Performance Measurement Network

Question: Abstraction for Last Known Well

"Seizure-like activity 1/2 hours prior to arrival," documented in the ED record. H&P documentation states, "Pt has been worked-up by PCP for seizure-like activity for the last 6 weeks." Which date/time should be used for Date/Time of Last Known Well?

Answer:

See the data element definition (Alphabetical Data Element Dictionary PDF)for *Last Known Well* and determine when the patient was last known to be at their baseline / usual state of health. Both date and time are needed to select "Yes". If there is no documentation that the date and time of last know well was witnessed or reported,OR date, time, or both date and time are unknown, select "No" for *Last Known Well*.

http://www.jointcommission.org/PerformanceMeasurement/PerformanceMeasurement/Current+NHQM+Manual.htm

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

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