Initial Hunt and Hess Scale Date

Specifications Manual for Joint Commission National Quality Measures (v2016B1)

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Release Notes:
Data Element
Version 2016B1

Data Element Name:

Initial Hunt and Hess Scale Date

Collected For:

CSTK-03,

Definition:

The month, date, and year that the Hunt and Hess scale was first performed at this hospital. The Hunt and Hess scale is a grading system used to classify the severity of a subarachnoid hemorrhage based on the patients clinical condition. It is used as a predictor of prognosis/outcome with a higher grade correlating to a lower survival rate.

Suggested Data Collection Question:

What is the date that the Hunt and Hess scale was first performed at this hospital?

Format:

Length:	10-MM-DD-YYYY (includes dashes) or UTD
Type:	Date
Occurs:	1

Allowable Values:

MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2012-Current Year)
UTD = Unable to Determine

Notes for Abstraction:

Use the date that the Hunt and Hess scale was first performed. If a discrepancy exists in date documentation from different sources, choose the earliest date. If there are two or more initial Hunt and Hess scale dates (either different Hunt and Hess assessments or corresponding with the same assessment), enter the earliest date.
If the initial Hunt and Hess scale date is unable to be determined from medical record documentation, select UTD.
The medical record must be abstracted as documented (taken at face value). When the date documented is obviously in error (not a valid date/format) and no other documentation is found that provides this information, the abstractor should select UTD.
Example:
Documentation indicates the initial Hunt and Hess scale date was 03-42-20xx. No other documentation in the medical record provides a valid date. Since the initial Hunt and Hess scale date is outside of the range listed in the Allowable Values for Day, it is not a valid date and the abstractor should select UTD.
Note: Transmission of a case with an invalid date as described above will be rejected from the Joint Commissions Data Warehouse. Use of UTD for Initial Hunt and Hess Scale Date allows the case to be accepted into the warehouse.

Suggested Data Sources:

Consultation notes
Emergency department record
History and physical
Progress notes
Admitting note

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
None	None

Initial Hunt and Hess Scale Date

Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)