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Release Notes:
Data Element
Version 2010A1

Data Element Name: Referral for Addictions Treatment
Collected For: TAM-07,
Definition:Documentation that a referral was made at discharge for addictions treatment by a physician or non-physician (such as nurse, psychologist, or counselor). A referral may can be defined as an appointment made by the provider either through telephone contact, fax or e-mail, or contact information given to the patient including person to contact, number to call or fax, or e-mail address to make an appointment. The referral may be to an addictions treatment program, to a mental health program or mental health specialist for follow-up for substance use or addiction treatment, or to a medical or health professional for follow-up for substance use or addiction.
Suggested Data Collection Question:Did the patient receive at discharge a referral for addictions treatment?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1    The patient received the referral for addictions treatment

2    The patient refused the referral for addictions treatment

3    A referral for addictions treatment was not offered at discharge

4    UTD, unable to determine from medical record documentation

Notes for Abstraction:
Suggested Data Sources:
  • Discharge summary
  • Transfer sheet
  • Discharge Instruction Sheet
  • Nursing Discharge Notes
  • Physician Order Sheet
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Group counseling
  • Individual counseling
    • Personal physician
    • Psychiatrist
    • Psychologist
    • Addictions counselor
  • Self help interventions (brochures, videotapes, audiotapes, reactive hotlinges/help lines)

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