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Release Notes:
Data Element
Version 2010B

Data Element Name: Glucose POD 1
Collected For: SCIP-Inf-4,
Definition:The blood glucose level on postoperative day one (POD 1) with Surgery End Date being postoperative day zero (POD 0), drawn closest to 6:00 A.M. (06:00). Glucose is a monosaccharide, simple sugar that the body uses directly for energy. It is the major energy source in the body and is monitored in the blood in many disorders, including diabetes mellitus. The concentration of glucose in the blood is measured in milligrams of glucose per deciliter of blood.
Suggested Data Collection Question:What was the patient’s blood glucose level on postoperative day one (POD 1) closest to 6:00 A.M.?
Format:
Length:4 or UTD
Type:Numeric
Occurs:1
Allowable Values:


1 – 3000 mg per dL
UTD = Unable to Determine

NOTE TO PROGRAMMERS:

  • For data collection processes that involve the automated abstraction of this data element based on electronically stored information, care should be taken to ensure that the abstracted value is selected in accordance with the Notes for Abstraction.
  • Data collection tools may provide abstractors with the ability to indicate that a limiting value (e.g., <20 or >500) was stored in the medical record without requiring knowledge of the range of allowable values. See Notes for Abstraction for additional information.
Notes for Abstraction:
  • If the blood glucose level is unable to be determined from medical record documentation, enter UTD.
  • The medical record must be abstracted as documented (taken at “face value”). When the value documented is obviously in error (not a valid format/range) and no other documentation is found that provides this information, the abstractor should select “UTD.”
    Example:
    Documentation indicates the Glucose POD 1 was 30000. No other documentation in the medical record provides an valid value. Since the Glucose POD 1 value is outside of the range listed in Format Length (greater than four numeric characters), it is not a valid value and the abstractor should select “UTD.”
    Note:
    Transmission of a case with an invalid value will be rejected from the QIO Clinical Warehouse and the Joint Commission’s Data Warehouse. Use of “UTD” for Glucose POD 1 allows the case to be accepted into the warehouse.
  • Abstract the value closest to 06:00 (whether prior to or after 06:00).
    Example:
    • On POD 1 there is documentation of a glucose value of “99” at 05:30 and a value of “120” at 06:15; select the 06:15 value of “120.”
  • When two or more values qualify as the closest to 06:00, select the earliest time.
    Example:
    • On POD 1 there is documentation of a glucose value of “99” at 05:00 and a value of “120” at 07:00; select the 05:00 glucose value of “99.”
  • Laboratory obtained values take precedence over bedside values when those results qualify as the closest to 06:00.
  • When the value is recorded as being less than (<) or greater than (>) a limiting value, the abstractor should record the value at the corresponding lower limit (1) or upper limit (3000) of the allowable values.
    Examples:
    • The record states “<20 mg per dL,” enter “1.”
    • The record states “>500 mg per dL,” enter “3000.”
  • When the value recorded is “low” enter the lowest limit of the allowable values, “1.” When the value recorded is “high” enter the highest limit of the allowable values, “3000.”
  • When two values are recorded with the same time, abstract the lowest value.
    Example:
    • On POD 1 there are two values recorded at 05:00 (82 and 75). Enter the lowest value “75.”
Suggested Data Sources:
  • Consultation notes
  • Laboratory report
  • Nursing notes
  • Progress notes
  • Diabetic flow sheet
  • Nursing graphic sheets
  • PACU/recovery room record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Blood sugar
  • Fasting glucose
  • Finger stick glucose
  • Glucometer results
  • Glucose
  • Non-fasting glucose
  • Random glucose
  • Serum glucose

  • None

Glucose POD 1
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
Questions? Ask Question to Joint Commission staff Copyright © 2010 by The Joint Commission.