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

Data Element Name: Modified Rankin Score (mRS) Date
Collected For: CSTK-02, CSTK-10
Definition:The month, date, and year that the Modified Rankin Score (mRS) was obtained post-discharge. The Modified Rankin Score (mRS) is a 6 point disability scale with possible scores ranging from 0 to 5. A separate category of 6 is usually added for patients who expire. The Modified Rankin Score (mRS) is the most widely used outcome measure in stroke clinical trials. Standardized interviews to obtain a mRS score are recommended at 3 months (90 days) following hospital discharge.
Suggested Data Collection Question:What is the date that the Modified Rankin Score (mRS) was obtained post-discharge?
Format:
Length:10-MM-DD-YYYY (includes dashes)
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2012-Current Year)

Notes for Abstraction:
  • The Modified Rankin Score (mRS) should be done at 90 days (i.e., plus or minus 15 days; ≥ 75 days and ≤ 105 days) following the patient's discharge from the hospital. When multiple dates are recorded during this timeframe, use the earliest date in the 90-day period for the Modified Rankin Score (mRS) Date.
    Example: Discharge Date 02-22-20XX. First mRS dated 05-25-20XX. Second mRS dated 06-01-20XX. Select 05-25-20XX for the Modified Rankin Score (mRS) Date.
  • If a Modified Rankin Score (mRS) was obtained sooner than 75 days post-discharge and no mRS is dated within the 90-day timeframe, select the date for the score closest to 75 days for the Modified Rankin Score (mRS) Date.
    Example: Discharge Date 02-22-20XX. First mRS dated 05-18-20XX. Second mRS dated 07-01-20XX. Select 05-18-20XX for the Modified Rankin Score (mRS) Date.
  • If a Modified Rankin Score (mRS) was obtained later than 105 days post-discharge and no mRS is dated within the 90-day timeframe, select the date for the score closest to 105 days for the Modified Rankin Score (mRS) Date.
    Example: Discharge Date 02-22-20XX. First mRS dated 07-01-20XX. Second mRS dated 08-10-20XX. Select 07-01-20XX for the Modified Rankin Score (mRS) Date.
  • If a discrepancy exists in date documentation from different sources, choose the earliest date. If there are two or more mRS dates (either different mRS episodes or corresponding with the same episode), enter the earliest date.
  • For patients who expire during the hospital stay, use the Discharge Date for the Modified Rankin Score Date.
  • For patients who expire after hospital discharge, select the date of the interview call or visit which notified the hospital of the patient’s death and not the actual date of death. If a Modified Rankin Score was not done because the hospital was notified of the patient's death prior to the interview call or visit, select the date of the notification for the Modified Rankin Score Date.
    Examples:
    • Patient discharged home on 12-16-20XX. Telephone mRS done on 03-22-20XX. Family informs interviewer that patient expired at home on 03-01-20XX. Select 03-22-20XX, the date of the interview call, for the Modified Rankin Score Date.
    • Patient discharged home on 12-16-20XX. Outpatient visit scheduled for 01-16-20XX. Appointment cancelled in the EHR on 12-30-20Xx with a note that patient expired at home. Select 12-30-20XX for the Modified Rankin Score Date.
  • If Modified Rankin Score allowable value ‘7’ was chosen, select the date of the last attempt to contact the patient. If more than three unsuccessful attempts, then use the date of the third attempt.
  • If the Modified Rankin Score was not performed, OR unable to determine (UTD) from the medical record documentation (allowable value '8'), then use the discharge date for the Modified Rankin Score Date.

Suggested Data Sources:

  • History and physical
  • Progress notes
  • Care Transition Record
  • Consultation Form
  • Home health forms
  • Logs from follow-up phone calls or other logs that record follow-up information
  • Outpatient record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Modified Rankin Score (mRS) Date
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
Questions? Ask Question to Joint Commission staff Copyright © 2018 by The Joint Commission.
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