Postoperative Assessments Completion 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:

Postoperative Assessments Completion Date

Collected For:

THKR-IP-5, THKR-OP-5

Definition:

The date the patient completed the general health and joint specific functional status assessments as specified below:

Hips: [VR-12 or PROMIS-Global] AND [HOOS Jr. or HOOS Pain, Function Daily Living Subscales]

Knees: [VR-12 or PROMIS-Global] AND [KOOS Jr. or KOOS Stiffness, Pain, Function Daily Living Subscales]

Question:

On what date was the general health and joint specific functional status assessments as specified above completed?

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:

Patients who have completed the general health and joint specific functional status assessments within 90 days after surgery (+/- 60 days).
Example:
Patient had surgery on 2/17/2021. Postoperative general health and joint specific functional status assessments were completed on 6/4/2021. The case would pass the measure.
Select "UTD" if unable to determine the date the preoperative general health and joint specific functional status assessments were completed.
If the general health and joint specific functional status assessments were completed on 2 different dates, select the earliest completion date.
Information regarding the postoperative general health and joint specific functional status assessments determined to be part of the current medical record may be used in abstraction.
Information can be retrieved from the actual assessment tools or a copy of the assessment tools in the current medical record or references to the tools present in the current medical record.
Example:
Scanned copies of the VR-12 and the HOOS Jr. assessments are present in the current medical record and dated 2/1/2021. Abstract 2/1/2021.
When the date documented is obviously invalid and if no other documentation is found that provides the correct information, the abstractor should select “UTD.”
If the Postoperative Assessments Completion 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 Postoperative Assessments Completion Date. If supporting documentation of the correct date cannot be found, the medical record must be abstracted as documented (e.g. at “face value”).

Suggested Data Sources:

Nursing notes
Progress notes
Physician's notes
Care management notes
Functional/Health Status Assessment
General health and joint specific functional status assessments
Social work notes
Therapy notes (e.g., physical therapy, occupational therapy, kinesiotherapy)

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
None	None

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

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