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

Data Element Name: Initial Encounter Date
Collected For: PAL
Definition:The date that the patient was first seen in consultation by any member of the palliative care service.
Suggested Data Collection Question:What was the date the patient was first seen in consultation by any member of the palliative care service?
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 (20xx)
UTD =Unable to Determine
Notes for Abstraction:
  • “Consultation” indicates that the patient received a face to face encounter visit with any member of the palliative care core interdisciplinary team. The core interdisciplinary team is comprised of the following: Physician(s); Registered nurse(s) or advanced practice nurse(s); Chaplain(s) or, spiritual care professional(s); Social worker(s).
  • A formal order for a consultation does not need to be present in the medical record.
  • If multiple palliative care consultations took place, use the first face to face meeting date with any palliative care team member.
  • Do not include attempted visits, use the first face to face visit.
  • If the month and/or day contain only a single digit, enter a “0” in the first box of the month and/or day. For example, November 1, 20xx, would be entered as 11-01-20xx.
  • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid format/range or outside of the parameters of care [after the Discharge Date]) and no other documentation is found that provides this information, the abstractor should select “UTD.”
Example:
Documentation indicates the palliative care initial encounter date was 03-42-20xx. No other documentation in the medical record provides a valid date. Since the palliative care initial encounter 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.”
Suggested Data Sources:

  • Palliative care consultation notes
  • Palliative care team progress notes
  • Palliative care initial encounter notes
  • Palliative care admission assessment
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Initial Encounter Date
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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