Ambulation (v2023A)

Specifications Manual for Joint Commission National Quality Measures (v2023A)

Posted: 08/12/2022

Print this page

Release Notes:
Data Element
Version 2023A

Name:

Ambulation

Collected For:

THKR-IP-2, THKR-OP-2

Definition:

Documentation that the patient ambulated at any time during the postoperative period.

Question:

Did the patient ambulate at any time during the postoperative period?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Y (Yes) There is documentation the patient ambulated during the postoperative period.

N (No) There is no documentation the patient ambulated during the postoperative period or unable to determine from medical record documentation.

Notes for Abstraction:

Review the record to determine if the patient ambulated at any time 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.

Suggested Data Sources:

Nursing notes
Progress notes
Flowsheets
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

Specifications Manual for Joint Commission National Quality Measures (v2023A)
Discharges 01-01-23 (1Q23) through 06-30-23 (2Q23)

End User Agreement

LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT®”)

You, your employees and agents are authorized to use CPT® only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. You acknowledge that the American Medical Association (“AMA”) holds all copyright, trademark and other rights in CPT®.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT® for resale and/or license, transferring copies of CPT® to any party not bound by this Agreement, creating any modified or derivative work of CPT®, or making any commercial use of CPT®. License to use CPT® for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt.

U.S. Government Rights This product includes CPT® which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. The American Medical Association does not agree to license CPT® to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. The American Medical Association reserves all rights to approve any license with any Federal agency.

Disclaimer of Warranties and Liabilities. CPT® is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT®, and the (AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “accept”.