Sampling Frequency

Specifications Manual for Joint Commission National Quality Measures (v2015A1)

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Release Notes:
Data Element
Version 2015A1

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.

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 Sampling Frequency per hospitals measure set (e.g., AMI, CAC and STK). Stratified Measure Sets: One Sampling Frequency 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.

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).

Suggested Data Sources:

Not Applicable

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
None	None

Sampling Frequency

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