Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Education Addresses Activation of Emergency Medical System |
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| Collected For: | , |
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| Definition: | The medical record should include documentation that patient and/or caregiver received written education and/or resource materials that address the need for activation of the emergency medical system (EMS) if signs or symptoms of stroke occur |
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| Suggested Data Collection Question: | Did the patient or caregiver receive written educational materials regarding the need for activation of the emergency medical system (EMS) if signs or symptoms of stroke occur? |
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| Format: | | Length: | |
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| Type: | Alphanumeric |
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| Occurs: | |
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| Allowable Values: |
Y (Yes) The patient or caregiver received written educational and/or resource materials the need for activation of the emergency medical system (EMS) if signs or symptoms of stroke occur
N (No) The patient or caregiver did not receive written education and/or resource materials regarding the need for activation of the emergency medical system (EMS) if signs or symptoms of stroke occur, OR unable to determine from medical record documentation
NC (No, the patient or caregiver did not receive written education and/or resource materials regarding the need for activation of the emergency medical system (EMS) if signs or symptoms of stroke occur. The patient is unable to comprehend, and no caregiver is available.)
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| Notes for Abstraction: | Record documentation must reflect that the patient and/or caregiver received written education and/or electronic resource materials. If the organization uses standardized written materials that contain the required component, i.e., the need for activation of the emergency medical system (EMS) if signs or symptoms of stroke occur, then documentation of receipt of these tools is adequate.
Electronically formatted media such as videos, CDs and DVDs are acceptable for educational materials. Documentation must clearly convey that (1) the need for activation of the emergency medical system (EMS) if signs or symptoms of stroke occur is included in the material, and (2) the patient was given a copy to take home.
If there is documentation that the patient refused education and/or education materials which addressed follow-up after discharge, select “Y”.
The caregiver is defined as the patient’s family or any other person (e.g., home health/VNA provider) who will be responsible for care of the patient after discharge.
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| Suggested Data Sources: |
- Progress notes
- Discharge summary
- Care plans/clinical pathways
- Flow charts
- Discharge instruction sheet
- Nursing discharge notes
- Physical therapy notes
- Teaching sheet
- Education record
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| Additional Notes: |
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| Guidelines for Abstraction: |
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Education Addresses Activation of Emergency Medical System
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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