Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Risk Factors for Drug-Resistant Pneumococcus |
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| Collected For: | PN-6, PN-6b, |
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| Definition: | Documentation of a risk factor(s) for drug-resistant pneumococcus. For the purposes of the Pneumonia Measures, the risk factors are:
- Patients 65 and over
- ICU Patients – within 24 hours of arrival
- Alcoholism – any mention in chart
- Systemic antibiotic therapy in the last 3 months prior to arrival
- Medical co-morbidities.
- Exposed to child in daycare
- Injection drug user – only illicit drugs
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| Suggested Data Collection Question: | Did the patient have a documented risk factor(s) for drug-resistant pneumococcus? |
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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) There is documentation the patient had risk factors for drug-resistant pneumococcus.
N (No) There is no documentation the patient had risk factors for drug-resistant pneumococcus or unable to determine from medical record documentation.
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| Notes for Abstraction: |
- For the purposes of this data element, medical co-morbidities are defined as:
- Renal, heart, lung or liver disease documented within the last 3 months
- Diabetes mellitus
- Asplenia
- Malignancies documented within the last 3 months
- For the purposes of this data element, ‘Exposed to child in daycare’ would consist of living with a child who attends daycare or working at a daycare. Casual contact or visiting a family with a child who has been in daycare is not considered “exposure.”
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| Suggested Data Sources: |
- History and physical
- Nursing notes
- Progress notes
- Physician’s notes
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Alcoholism
- Alcoholic
- Alcohol abuse
- Asplenia
- Diabetes
- Diabetes Mellitus
- IVDU
- IV user
- Malignancy - current
See Appendix C, Table 2.1 for a comprehensive list of antimicrobial medications
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- “History” or “H/O” for malignancies unless there is also documentation the malignancy was present within the last 3 months.
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Risk Factors for Drug-Resistant Pneumococcus
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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