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Release Notes:
Data Element
Version 2010A1

Data Element Name: Joint Revision
Collected For: SCIP-Inf-1, SCIP-Inf-2, SCIP-Inf-3,
Definition:Documentation in the medical record that the patient is undergoing a joint revision.
Suggested Data Collection Question:Is there documentation that the patient had a joint revision?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y    (Yes)   There is documentation that the patient had a joint revision.

N   (No)   There is no documentation that the patient had a joint revision or unable to determine from medical record documentation.

Notes for Abstraction:
  • This data element is used to exclude patients who have orthopedic revisions from SCIP-Inf-1, 2, and 3.
  • If there is documentation that an antibiotic spacer was removed prior to joint replacement, select “Yes.”
  • If there is documentation that this joint replacement (arthroplasty) is a revision, select "Yes."
    Example:
    The physician documents that the procedure is a revision of a previous surgery.
  • If a joint replacement (arthroplasty) is performed and the patient returns for a revision on this joint during the same admission, abstract the joint replacement performed first.

Suggested Data Sources:
  • History and physical
  • Progress notes
  • Operative report
  • Coding sheet
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Artificial joint revision
  • Removal of hardware
  • Revision surgery
  • Total joint revision

  • None

Joint Revision
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)