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Release Notes:
Data Element
Version 2010A1

Data Element Name: Do Not Return - Clinical
Collected For: HCSS-1,
Definition:A type of complaint received from a HCSS client dissatisfied with some aspect of the quality of care or service provided to that organization by a clinical staff employee of the HCSS firm, which generates a request that the HCSS employee should not be assigned again to the healthcare organization or a specific unit / division within the organization or that a HCSS employee should not return to complete an assignment as originally contracted; a request for Do Not Return that includes a clinical reason, provided by the HCSS client to the HCSS firm, either verbally or in writing.
Suggested Data Collection Question:Has the client requested that a HCSS employee not return due to a clinical reason?
Format:
Length:
Type:Alphanumeric
Occurs:
Allowable Values:

Yes    A Do Not Return due to a clinical reason was requested by the client.

No   There is no documentation of a Do Not Return due to a clinical reason, OR no reason for Do Not Return was given.

Notes for Abstraction:
  • Documentation includes all forms of tracking reports of Do Not Return, including written communication from a HCSS client stating a clinical reason, electronic documentation from a HCSS client stating a clinical reason, or clinical reasons verbally communicated by the HCSS client to the HCSS firm and transcribed using an internal form or software databases.
  • Follow-up with the client after verbal requests for Do Not Return may be necessary to clarify the nature of the complaint and identify a reason for the request. Information verbally communicated by the client should be documented by the HCSS firm and used to substantiate a reason for the Do Not Return request if possible.
  • Clinical reasons for Do Not Return may be related but not limited to the following categories:
    - Clinical competency issues
    - Medication-related issues
    - Documentation-related issues
    - Patient abuse
    - Patient safety issues
    - Credentialing
    - Client or physician complaints about employee’s clinical competence
    - Employee incidents related to clinical competence
    - Non-performance of clinical assignment /duties
  • Termination of an employee by the HCSS firm is not a requirement for the designation of Do Not Return.
  • Termination of an employee by the HCSS firm may occur after one or more requests for the employee to not return to one or more client organizations.
  • The occurrence of Do Not Return is counted and included in the numerator population whether the firm decides to terminate the employee, or to remarket the employee to other clients following evaluation of the occurrence.
Suggested Data Sources:

  • Hard copy/electronic copy
  • Personnel files
  • Staff evaluation forms
  • HCSS logs
  • Client files
  • Client satisfaction records
  • Incident report forms
  • Complaint forms
  • Commercial and custom computer software
  • Records / notes of telephone conversations and verbal discussion with clients about a request for Do Not Return
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Other terms and acronyms may be used to describe episodes / occurrences of Do Not Return
    • Do Not Rehire
    • Do Not Use (DNU)

  • None

Do Not Return - Clinical
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)