Reason for Not Discharging Patient to Home (v2019A1)

Specifications Manual for Joint Commission National Quality Measures (v2019A1)

Print this page

Home » Reason for Not Discharging Patient to Home

Release Notes:
Data Element
Version 2019A1

Name:

Reason for Not Discharging Patient to Home

Collected For:

THKR-IP-3, THKR-OP-3

Definition:

Reasons for not discharging the patient to home.

Question:

Is there documentation of a medical or social reason for not discharging the patient to home?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Y (Yes) There is documentation of a medical/social reason for not discharging the patient to home.

N (No) There is no documentation of a medical/social reason for not discharging the patient to home or unable to determine from medical record documentation.

Notes for Abstraction:

Reasons for not discharging the patient to home must be documented by a physician/APN/PA/nurse/social worker/care manager/discharge planner/physical therapist/occupational therapist.
Reasons do NOT need to be documented at discharge or otherwise linked to the discharge timeframe: Documentation of reasons anytime during the encounter are acceptable.
Example:
- Mid-hospitalization note stating “patient will rehab at SNF due to lack of support at home”, select “Yes”.
If reasons are not mentioned in the context of discharge to home, do not make inferences.
Example:
- H&P states “patient lives alone”, select “no”.
- H&P states “patient lives alone and therefore will rehab at SNF”, select “yes”.
In the absence of a medical/social reason documented by the physician/APN/PA/nurse/social worker/care manager/discharge planner/physical therapist/occupational therapist, patient/family/caregiver refusal is not an acceptable stand alone reason for not discharging the patient to home. The healthcare team has an opportunity to educate and influence the patient regarding recuperation at home as this is the safest option for most patients. Additionally, the healthcare team can play a role in assessing the home situation preoperatively and assuring the appropriating resources are in place postoperatively in the home for a safe recovery.

Suggested Data Sources:

Consultation notes
History and physical
Nursing notes
Nursing admission assessment
Progress notes
Physician orders
Physician's notes
Discharge summary
Care management notes
Discharge Planning Notes
Preadmitting notes
Social work notes
Therapy notes (e.g., physical therapy, occupational therapy, kinesiotherapy)

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
None	Patient/Family/Caregiver Refusal

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”.