Specifications Manual for Joint Commission National Quality Measures (v2020B2)
Posted: 9/2/2020
Home » Ambulation Date

Release Notes:
Data Element
Version 2020B2

Name:Ambulation Date
Collected For: THKR-IP-2, THKR-OP-2
Definition:The date the patient first ambulated following the surgical procedure.
Question:On what date did the patient first ambulate following the surgical procedure?
Format:
Length:10 – MM-DD-YYYY (includes dashes) or UTD
Type:Date
Occurs:1
Allowable Values:

MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (20xx)
UTD = Unable to Determine
Notes for Abstraction:
  • Select “UTD” if unable to determine the ambulation date.
  • Review the record to determine the earliest date the patient ambulated following the surgical procedure. There is no minimum distance requirement.
  • Ambulation with assistive devices (e.g., walker, cane) and/or physical assist (e.g., therapist, nurse) is acceptable.
  • Ambulation in the PACU is acceptable.
  • Documentation that the patient actually ambulated must be present. Do not assume the patient ambulated based solely on documentation that physical/occupational therapy saw the patient.
  • See the list of terms listed in the Inclusion/Exclusion Guidelines to determine if documentation supports ambulation.
  • Ambulation can be documented by any member of the healthcare team including but not limited to physician, advanced practice nurse, physician assistant, nurse, nurse assistant, clinical technician, physical therapist, occupational therapist, kinesiotherapist.
  • When the date documented is obviously invalid (not a valid format/range), e.g., a date after the Discharge Date or Outpatient Departure Date, or in an invalid format (12-39-20xx), and if no other documentation is found that provides the correct information, the abstractor should select “UTD.”
    Example:
    • Patient discharged on 02-12-20xx and documentation indicates the Ambulation Date was 03-12-20xx. Other documentation in the medical record supports the date of discharge as being accurate. Since the Ambulation Date is outside of the parmeter for care (after the Discharge Date), the abstractor should select “UTD.”
  • If the Ambulation Date is incorrect (in error) but it is a valid date and the correct date can be found and supported with other documentation in the medical record, use the correct date for Ambulation Date. If supporting documentation of the correct date cannot be found, the medical record must be abstracted as documented (at “face value.”)
    Example:
    • The patient underwent surgery on 12-10-2009. Nursing documentation indicates that the patient first ambulated on 12-10-2007 and the physical therapy documentation supports that the correct date was 12-10-2009; use the correct date (12-10-2009) as the Ambulation Date.
Suggested Data Sources:
  • Nursing notes
  • Progress notes
  • Flowsheets
  • PACU records
  • Rehabilitation records
  • Therapy notes (e.g., physical therapy, occupational therapy, kinesiotherapy)

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Ambulate
  • Step
  • Walk

  • Bedside commode usage
  • Dangle
  • Out of bed order
  • Sit in bed
  • Sit out of bed
  • Sit to Stand
  • Stand
  • Transfer from bed to chair
  • Up to chair

Ambulation Date
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Specifications Manual for Joint Commission National Quality Measures (v2020B2)
Discharges 07-01-20 (3Q20) through 12-31-20 (4Q20)

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