Performance Measurement Network

Question: Documentation added to D/C summary after discharge

Can the provider make an addendum to the discharge summary to document reason for no statin at discharge. If they can, what is the timeframe that an addendum can be added? Thank you!


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ANSWER: Julie, An addendum to the discharge summary added within 30 days of the discharge date can be used for abstraction of STK-6 Statin Medication Prescribed at Discharge. Any documentation dated/timed after discharge, except discharge summary should not be used for abstraction.

Thank you for your inquiry.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-6, Reason for Not Prescribing Statin Medication at Discharge,
Manual: Future Manual (data collection period has not yet started)

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