Specifications Manual for Joint Commission National Quality Measures (v2020B)
Posted: 2/5/2020
Home » Regional Anesthesia

Release Notes:
Data Element
Version 2020B

Name:Regional Anesthesia
Collected For: THKR-IP-1, THKR-OP-1
Definition:Documentation that the procedure was performed using regional anesthesia or that regional anesthesia was attempted. Regional anesthesia includes neuraxial anesthesia (spinal and epidural blocks) as well as peripheral nerve blocks.
Question:Was there documentation that the procedure was performed using regional anesthesia?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1.  There is documentation that the procedure was performed using regional anesthesia.

2.  There is documentation that regional anesthesia was attempted but unsuccessful.

3.  There is no documentation that the procedure was performed using regional anesthesia and there is no documentation that regional anesthesia was attempted but unsuccessful or unable to determine from the medical record documentation.
Notes for Abstraction:
  • If regional anesthesia was performed/attempted in combination with a modality listed in the Exclusion Guidelines, select “1” or "2" as appropriate.
  • If regional anesthesia was attempted but unsuccessful, select “2”.
  • If regional anesthesia was not performed or attempted, select "3" even if there is documentation of a reason why it was not performed or attempted.
Suggested Data Sources:
  • Anesthesia record
  • Operative notes
  • Intraoperative Record
  • PACU/recovery room record
  • Procedure note
Additional Notes:

Guidelines for Abstraction:
Inclusion Exclusion
This list is not all-inclusive:
  • Adductor canal block
  • Epidural block
  • Fascia Iliaca block
  • Femoral block
  • Obturator block
  • Paravertebral blocks
  • Peripheral Nerve blocks (single injection or continuous infusion)
  • Psoas block
  • Saddle block
  • Sciatic
  • Spinal block
  • Subarachnoid blocks

  • General Anesthesia
    • Endotracheal
    • Inhaled gases
    • Intravenous
    • Laryngeal mask airway or anesthesia (LMA)
    • Total Intravenous Anesthesia (TIVA)
  • Conscious sedation
  • Deep sedation
  • Local with sedation
  • Local with stand-by
  • Monitored anesthesia care (MAC)

Regional Anesthesia
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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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