Specifications Manual for Joint Commission National Quality Measures (v2020A2)
Posted: 10/30/2019
Home » Patient Status at Discharge

Release Notes:
Data Element
Version 2020A2

Name:Patient Status at Discharge
Collected For: HBIPS-5
Definition:Documentation in the medical record of the patient's status at the time the patient left the hospital-based inpatient psychiatric care setting
Question:What was the patient’s status at the time the patient left the hospital-based inpatient psychiatric care setting?
Allowable Values:

1 The medical record contains documentation that the patient was discharged from the inpatient psychiatric care setting under these circumstances:
  • Patient is leaving the psychiatric unit within the acute care hospital AND the hospital facility completely.
  • Patient is leaving the freestanding inpatient psychiatric facility completely.

2 The medical record contains documentation of one of the following:
  • the patient eloped and was discharged
  • the patient failed to return from leave and was discharged
  • the patient has not yet been discharged from the hospital
  • the patient was transferred/discharged from the inpatient psychiatric unit in an acute care setting to another level of care, (i.e. medical unit), and subsequently discharged from that level of care

3 Unable to determine from medical record documentation.
Notes for Abstraction:The intent of this data element is to identify and exclude patients with an unplanned departure resulting in discharge.
  • Patients who discharge or transfer to another level of care in the same hospital are excluded from the measure population since they have not yet been discharged from the hospital.
  • Patients who are discharged from the psychiatric setting are included in the measure population.

If the patient was in an acute-care hospital and had multiple admissions to the psychiatric unit during his or her hospitalization, this information should be abstracted only once at the time of discharge from the hospital.

For patients discharged from free-standing psychiatric facilities, select allowable value 1.

When a patient checks himself out of a hospital against the advice of his doctor (AMA), select allowable value 2.

When a patient is released from a psychiatric inpatient stay directly after a court hearing, select allowable value 2.
Suggested Data Sources:
  • Progress notes
  • Physician's notes
  • Discharge summary
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

Patient Status at Discharge
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Specifications Manual for Joint Commission National Quality Measures (v2020A2)
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)


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