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.

Note:
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
Format:
Length:1
Type:Character
Occurs:
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.

Note:
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.
    Example:
    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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