Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Education Addresses Risk Factors for Stroke |
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| Collected For: | , |
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| Definition: | The medical record should include documentation that patient and/or caregiver received education and/or resource materials that address relevant personal risk factors for stroke |
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| Suggested Data Collection Question: | Did the patient or caregiver receive education regarding personal risk factors for stroke? |
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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 education regarding relevant personal risk factors for stroke
N (No) The patient or caregiver did not receive education regarding relevant personal risk factors for stroke, OR unable to determine from medical record documentation
NC (No, the patient or caregiver did not receive written education and/or resource materials regarding relevant personal risk factors for stroke. 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 education and/or electronic resource materials. If the organization uses standardized written materials that contain the required component, i.e., personal risk factors for stroke, 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) personal risk factors for stroke are included in the material, and (2) the patient was given a copy to take home. Referral to web-based materials or help-lines would qualify.
If there is documentation that the patient refused education and/or educational materials which addressed the risk factors, 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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| Inclusion | Exclusion |
Personal risk factors for stroke may include but are not limited to:
- High blood pressure
- Elevated cholesterol
- Diabetes
- Overweight (BMI >= 25)
- Physical inactivity
- Excessive alcohol consumption
- Carotid artery stenosis
- Atrial fibrillation
- Smoking
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Education Addresses Risk Factors for Stroke
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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