Release Notes:
Data Element
Version 2015A1
Data Element Name: | Initial Patient Population Size Non-Medicare Only |
Collected For: | HBIPS, PC, Transmission, Patient Population Data File |
Definition: | Indicates the number of episode of care (EOC) records identified for a hospital with Medicare NOT listed as a payment source prior to the application of data integrity filters, measure exclusions, and/or sampling methodology for the specified time period.
The data element is based on the hospital's initial identification of non-Medicare EOC records for a measure set, stratum, or sub-population. This initial data pull utilizes administrative data such as ICD-9-CM diagnosis and procedure codes, admission date, and birthdate.
For the discharge measures (eg. HBIPS-1, 4, PC-01), refer to the Initial Patient Population discussion in the Measure Information section of this manual for more information.
For the HBIPS event measures (HBIPS-2 and 3), the Initial Patient Population Size Non-Medicare Only is equal to those EOC records in the census data identified as not having Medicare listed as a payment source. The HBIPS census data are calculated by (Psychiatric Inpatient Day-Non-Medicare Only - Total Leave Days-Non-Medicare Only). Initial Patient Population Size Non-Medicare Only is not derived from those cases that pass through the Initial Patient Population algorithm.
Note: If the hospitals data has been sampled, this field contains the population from which the sample was originally drawn, NOT the sample size.
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Suggested Data Collection Question: | Not Applicable |
Format: | Length: | 6 | Type: | Numeric | Occurs: | Non-stratified Measure Sets: One Initial Patient Population Size Non-Medicare Only per hospitals measure set (e.g., AMI, and STK). Stratified Measure Sets: One Initial Patient Population Size Non-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 VTE, and SCIP measure sets. |
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Allowable Values: |
0 through 999,999 |
Notes for Abstraction: | Initial Patient Population Size-Non-Medicare Only must contain the actual number of patients in the population even if the hospital has five or fewer discharges (both Medicare and non-Medicare combined) in a quarter and has decided to not submit patient level data. |
Suggested Data Sources: |
Not Applicable |
Additional Notes: |
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Guidelines for Abstraction: |
Inclusion | Exclusion |
None
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None |
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Initial Patient Population Size Non-Medicare Only
Specifications Manual for Joint Commission National Quality Measures (v2015A1)
01/01/2015 - 09/30/2015
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