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Release Notes:
Data Element
Version 2012B

Data Element Name: Antenatal Steroid Administered
Collected For: PC-03,
Definition:Documentation that a full course of antenatal steroids was administered before delivery.

A full course of antenatal steroids consists of two doses of 12mg betamethasone IM 24 hours apart OR four doses of 6 mg dexamethasone IM every 12 hours.

Suggested Data Collection Question:Is there documentation that a full course of antenatal steroids was administered before delivery?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation that a full course of antenatal steroids was administered before delivery.

N (No) There is no documentation that a full course of antenatal steroids was administered before delivery OR unable to determine from medical record documentation.

Notes for Abstraction:If a full course of antenatal steroids was administered prior to current hospitalization in another setting of care, i.e., doctor's office, clinic, birthing center, hospital before delivery, select allowable value "Yes".

The names of the medications, dosage and timing must be documented in the medical record in order to select allowable value "yes".

For betamethasone, select allowable value "yes" if the repeat dose was given within 4 hours before or after the 24 hour repeat period.

For dexamethasone, select allowable value "yes" if the repeat doses were given within 2 hours before or after the 12 hour repeat period.

Suggested Data Sources:

  • History and physical
  • Progress notes
  • Medication administration record (MAR)
  • Prenatal forms
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Refer to Appendix B, Table 11.0 Antenatal Steroid Medications None

Antenatal Steroid Administered
Specifications Manual for Joint Commission National Quality Measures (v2012B)
Discharges 07-01-12 (3Q12) through 12-31-12 (4Q12)