Specifications Manual for Joint Commission National Quality Measures (v2023A)
Posted: 08/12/2022
Home » Mode of Arrival

Release Notes:
Data Element
Version 2023A

Name:Mode of Arrival
Collected For: CSTK-09
Definition:Documentation in the medical record of how the patient arrived at your hospital. The mode of arrival refers to the methods / means used to get the patient to your hospital.
Question:How did the patient arrive to your hospital?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1  EMS from home/scene

2  Mobile Stroke Unit

3  Private transport/taxi/other from home/scene

4  Transfer from another hospital

5  Not documented, OR unable to determine (UTD) from the medical record documentation
Notes for Abstraction:
  • Select only one value (1, 2, 3, 4, or 5).
  • Select the value (values 1, 2, 3, or 4) that identifies how the patient got to the hospital.
  • If documentation is contradictory or multiple modes of arrival are documented, use the following hierarchy:
    • Transfer from another hospital
    • Mobile Stroke Unit
    • EMS from home/scene
    • Private transport/taxi/other from home/scene
  • If the patient is transferred from an assisted-living facility (ALF) or any other healthcare facility, select ‘1’ EMS from home/scene.
  • If the patient is transferred from a free-standing emergency department (FSED), select ‘4’ transfer from another hospital.
  • If the mode of arrival is not documented or unable to determine, select value 5 “UTD”.

Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Nursing notes
  • Nursing flow sheet
  • Progress notes
  • Transfer sheet
  • Ambulance record
  • Code Stroke form/template
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Other Health Care Facility:
  • Extended or Intermediate Care Facility (ECF/ICF)
  • Long Term Acute Care Hospital (LTACH)
  • Nursing Home or Facility including Veteran's Administration Nursing Facility
  • Psychiatric Hospital or Psychiatric Unit of a Hospital
  • Rehabilitation Facility including, but not limited to: Inpatient Rehabilitation Facility/Hospital, Rehabilitation Unit of a Hospital, Chemical Dependency/Alcohol Rehabilitation Facility
  • Skilled Nursing Facility (SNF), Sub-Acute Care or Swing Bed
  • Transitional Care Unit (TCU)
  • Veterans Home

None

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

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