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Release Notes:
Data Element
Version 2010A1

Data Element Name: Preoperative Anemia Screening
Collected For: BM-06,
Definition:Documentation of preoperative anemia screening or a hemoglobin (hgb) or hematocrit (hct) drawn prior to Anesthesia Start Date.
Suggested Data Collection Question:Was there documentation of preoperative anemia screening or a hgb or hct drawn prior to Anesthesia Start Date?
Format:
Length:1
Type:Numeric
Occurs:1
Allowable Values:

1    There was documentation of preoperative anemia screening or a hgb or hct result 14 to 45 days prior to Anesthesia Start Date.

2    There was documentation of preoperative anemia screening or a hgb or hct result but unable to determine if the date was completed prior to Anesthesia Start Date.

3    There was no documentation of preoperative anemia screening or a hgb or hct drawn prior to Anesthesia Start Date or unable to determine from medical record documentation.

Notes for Abstraction:
  • Abstract Preoperative Anemia Screening associated with the elective surgical procedure selected for abstraction.
  • To select 1, confirm that a hgb or hct result was completed 14 45 days prior to surgery or there is written documentation of preoperative anemia screening at least a minimum of 14 days prior to surgery.
  • If there is documentation that Preoperative Anemia Screening was done, but unable to determine when, select 2
  • If there is documentation that the patient received iron alone or in conjunction with epogen prior to surgery, select the applicable allowable value 1 or 2. For example, if there is documentation that iron was a preoperative medication but the patient does not know how long they have been on iron, select "2.".
Suggested Data Sources:
  • Consultation notes
  • History and physical
  • Progress notes
  • Preop checklist
  • Pre-arrival laboratory repot
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

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