Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Home Management Plan of Care Document Addresses Methods and Timing of Rescue Actions |
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| Collected For: | CAC-3, Joint Commission Only , Test Measure |
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| Definition: | Documentation exists that the Home Management Plan of Care (HMPC) document, separate and specific to the patient and provided to the patient/caregiver, prior to or upon discharge, addresses what to do if asthma symptoms worsen after discharge, i.e., when to take action, what specific steps to take, and contact information to be used, when an asthma attack occurs or is about to occur. |
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| Suggested Data Collection Question: | Does the HMPC document, separate and specific to the patient and provided to the patient/caregiver, prior to or upon discharge, included written information indicating when to take action, what specific steps to take, and contact information to be used, when an asthma attack occurs or is about to occur? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Y (Yes) The HMPC document includes written information including when to take action, what specific steps to take, and contact information to be used, when an asthma attack occurs or is about to occur.
N (No) The HMPC document does not include written information indicating when to take action, what specific steps to take, and contact information to be used, when an asthma attack occurs or is about to occur or unable to determine from medical record documentation.
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| Notes for Abstraction: |
- Specificity to the patient entails explicit information pertaining to the patient, i.e., the patient’s specific controllers and relievers medication information (name, dose, frequency, and method of administration), environmental control and control of other triggers, and methods and timing of rescue actions specific to the patient, in order to select “Yes.”
- HMPC must be a separate, stand alone document, in order to select “Yes.”
- Documentation that addresses methods and timing of rescue actions must include all of the following, in order to select “Yes”:
- When to take action, i.e., assessment of severity (e.g., peak flow meter reading, signs and symptoms to watch for)
- Steps to take, i.e., initial treatment instructions (e.g., inhaled relievers up to three treatments of 2-4 puffs by MDI at 20-minute intervals or single nebulizer treatment)
- Contact information and when to contact the physician.
- Documentation must clearly convey that the patient was given a copy of the HMPC document to take home.
- The HMPC does NOT need to be given at the time of discharge. A home management plan of care document given at anytime during the hospital stay is acceptable.
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| Suggested Data Sources: |
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| Additional Notes: |
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| Guidelines for Abstraction: |
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Home Management Plan of Care Document Addresses Methods and Timing of Rescue Actions
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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