AppendixH - Manual - Performance Measurement Network

Specifications Manual for Joint Commission National Quality Core Measures (2010B)

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Appendix H
Version 2010B

Table 2.5 Discharge Status Disposition (Ver. 2.5)

Note: The Discharge Status Disposition chart is to provide supportive clarification of the Discharge Status Allowable Values listed in the data element Discharge Status.

Discharge Status	Discharge Disposition
1	Adult Foster Care Another acute care facility for an outpatient procedure Assisted Living Facility Board and care Court/law enforcement/prison Foster care facility Group home Home with home oxygen Home with Hospice referral only (has not accepted hospice care by a hospice organization) Home with oxygen that is not provided through home health plan of care Home with walker Home with IV’s or home with IV services under a home health agency Home with outpatient therapy (OT/PT) not provided by a home health service organization Home with PICC line for home IV therapy or home with PICC line under an Infusion Company Home with services of DME supplier Homeless shelter Personal care home Residential care Partial hospitalization - A nonresidential treatment modality which includes psychiatric, psychological, social and vocational elements under medical supervision. It is designed for patients with moderate to severe mental or emotional disorders. Partial hospitalization patients require less than 24-hour care, but more intensive and comprehensive services than are offered in outpatient treatment programs. Partial hospitalization is provided on a planned and regularly scheduled basis for a minimum of 3 hours, but less than 24 hours in any 1day. Physician’s office
2	Short term general hospital Tertiary care
3	Skilled nursing facility (SNF) Skilled nursing facility with hospice referral only (has not accepted hospice care by a hospice organization) SNF rehabilitation unit (a unit within the SNF) Sub-Acute Care Transitional Care Unit (TCU)
4	ECF (Extended Care Facility) ICF (Intermediate Care Facility) Nursing Home Nursing facility for non-skilled/custodial/residential level of care Nursing facility with hospice referral only (has not accepted hospice care by a hospice organization)
5	Chemical dependency treatment facility that is not part of a hospital (if the chemical dependency treatment facility is not a psychiatric hospital or psychiatric distinct part unit of a hospital) Children’s hospital Designated cancer centers
6	Home under care of organized home health services with oxygen Foster care facility with home care Home under care of organized home health service organization Home with home health agency with DME Home with therapy services (PT/OT) provided by home health service organization Home with written plan of care for home care services – whether home attendant, nursing aides, certified attendants, etc.
7	Left against medical advice or discontinued care
20	Expired
50	Discharged to home or an alternative setting that is the patient’s “home,” such as a nursing facility, and will receive in-home hospice services
51	Discharged from acute care hospital but remains at the same hospital under hospice care General Inpatient Hospice care General Inpatient Respite Hospice care SNF with hospice care Residential with hospice care Non-skilled level of care outside the hospice benefit for conditions unrelated to the terminal illness
61	Discharged from an acute hospital to a Critical Access Hospital swing bed SNF level of care within hospital’s approved swing bed arrangement Swing bed
62	Inpatient rehabilitation facility including rehabilitation distinct part units of a hospital
63	Long-term care hospital (long-term care facilities provide acute inpatient care with an average length of stay greater than 25 days) LTCH
64	Nursing facility certified under Medicaid but not certified under Medicare
65	Psychiatric hospital or psychiatric distinct part unit of hospital
66	Discharged/transferred to a Critical Access Hospital
70	Another type of health care institution not defined elsewhere in the code list

Appendix H

Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)