Release Notes:
Data Element
Version 2016B1
Data Element Name: | Discharge Code |
Collected For: | ACHFOP, |
Definition: | The final place or setting to which the patient was discharged from the outpatient setting. |
Suggested Data Collection Question: | What was the patients discharge code from the outpatient setting? |
Format: | Length: | 2 | Type: | Alphanumeric | Occurs: | 1 |
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Allowable Values: |
1 Home
2 Hospice - Home
3 Hospice Health Care Facility
4a Acute Care Facility- General Inpatient Care
4b Acute Care Facility- Critical Access Hospital
4c Acute Care Facility- Cancer Hospital or Childrens Hospital
4d Acute Care Facility Department of Defense or Veterans Administration
5 Other Health Care Facility
6 Expired
7 Left Against Medical Advice/AMA
8 Not Documented or Unable to Determine (UTD)
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Notes for Abstraction: |
- If documentation is contradictory, use the latest documentation. If there is documentation that further clarifies the level of care that documentation should be used to determine the correct value to abstract.
Example:
- Nursing discharge note documentation reflects that the patient is being discharged to XYZ Hospital. The Social Service notes from the day before discharge further clarify that the patient will be transferred to the rehab unit of XYZ Hospital, select value 5.
- If the medical record states only that the patient is being discharged to another hospital and does not reflect the level of care that the patient will be receiving, select value 4a.
- To select value 7 there must be explicit documentation that the patient left against medical advice.
Examples:
- Progress notes state that patient requests to be discharged but that discharge was medically contraindicated at this time. Nursing notes reflect that patient left against medical advice and AMA papers were signed, select value 7.
- Physician order written to discharge to home. Nursing notes reflect that patient left before discharge instructions could be given, select value 1.
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Suggested Data Sources: |
- Discharge instruction sheet
- Emergency Department Record
- Nursing discharge notes
- Physician orders
- Progress notes
- Transfer record
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Additional Notes: |
Excluded Data Sources: |
Guidelines for Abstraction: |
Inclusion | Exclusion |
For Value 1:
- Assisted Living Facilities
- Court/Law Enforcement includes detention facilities, jails, and prison
- Home includes board and care, foster or residential care, group or personal care homes, and homeless shelters
- Home with Home Health Services
- Outpatient Services including outpatient procedures at another hospital, Outpatient Chemical Dependency Programs and Partial Hospitalization
For Value 3:
- Hospice Care - General Inpatient and Respite
- Hospice Care - Residential and Skilled Facilities
- Hospice Care - Other Health Care Facilities (excludes home)
For Value 5:
- Extended or Intermediate Care Facility (ECF/ICF)
- Long Term Acute Care Hospital (LTACH)
- Nursing Home or Facility including Veterans Administration Nursing Facility
- Psychiatric Hospital or Psychiatric Unit of a Hospital
- Rehabilitation Facility including Inpatient Rehabilitation Facility/Hospital or Rehabilitation Unit of a Hospital
- Skilled Nursing Facility (SNF), Sub-Acute Care or Swing Bed
- Transitional Care Unit (TCU)
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None |
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Discharge Code
Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)
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