Specifications Manual for Joint Commission National Quality Measures (v2020B)
Posted: 2/5/2020
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Release Notes:
Data Element
Version 2020B

Name:ED Patient
Collected For: ASR-IP-1, ED-1, ED-2, STK-4
Definition:Patient received care in a dedicated emergency department of the facility.
Question:Was the patient an ED patient at the facility?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation the patient was an ED patient.

N (No) There is no documentation the patient was an ED patient, OR unable to determine from medical record documentation.
Notes for Abstraction:
  • For the purposes of this data element an ED patient is defined as any patient receiving care or services in the Emergency Department.
  • Patients seen in an Urgent Care, ER Fast Track, etc. are not considered an ED patient unless they received services in the emergency department at the facility (e.g., patient treated at an urgent care and transferred to the main campus ED is considered an ED patient, but a patient seen at the urgent care and transferred to the hospital as a direct admit would not be considered an ED patient).
  • Patients presenting to the ED who do not receive care or services in the ED abstract as a “No” (e.g., patient is sent to hospital from physician office and presents to ED triage and is instructed to proceed straight to floor).
  • Patients presenting to the ED for outpatient services such as lab work etc. will abstract as a “Yes”."

ED: (Abstraction Guidelines for ED Measures Only)
  • If a patient is transferred in from any emergency department (ED) or observation unit OUTSIDE of your hospital, select “No”." This applies even if the emergency department or observation unit is part of your hospital's system (e.g., your hospital's free-standing or satellite emergency department), has a shared medical record or provider number, or is in close proximity. Select “No”, even if the transferred patient is seen in this facility”s ED.
  • If the patient is transferred to your hospital from an outside hospital where he was an inpatient or outpatient, select “No”." This applies even if the two hospitals are close in proximity, part of the same hospital system, have the same provider number, and/or there is one medical record. Select “No”, even if the transferred patient is seen in this facility”s ED.
Suggested Data Sources:
  • Emergency department record
  • Face sheet
  • Registration form
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None
  • Urgent Care
  • Fast Track ED
  • Terms synonymous with Urgent Care

ED Patient
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Specifications Manual for Joint Commission National Quality Measures (v2020B)
Discharges 07-01-20 (3Q20) through 12-31-20 (4Q20)

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