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Release Notes:
Data Element
Version 2010B

Data Element Name: Beta-Blocker Prescribed at Discharge
Collected For: AMI-5,
Definition:Documentation that a beta-blocker was prescribed at discharge. Beta-blockers are agents which block beta-adrenergic receptors, thereby decreasing the rate and force of heart contractions, and reducing blood pressure. Over time beta-blockers improve the heart’s pumping ability.

Suggested Data Collection Question:Was a beta-blocker prescribed at discharge?
Allowable Values:

Y   (Yes)   Beta-blocker prescribed at discharge.

N   (No)   Beta-blocker not prescribed at discharge or unable to determine from medical record documentation.

Notes for Abstraction:In determining whether a beta-blocker was prescribed at discharge, it is not uncommon to see conflicting documentation amongst different medical record sources. For example, the discharge summary may list a beta-blocker that is not included in any of the other discharge medication sources (e.g., discharge orders). All discharge medication documentation available in the chart should be reviewed and taken into account by the abstractor.
  • In cases where there is a beta-blocker in one source that is not mentioned in other sources, it should be interpreted as a discharge medication (select "Yes") unless documentation elsewhere in the medical record suggests that it was NOT prescribed at discharge - Consider it a discharge medication in the absence of contradictory documentation.
  • If documentation is contradictory (e.g., physician/advanced practice nurse/physician assistant [physician/APN/PA] noted discontinuation of the beta-blocker in the discharge medication orders, but it is listed in the discharge summary’s discharge medication list), or, after careful examination of circumstances, context, timing, etc, documentation raises enough questions, the case should be deemed "unable to determine" (select "No").
  • If a beta-blocker is listed as a discharge medication, select "Yes" unless contradictory documentation exists (see above). If a beta-blocker is not listed as a discharge medication, and there is only documentation of a plan to delay initiation/restarting of a beta-blocker for a time period after discharge, select “No.”
Suggested Data Sources:
  • Physician orders
  • Discharge summary
  • Transfer sheet
  • Discharge instruction sheet
  • Medication reconciliation form
  • Nursing discharge notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Refer to Appendix C, Table 1.3 for a comprehensive list of Beta-Blocker medications.
  • Eye drops containing beta-blocker (e.g., Cosopt)

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