website is using cookies. More info. That's Fine