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Question: Can an addendum be made to a pt's chart that has been d/c - Physician did not place the hunt & hess.

The physician did not place a hunt and hess score. Can he/she make an addendum after the pt has already been discharged?

Answer:

Addendums will not help with CSTK-03 (or CSTK-01) since the time that the score was performed is needed for the measure rate calculations. Scores performed outside of the specified timeframe will not include the case in the numerator.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: CSTK, Initial Hunt and Hess Scale Time
Manual: Current Manual (current data collection period; prior to data transmission)
File:

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