Initial Encounter Date (v2019A1)

Specifications Manual for Joint Commission National Quality Measures (v2019A1)

Print this page

Home » Initial Encounter Date

Release Notes:
Data Element
Version 2019A1

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.

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

Specifications Manual for Joint Commission National Quality Measures (v2019A1)
Discharges 10-01-19 through 12-31-19 (4Q19)

LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT®”)

You, your employees and agents are authorized to use CPT® only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. You acknowledge that the American Medical Association (“AMA”) holds all copyright, trademark and other rights in CPT®.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT® for resale and/or license, transferring copies of CPT® to any party not bound by this Agreement, creating any modified or derivative work of CPT®, or making any commercial use of CPT®. License to use CPT® for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt.

U.S. Government Rights This product includes CPT® which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. The American Medical Association does not agree to license CPT® to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. The American Medical Association reserves all rights to approve any license with any Federal agency.

Disclaimer of Warranties and Liabilities. CPT® is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT®, and the (AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “accept”.