Specifications Manual for Joint Commission National Quality Measures (v2020A)
Posted: August 1, 2019
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)

Release Notes:
Data Element
Version 2020A

Name:Alcohol or Drug Use Status Post-Discharge (Not used in measure calculation)
Collected For: SUB-04
Definition:The level of the patient's alcohol or drug use 30 days post discharge at the time of the follow-up contact or next clinic visit.
Question:What is the status of the patient's alcohol or drug use at the time of the follow up contact?
Format:
Length:2
Type:Alphanumeric
Occurs:1-5
Allowable Values:

Select all that apply

1    The patient was referred and is attending the referred addictions treatment

2    The patient was referred and patient is not attending addictions treatment

3    The patient was given a prescription and is taking medication for an alcohol use disorder as prescribed

4    The patient was given a prescription is not taking medication for an alcohol use disorder as prescribed

5    The patient has quit using alcohol

6    The patient has reduced the amount of alcohol intake

7    The patient is actively attempting to quit but is still using alcohol

8    The patient has made a quit attempt since discharge but has resumed using alcohol

9    The patient has not made a quit attempt and is not committed to quitting use of alcohol

10    The patient was given a prescription and is taking medication for a drug use disorder as prescribed

11    The patient was given a prescription is not taking medication for a drug use disorder as prescribed

12    The patient has quit using drugs

13    The patient is actively attempting to quit but is still using drugs

14    The patient has made a quit attempt since discharge but has resumed using drugs

15    The patient has not made a quit attempt and is not committed to quitting use of drugs

16    Unable to Determine (UTD) from medical record documentation
Notes for Abstraction: * No value shold be recorded more than once.
  • If value 16 UTD is selected, no other values should be selected.
  • The 16 allowable values address 5 specific categories (addictions treatment, values 1, 2; use of medication for alcohol use, values 3, 4; quit attempt for alcohol use, values 5-9; use of medication for drugs, values 10, 11; and quit attempt for drug use, values 12-15).
  • In order to obtain the most accurate picture of the patient's post discharge alcohol or drug use and compliance with prescribed treatment, one value from the categories of addiction treatment, one value from the relevant categories related to quit attempt, and one value from the relevant categories related to use of medications should be selected. For example, if the patient is being followed up for alcohol and drug use both, a maximum of 5 allowable values can be selected. If the patient is being followed for alcohol use only, 3 allowable values would be selected, one for addictions treatment, one for alcohol quit attempt, and one for use of alcohol medication. Only select one value in each of the categories relevant to the patient's reason for follow up.
Suggested Data Sources:
  • Logs from follow-up phone calls
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Quit (not used drugs or alcohol in the previous 7 day timeframe)
  • Quit Attempt (no use of drugs or alcohol within 24 hours following the initiation of the quit attempt)
None

Alcohol or Drug Use Status Post-Discharge (Not used in measure calculation)
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Specifications Manual for Joint Commission National Quality Measures (v2020A)
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)

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