Specifications Manual for Joint Commission National Quality Measures (v2019A1)
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Release Notes:
Data Element
Version 2019A1

Name:Sampling Frequency
Collected For: All Records, Transmission, Patient Population Data File, Used in transmission of the Hospital Initial Patient Population Data file.

Refer to the Population and Sampling Specifications section and Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual.
Definition:Indicates if the data being transmitted for a hospital has been sampled (either monthly or quarterly), or represents an entire population for the specified time period.
Question:Not Applicable
Non-stratified Measure Sets:

One Sampling Frequency per hospital's measure set (e.g. GLB).

Stratified Measure Sets:

One Sampling Frequency per measure set stratum or sub-population the hospital is participating in:
* The PC measure set has four occurrences, one for the mother sub-population and three for the newborn sub-populations.
* The HBIPS measure set has four occurrences, one for each age stratum.
* The STK measure set has two occurrences, one for each sub-population.

Refer to the appropriate version of the Specifications Manual for National Quality Inpatient Measures for the number of occurrences for the VTE measure sets.
Allowable Values:

1     Yes, the hospital is sampling data monthly.

2     Yes, the hospital is sampling data quarterly.

3     No, the hospital is not sampling.

4     N/A, submission of patient level data is not required.
Notes for Abstraction:
  • Sampling Frequency must be consistent across a discharge time period.
    If the Sampling Frequency for April is monthly, then the Sampling Frequency for May and June must be monthly.
  • For Discharge measures (e.g., HBIPS-1, STK-1, PC-01): Hospitals with five or fewer discharges (both Medicare and Non-Medicare combined) in a quarter are not required to submit patient level data.
  • For Event measures (eg., HBIPS-2 and 3): This data element will always be equal to 3' (No, the hospital is not sampling).
Suggested Data Sources: Not Applicable
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Sampling Frequency
CPT® only copyright 2019 American Medical Association. All rights reserved.
Specifications Manual for Joint Commission National Quality Measures (v2019A1)
Discharges 10-01-19 through 12-31-19 (4Q19)


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