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Release Notes:
Data Element
Version 2010A1

Data Element Name: Home Management Plan of Care Document Present
Collected For: CAC-3, Joint Commission Only , Test Measure
Definition:The Home Management Plan of Care (HMPC) document, separate and patient-specific should be a written instruction given to the patient/caregiver. The document must be present in the medical record, in the form of an explicit and separate document specific to the patient rather than components or segments of the plan spread across discharge instruction sheets, discharge orders, education sheets, or other instruction sheets.
Suggested Data Collection Question:Is there a separate, patient specific Home Management Plan of Care document present in the medical record?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y    (Yes)   There is a separate, patient specific Home Management Plan of Care document present in the medical record.

N   (No)   There is no separate, patient specific Home Management Plan of Care document present in the medical record or unable to determine from the medical record documentation.

Notes for Abstraction:
  • The Home Management Plan of Care (HMPC) document could be in the form of a Daily Self-Management Plan or an Asthma Action Plan only if it is a separate, patient-specific document.
  • This data element seeks to determine the presences and content of a patient specific document separate from the traditional discharge instructions.
  • 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.”
Suggested Data Sources:

  • Medical record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

Home Management Plan of Care Document Present
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)