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Release Notes:
Data Element
Version 2013B

Data Element Name: Sampling Frequency
Collected For: HBIPS, PC, Transmission, Patient Population Data File , Used in transmission of the Hospital Initial Patient Population Data file.

Refer to the Population and Sampling Specifications section and Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual.
Definition:Indicates if the data being transmitted for a hospital has been sampled (either monthly or quarterly), or represents an entire population for the specified time period.
Suggested Data Collection Question:Not Applicable
Non-stratified Measure Sets:

One Sample Size – Medicare Only per hospital’s measure set (e.g., AMI, HF, PN, and STK).

Stratified Measure Sets:

One Sample Size – Medicare Only per measure set stratum or sub-population the hospital is participating in:
* The PC measure set has three occurrences, one for the mother sub-population and two for the newborn sub-populations.
* The HBIPS measure set has four occurrences, one for each age stratum.

Refer to the appropriate version of the Specifications Manual for National Quality Inpatient Measures for the number of occurrences for the CAC, VTE, and SCIP measure sets.
Allowable Values:

1     Yes, the hospital is sampling data monthly.

2     Yes, the hospital is sampling data quarterly.

3     No, the hospital is not sampling.

4     N/A, submission of patient level data is not required.

Notes for Abstraction:
  • Sampling Frequency must be consistent across a discharge time period.
    If the Sampling Frequency for April is monthly, then the Sampling Frequency for May and June must be monthly.

  • For Discharge measures (e.g., HBIPS-1, 4, PC-01): Hospitals with five or fewer discharges (both Medicare and Non-Medicare combined) in a quarter are not required to submit patient level data.

  • For Event measures (eg., HBIPS-2 and 3): This data element will always be equal to ‘3’ (No, the hospital is not sampling) for the HBIPS event measures (HBIPS-2 and 3).
Suggested Data Sources:

Not Applicable

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Sampling Frequency
Specifications Manual for Joint Commission National Quality Measures (v2013B)
Discharges 07-01-13 (3Q13) through 12-31-13 (4Q13)