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Release Notes:
Data Element
Version 2013B

Data Element Name: Antenatal Steroid Therapy Initiated
Collected For: PC-03,
Definition:Documentation that antenatal steroid therapy was initiated before delivery.

Initial antenatal steroid therapy is 12mg betamethasone IM or 6mg dexamethasone IM.

Suggested Data Collection Question:Is there documentation that antenatal steroid therapy was initiated before delivery?

Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation that antenatal steroid therapy was initiated before delivery.

N (No) There is no documentation that antenatal steroid therapy was initiated before delivery OR unable to determine from medical record documentation.

Notes for Abstraction:If there is documentation that antenatal steroid therapy was initiated prior to current hospitalization in another setting of care, i.e., doctor's office, clinic, birthing center, hospital before delivery, select allowable value "yes".

If antenatal steroid therapy was initiated in the hospital, the name of the medication must be documented in the medical record in order to select allowable value "yes".

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