Specifications Manual for Joint Commission National Quality Measures (v2020A2)
Posted: 10/30/2019
Home » Psychiatric Care Setting

Release Notes:
Data Element
Version 2020A2

Name:Psychiatric Care Setting
Collected For: All Records, HBIPS
Definition:Documentation in the medical record that the patient was receiving care primarily for a psychiatric diagnosis in an inpatient psychiatric setting, i.e., a psychiatric unit of an acute care hospital or a free-standing psychiatric hospital.
Question:Did the patient receive care in an inpatient psychiatric setting?
Allowable Values:

Y    (Yes)   The patient received care in an inpatient psychiatric setting.

N    (No)   The patient did not receive care in an inpatient psychiatric setting.

Programming Note: The allowable value for Psychiatric Care Setting may be determined electronically using a source such as an Electronic Record (EHR/EMR) or hospital billing system. Hospitals must document the specific data source (field and application) that is used and make this information available to their vendor. This information must be made available to The Joint Commission upon request.
Notes for Abstraction:Example 1 - Chemical Dependency Units that treat patients primarily for substance use disorders and occasionally psychiatric diagnoses are excluded from the HBIPS measures.

Example 2 - Psychiatric Units that treat dual diagnosis patients (patients with both substance use disorders and psychiatric diagnoses) are included in the HBIPS measures.
Suggested Data Sources:
  • Emergency department record
  • Face sheet
  • Physician orders
  • Discharge summary
  • Registration form
Additional Notes:

Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • Patients with a psychiatric diagnosis who received care in an inpatient unit other than a psychiatric unit within an acute-care hospital or a free-standing psychiatric hospital.

Psychiatric Care Setting
CPT® only copyright 2019 American Medical Association. All rights reserved.
Specifications Manual for Joint Commission National Quality Measures (v2020A2)
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)


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