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

Data Element Name: INR Value > 1.4
Collected For: CSTK-04
Definition:Documentation that the international normalized ratio (INR) value performed closest to hospital arrival was greater than 1.4. This value correlates to the ability of the blood to clot. Higher values greater than 1.4 are associated with an increased risk of hemorrhage.
Suggested Data Collection Question:Is there documentation in the medical record that the INR value performed closest to hospital arrival was greater than 1.4?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation that the INR value performed closest to hospital arrival was greater than 1.4.

N (No) There is no documentation that the INR value performed closest to hospital arrival was greater than 1.4, OR unable to determine from medical record documentation.
Notes for Abstraction:
  • To determine the value for this data element, review the INR values obtained closest to hospital arrival (i.e., before and after hospital arrival). If any result is greater than 1.4, select “Yes”.
  • INR values obtained at a transferring hospital may be used to select ‘YES’ if a more recent INR value was not done after arrival at this hospital.
Suggested Data Sources:

  • Emergency department record
  • Laboratory report
  • Nursing notes
  • Progress notes
  • Transfer sheet

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

INR Value > 1.4
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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