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Release Notes:
Data Element
Version 2010A1

Data Element Name: Education Addresses Medication Prescribed
Collected For: ,
Definition:The medical record should include documentation that patient and/or caregiver received education and/or resource materials that address medication prescribed.
Suggested Data Collection Question:Did the patient or caregiver receive education and/or resource materials regarding medications prescribed?
Allowable Values:

Y     (Yes) The patient or caregiver received education regarding medication

N    (No) The patient or caregiver did not receive education regarding medication, OR unable to determine from medical record documentation

NC    (No, the patient or caregiver did not receive written education and/or resource materials regarding medication. The patient is unable to comprehend, and no caregiver is available.)

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., medications, 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) medications are 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 medications, select “Yes.”

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.

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
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

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