Measure Category Assignment

Specifications Manual for Joint Commission National Quality Measures (v2015A1)

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Release Notes:
Data Element
Version 2015A1

Data Element Name:

Measure Category Assignment

Collected For:

AMI, HBIPS, HF, PBM, PC, PN, Calculation, Transmission, Hospital Clinical Data File , Used in calculation of the Joint Commissions aggregate data and in the transmission of the Hospital Clinical Data file. Informational ONLY for PBM.

Notes:

Episode of care records that calculate with a Measure Category Assignment of X (missing data) for one or more measures will be rejected by the Joint Commissions Data Warehouse. Refer to the Missing and Invalid Data section in this manual for more information.
All hospital measures use this data element. The ORYX Vendor's calculated Measure Category Assignment will be transmitted to The Joint Commission on a quarterly basis with the associated hospital clinical data. These measure results will be used in the Joint Commissions data quality analysis and continuous measure verification process. ORYX Vendors can refer to the Joint Commissions ORYX Data Quality Manual for more information.
Measure Category Assignment must be transmitted to The Joint Commission but cannot be transmitted to CMS. Files transmitted to the QIO Clinical Warehouse that contain Measure Category Assignment will be rejected.

Definition:

Calculated measures results for each episode of care (EOC) that is processed through a measure algorithm.

Used to summarize the outcome for an EOC that is processed through a specific measure algorithm.

Suggested Data Collection Question:

Not Applicable

Format:

Length:	1
Type:	Character
Occurs:	One Measure Category Assignment per EOC is expected for every measure that a hospital is participating in.

Allowable Values:

B Category B - Not in Measure Population
For rate-based and continuous variable measures:
EOC record is not a member of a measure's population.

For rate-based-ratio measures:
Does not apply.

D Category D - In Measure Population
For rate-based measures:
EOC record is a member of the measure's population and there has not been an occurrence of the measure.

For rate-based-ratio measures:
Does not apply.

For continuous variable measures:
EOC record is a member of the measure's population and has sufficient accurate and valid data to compute the measurement.

Note: For measures for which better quality is associated with a lower score or numerator, i.e.,HBIPS-4,PC-01, PC-02, PC-04, a Measure Category Assignment of D means that the appropriate care was provided and the intent of the measure was met. For aggregate data, the EOC record will be included in the measure denominator only.

Note:
For continuous variable measures, EOC records that have a Measure Category Assignment of D will have an associated Measurement Value.

E Category E - In Numerator Population
For rate-based measures:
EOC record is a member of the measure's population and there has been an occurrence of the measure.

For rate-based-ratio measures:
Event record is a member of the measure's population and there has been an occurrence of the measure.

For continuous variable measures:
Does not apply.

Note: For measures for which better quality is associated with a lower score or numerator, i.e., HBIPS-4, PC-01, PC-02, PC-04, a Measure Category Assignment of E means that the appropriate care was not provided and the intent of the measure was not met. For aggregate data, the EOC record will be included in both the measure numerator and denominator.

U Category U Not In Numerator Population

For rate-based-proportion measures:
Does not apply

For rate-based-ratio measures:
Event record is a member of the measure's population; however, it contains a data element whose allowable value excludes it from the numerator.

For continuous variable measures:
Does not apply.

X Category X Data Are Missing
For rate-based and continuous variable measures:
Data are missing that is required to calculate the measure. The record will be rejected by the QIO Clinical Warehouse and the Joint Commissions Data Warehouse.

Y Category Y UTD Allowable Value Does Not Allow Calculation of The Measure
For rate-based measures:
Does not apply.

For rate-based-ratio measures: Event record contains a Date, Time, or Numeric data element with a value of UTD.

For continuous variable measures:
EOC record contains a Date, Time, or Numeric data element with a value of UTD.

Note:
For continuous variable measures, EOC records that have a Measure Category Assignment of Y will not have an associated Measurement Value.

Notes for Abstraction:

None

Suggested Data Sources:

Not Applicable

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
None	None

Measure Category Assignment

Specifications Manual for Joint Commission National Quality Measures (v2015A1)
01/01/2015 - 09/30/2015