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Release Notes:
Data Element
Version 2010A1

Data Element Name: Job Appropriate Credentials
Collected For: HCSS-3,
Definition:Documentation in personnel file of:
  • current licensure, registration, or certification in accordance with federal and state regulations, or
  • education and training that is consistent with applicable legal and regulatory requirements and HCSS position description.
Suggested Data Collection Question:Are the necessary components of the minimum data set for this element present in the personnel file?
Format:
Length:
Type:Alphanumeric
Occurs:
Allowable Values:

Yes    There is documentation in the personnel file demonstrating that the requirements of the minimum data set for this element have been met.

No   Documentation in the personnel file of the minimum data set requirements for this element is missing, incomplete, or expired.

Notes for Abstraction:Note: The original, primary source document of a specific credential should be used to verify the accuracy of a qualification reported by an individual. It is acceptable to verify current licensure, certification, or registration with the primary source via a secure electronic communication or by telephone, if this verification is documented.
Suggested Data Sources:

  • Current state license
  • Registration/certification documents
  • School diploma
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Proof of appropriate job credentials includes documentation in the personnel file of the following components:
  • Current license for employees licensed / registered by state boards of Professional Regulation and Education, or
  • Verification of certification program completion for employees not licensed by state boards of Professional Regulation and Education (i.e. Clinical Nursing Assistants)

  • None

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