ED Departure Date (v2021B2)

Specifications Manual for Joint Commission National Quality Measures (v2021B2)

Posted: 9/29/2021

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Release Notes:
Data Element
Version 2021B2

Name:

ED Departure Date

Collected For:

ASR-OP-2, ED-1, ED-2, STK-OP-1

Definition:

The month, day, and year at which the patient departed from the emergency department.

Question:

What is the date the patient departed from the emergency department?

Format:

Length:	10 — MM-DD-YYYY (includes dashes) or UTD
Type:	Date
Occurs:	1

Allowable Values:

Enter the documented date of the ED Departure
MM = Month (01-12)
DD = Day (01-31
YYYY = Year (20xx)
UTD = Unable to Determine

Notes for Abstraction:

The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid format/range or outside of the parameters of care [after the Discharge Date]) and no other documentation is found that provides this information, the abstractor should select “UTD."

Examples:

- Documentation indicates the ED Departure Date was 03-42-20xx. No other documentation in the list of ONLY ACCEPTABLE SOURCES provides a valid date. Since the ED Departure Date is outside of the range listed in the Allowable Values for “Day”, it is not a valid date and the abstractor should select “UTD."
- Patient expires on 02-12-20xx and all documentation within the ONLY ACCEPTABLE SOURCES indicates the ED Departure Date was 03-12-20xx. Other documentation in the medical record supports the date of death as being accurate. Since the ED Depature Date is after the Discharge Date (death), it is outside of the parameter of care and the abstractor should select “UTD."
If the date the patient departed is unable to be determined from medical record documentation, select “UTD."
If the date of departure is not documented, but the date can be determined from other documentation in the ED record, this is acceptable to use (the patient arrived and was transferred on the same day).
Data fields representing ED Departure Date in electronic documentation for this specific episode of care are acceptable to use as long as the fields are easily understood to mean departure. Information found in an electronically interfaced event log or Admit/Decision/Transfer (ADT) is acceptable provided this information is part of the submitted medical record covering the arrival to discharge date being abstracted.
Examples:
- Patient departed
- Patient transferred off the floor (OTF)
- Check out time
- Transported to
For patients who are placed into observation outside the services of the emergency department, abstract the date of departure from the emergency department.
STK-OP-1 MEASURE ONLY
EXCEPTION: For patients who are placed into observation services in a bed outside the ED, e.g., inpatient bed, select the date that the patient is transferred to another hospital and actually leaves your hospital (Discharge Date) and not the date of departure from the emergency department.
For patients who are placed into observation under the services of the emergency department, abstract the date of departure from the observation services (e.g., patient is seen in the ED and admitted to an observation unit of the ED on 01-01-20xx then is discharged from the observation unit on 01-03-20xx abstract 01-03-20xx as the departure date).
If there is a departure date listed within a disposition heading from the ED, this may be used for ED Departure Date.
The inclusion list is not to be considered a comprehensive list of inclusions.

Suggested Data Sources:

ONLY ACCEPTABLE SOURCES:

Emergency department record

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
ED Checkout Date ED Departure Date ED Discharge Date ED Leave Date ED Transport Date	Patient Admission Date

Specifications Manual for Joint Commission National Quality Measures (v2021B2)
Discharges 10-1-21 through 12-31-21 (4Q21)

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