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Appendix ETJC
Version 2010B

Appendix E - Miscellaneous Tables

Table 2.5 Discharge Status

Note: This chart provides supportive clarification of the Allowable Values listed in the data element _Discharge Status_.

Discharge Status Discharge Disposition
01
  • Adult Foster Care
  • Another acute care facility for an outpatient procedure
  • Board and care
  • Foster care facility
  • Group home
  • Home with home oxygen
  • Home with Hospice referral only (has not accepted hospice care by a hospice organization)
  • Home with oxygen that is not provided through home health plan of care
  • Home with walker
  • Home with IV’s or home with IV services under a home health agency
  • Home with outpatient therapy (OT/PT) not provided by a home health service organization
  • Home with PICC line for home IV therapy or home with PICC line under an Infusion Company
  • Home with services of DME supplier
  • Homeless shelter
  • Personal care home
  • Residential care
  • Partial hospitalization - A nonresidential treatment modality which includes psychiatric, psychological, social and vocational elements under medical supervision. It is designed for patients with moderate to severe mental or emotional disorders. Partial hospitalization patients require less than 24-hour care, but more intensive and comprehensive services than are offered in outpatient treatment programs. Partial hospitalization is provided on a planned and regularly scheduled basis for a minimum of 3 hours, but less than 24 hours in any 1day.
  • Physician’s office
02
  • Short term general hospital
  • Tertiary care
03
  • Skilled nursing facility (SNF)
  • Skilled nursing facility with hospice referral only (has not accepted hospice care by a hospice organization)
  • SNF rehabilitation unit (a unit within the SNF)
  • Sub-Acute Care
  • Transitional Care Unit (TCU)
04
  • Assisted Living Facility
  • ECF (Extended Care Facility)
  • ICF (Intermediate Care Facility)
  • Nursing Home
  • Nursing facility for non-skilled/custodial/residential level of care
  • Nursing facility with hospice referral only (has not accepted hospice care by a hospice organization)
05
  • Children’s hospital
  • Designated cancer centers
06
  • Home under care of organized home health services with oxygen
  • Foster care facility with home care
  • Home under care of organized home health service organization
  • Home with home health agency with DME
  • Home with therapy services (PT/OT) provided by home health service organization
  • Home with written plan of care for home care services – whether home attendant, nursing aides, certified attendants, etc.
07
  • Left against medical advice or discontinued care
20
  • Expired
21
  • Jail
  • Prison
  • Other Detention Facilities
30
  • Leave of absence days
  • Interim bills
43
  • Federal health care facility (VA, DOD)
  • Department of Defense hospital (DOD)
  • Veteran's Administration hospital (VA)
  • Veteran's Administration nursing facility
  • Psych unit within VA hospital
  • Transfer to VA hospital
50
  • Discharged to home or an alternative setting that is the patient’s “home,” such as a nursing facility, and will receive in-home hospice services
51
  • Discharged from acute care hospital but remains at the same hospital under hospice care
  • General Inpatient Hospice care
  • General Inpatient Respite Hospice care
  • SNF with hospice care
  • Residential with hospice care
  • Non-skilled level of care outside the hospice benefit for conditions unrelated to the terminal illness
61
  • Discharged from an acute hospital to a Critical Access Hospital swing bed
  • SNF level of care within hospital’s approved swing bed arrangement
  • Swing bed
62
  • Inpatient rehabilitation facility including rehabilitation distinct part units of a hospital
63
  • Long-term care hospital (long-term care facilities provide acute inpatient care with an average length of stay greater than 25 days)
  • LTCH
64
  • Nursing facility certified under Medicaid but not certified under Medicare
65
  • Psychiatric hospital or psychiatric distinct part unit of hospital
66
  • Discharged/transferred to a Critical Access Hospital
70
  • Another type of health care institution not defined elsewhere in the code list
  • Chemical dependency treatment facility that is not part of a hospital (if the chemical dependency treatment facility is not a psychiatric hospital or psychiatric distinct part/unit of a hospital

Table 2.6 Qualifiers and Modifiers Table

Note: These guideleines apply only to those data elements that refer to them in their Guidelines for Abstraction Exclusion list(s)

Qualifiers Modifiers
Qualifiers are words used as adjectives to indicate some uncertainty about whether or not a condition really exists. Quantitative modifiers are adjectives that quantitatively describe a condition
The following qualifiers should be abstracted as negative findings, unless otherwise specified - Consider this list all-inclusive:
  • And/or (+/-; e.g., "ST abnormalities consistent with ischemia and/or injury"), except when comparing only inclusions (e.g., "ST segment elevation and/or STEMI")
  • Cannot exclude
  • Cannot rule out
  • Could be
  • Could have been
  • May be
  • May have
  • May have had
  • May indicate
  • Or, except when comparing only inclusions
  • Possible
  • Questionable (?)
  • Risk of
  • Rule out (r'd/o, r/o'd)
  • Suggestive of
  • Suspect
  • Suspicious
  • Vs., except when comparing only inclusions
    Example: If the in-hospital echocardiogram report documents "questionable LVSD", this should be abstracted as a negative finding.
The following quantitative modifiers should be abstracted as negative findings, unless otherwise specified - Consider this list all-inclusive:
  • Borderline
  • Insignificant
  • Scant
  • Slight
  • Sub-clinical
  • Subtle
  • Trace
  • Trivial

Table 2.7 Allowable Measure Set Combinations

PC1 HBIPS1
Newborns - 0 to <=2 days
Mother - 8 to <65 years
>= 1 year
Principal Procedure or Principal/Other Diagnosis P/O Dx Psychicatric Care Setting = "y"
AMI >= 18 years P Dx Yes for mothers age 18 or greater >= 18
HF >= 18 years P Dx Yes for mothers age 18 or greater >= 18
PN >= 18 years P Dx Yes for mothers age 18 or greater >= 18
STK1 >= 18 years P Dx Yes for mothers age 18 or greater >= 18
CAC1 2 to < 18 years P Dx Yes for mothers under age 18 2 to < 18
VTE1 >= 18 years P/O Dx Yes for mothers age 18 or greater >= 18
PC1 Newborns: 0 to <=2
days Mother: 8 to <65 years
P/O Dx N/A Yes for Mothers
SCIP No age limitation P/O Px Yes >= 1
HBIPS1 >=1 year Psychiatric Care Setting = "Y" Yes for mothers N/A
Can Combine
Cannot combine2

1 These measure sets are Joint Commission Only. The measure set combinations containing these sets are only applicable for the transmission of data to The Joint Commission. The Measure Set combination for aligned measures is maintained in the NHQM Specifications Manual.
2 "Cannot Combine" is a placeholder at this time, as the populations for the HBIPS and PC measure sets can currently be combined with all other measure sets.


Related Topics

Related Topics
a. Table of Contents

Appendix ETJC
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)