Specifications Manual for Joint Commission National Quality Measures (v2018A)
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Release Notes:
Data Element
Version 2018A

Data Element Name: Initial Hunt and Hess Scale Performed
Collected For: CSTK-03
Definition:Documentation of the first Hunt and Hess scale that was done at this hospital. The Hunt and Hess scale is a grading system used to classify the severity of a subarachnoid hemorrhage based on the patient’s clinical condition. The scale ranges from a score of 1 to 5. It is used as a predictor of prognosis/outcome with a higher grade correlating to a lower survival rate.

Grade - Description

1 (I) - Asymptomatic, mild headache, slight nuchal rigidity

2 (II) - Moderate to severe headache, nuchal rigidity, no neurologic deficit other than cranial nerve palsy

3 (III) - Drowsiness / confusion, mild focal neurologic deficit

4 (IV) - Stupor, moderate-severe hemiparesis

5 (V) - Coma, decerebrate posturing

Suggested Data Collection Question:Was an initial Hunt and Hess scale done at this hospital?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (YES) Initial Hunt and Hess scale was done at this hospital.

N (No) Initial Hunt and Hess scale was not done at this hospital, OR Unable to determine (UTD) from the medical record documentation.

Notes for Abstraction:
  • The Hunt and Hess scale may be documented by the physician/APN/PA or nurse (RN).
  • Hunt and Hess obtained by teleneurology and documented in the medical record, select 'YES'.
Suggested Data Sources:

  • Consultation notes
  • Emergency department record
  • History and physical
  • Progress notes
  • Admitting note
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Hunt and Hess “1-5”
  • Hunt and Hess Grade
  • Hunt and Hess Scale
  • Hunt & Hess “1-5”
  • H/H “1-5”
  • Hunt & Hess “1-5”/Fischer “X”
  • SAH Grade “1-5”
  • Grade “1-5” SAH

None

Initial Hunt and Hess Scale Performed
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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