AppendixETJC - Manual - Performance Measurement Network

Specifications Manual for Joint Commission National Quality Measures (v2013A1)

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Appendix ETJC
Version 2013A1

Appendix E - Miscellaneous Tables

Table of Contents

Appendix E - Miscellaneous Tables
Table 2.6 Qualifiers and Modifiers Table
Table 2.7 Allowable Measure Set Combinations
Related Topics

Table 2.6 Qualifiers and Modifiers Table

Note: These guideleines apply only to those data elements that refer to them in their Guidelines for Abstraction Exclusion list(s)

Qualifiers

Modifiers

Qualifiers are words used as adjectives to indicate some uncertainty about whether or not a condition really exists.

Quantitative modifiers are adjectives that quantitatively describe a condition

The following qualifiers should be abstracted as negative findings, unless otherwise specified - Consider this list all-inclusive:

And/or (+/-; e.g., "ST abnormalities consistent with ischemia and/or injury"), except when comparing only inclusions (e.g., "ST segment elevation and/or STEMI")
Cannot exclude
Cannot rule out
Could be
Could have been
May be
May have
May have had
May indicate
Or, except when comparing only inclusions
Possible
Questionable (?)
Risk of
Rule out (r'd/o, r/o'd)
Suggestive of
Suspect
Suspicious
Vs., except when comparing only inclusions
Example: If the in-hospital echocardiogram report documents "questionable LVSD", this should be abstracted as a negative finding.

The following quantitative modifiers should be abstracted as negative findings, unless otherwise specified - Consider this list all-inclusive:

Borderline
Insignificant
Scant
Slight
Sub-clinical
Subtle
Trace
Trivial

Table 2.7 Allowable Measure Set Combinations

			PC¹	HBIPS¹
			Newborns - 0 to <=2 days Mother - 8 to <65 years	>= 1 year
Principal Procedure or Principal/Other Diagnosis			P/O Dx	Psychicatric Care Setting = "y"
AMI	>= 18 years	P Dx	Yes for mothers age 18 or greater	>= 18
HF	>= 18 years	P Dx	Yes for mothers age 18 or greater	>= 18
PN	>= 18 years	P Dx	Yes for mothers age 18 or greater	>= 18
STK¹	>= 18 years	P Dx	Yes for mothers age 18 or greater	>= 18
CAC¹	2 to < 18 years	P Dx	Yes for mothers under age 18	2 to < 18
VTE¹	>= 18 years	P/O Dx	Yes for mothers age 18 or greater	>= 18
PC¹	Newborns: 0 to <=2 days Mother: 8 to <65 years	P/O Dx	N/A	Yes for Mothers
SCIP	No age limitation	P/O Px	Yes	>= 1
HBIPS¹	>=1 year	Psychiatric Care Setting = "Y"	Yes for mothers	N/A
ED	No age limitation	Lenght of Stay < 120 days	Yes	>= 1
IMM	>= 6 Mo old	Lenght of Stay < 120 days	Yes for Mothers	Patients age 1 year and older
SUB	>= 18 years	Lenght of Stay < 120 days	Mothers age 18 years and older	Patients age 18 years and older
TOB	>= 18 years	Lenght of Stay < 120 days	Mothers age 18 years and older	Patients age 18 years and older

Can Combine
Cannot combine²

^{1 These measure sets are Joint Commission Only. The measure set combinations containing these sets are only applicable for the transmission of data to The Joint Commission. The Measure Set combination for aligned measures is maintained in the NHQM Specifications Manual.}
^{2 "Cannot Combine" is a placeholder at this time, as the populations for the HBIPS and PC measure sets can currently be combined with all other measure sets.}

Appendix E - Miscellaneous Tables

Table 2.6 Qualifiers and Modifiers Table

Table 2.7 Allowable Measure Set Combinations

Related Topics