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Specifications Manual for Joint Commission National Quality Measures (v2015A)
Home » Sampling Frequency

Release Notes:
Data Element
Version 2015A

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

Note:
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
Format:
Length:1
Type:Character
Occurs:
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.

Note:
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.
    Example:
    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 (v2015A)
Discharges 01-01-15 (1Q15) through 09-30-15 (3Q15)
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