Prescription for Alcohol or Drug Disorder Medication (v2023B)

Specifications Manual for Joint Commission National Quality Measures (v2023B)

Posted: 02/03/2023

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Release Notes:
Data Element
Version 2023B

Name:

Prescription for Alcohol or Drug Disorder Medication

Collected For:

SUB-3

Definition:

Documentation that an FDA-approved medication for alcohol or drug disorder was prescribed at hospital discharge.

Question:

Was one of the FDA approved medications for alcohol or drug disorder prescribed at discharge?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

1 A prescription for an FDA-approved medication for alcohol or drug disorder was given to the patient at discharge

2 A prescription for an FDA-approved medication for alcohol or drug disorder was offered at discharge and the patient refused

3 The patient:
- is being discharged to a residence outside the USA
- is released to a court hearing and does not return
- is being discharged to jail/law enforcement

4 A prescription for an FDA-approved medication for alcohol or drug disorder was not offered at discharge; or unable to determine from medical record documentation.

Notes for Abstraction:

In determining whether a medication for alcohol or drug disorder was prescribed at discharge, it is not uncommon to see conflicting documentation among different medical record sources. For example, the discharge summary may list Disulfiram but this is not included in any of the other discharge medications sources, e.g., discharge orders. All discharge medication documentation available in the chart should be reviewed and taken into account by the abstractor.
In cases where there is a medication for alcohol or drug disorder in one source and it is not mentioned on other sources, it should be interpreted as a discharge medication, select value "1" unless documentation elsewhere in the medical record suggests that it was not prescribed at discharge.
If documentation is contradictory (physician noted “d/c Antabuse” or “hold Antabuse” in the discharge orders, but Antabuse is listed in the discharge summary's discharge medication list), or after careful examination of circumstances, context, timing, etc, documentation raises enough questions, the case should be deemed unable to determine, select value "4"
If the patient does not have a residence in the USA, Value “3” must be selected.

Suggested Data Sources:

Discharge summary
Transfer sheet
Discharge Instruction Sheet
Medication Reconciliation Form
Nursing Discharge notes
Physician Order Sheets

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
Refer to Appendix C, Table 9.2 for a comprehensive list of FDA-approved medications for alcohol and drug dependence	None

Specifications Manual for Joint Commission National Quality Measures (v2023B)
Discharges 07-01-23 (3Q23) through 12-31-23 (4Q23)

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