Release Notes:
Data Element
Version 2010B
| Data Element Name: | Home Management Plan of Care Document Given to Patient/Caregiver |
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| Collected For: | CAC-3, Joint Commission Only , Test Measure |
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| Definition: | Documentation exists that the Home Management Plan of Care (HMPC) as a separate document, specific to the patient, was given to the patient/caregiver, prior to or upon discharge. |
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| Suggested Data Collection Question: | Does documentation exist that the HMPC as a separate document, specific to the patient, was given to the patient/caregiver, prior to or upon discharge? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Y (Yes) Documentation exists that the HMPC document was given to the patient/ caregiver, prior to or upon discharge.
N (No) Documentation does not exist that the HMPC document was given to the patient/ caregiver, prior to or upon discharge, or unable to determine from the medical record documentation.
R (Refused) Documentation exists that the HMPC document was refused by the patient/ caregiver.
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| Notes for Abstraction: |
- Specificity to the patient entails explicit information pertaining to the patient, i.e., the patient’s specific controllers and relievers medication information (name, dose, frequency, and method of administration), environmental control and control of other triggers, and methods and timing of rescue actions specific to the patient, in order to select “Yes.”
- HMPC must be a separate, stand alone document, in order to select “Yes.”
- Documentation must clearly convey that the patient/caregiver was given a copy of the HMPC to take home.
- The HMPC does NOT need to be given at the time of discharge. An HMPC given at anytime during the hospital stay is acceptable.
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| Suggested Data Sources: |
- Nursing notes
- Progress notes
- Discharge summary
- HMPC document found in the Medical Record
- Discharge instruction sheet
- Teaching sheet
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| Additional Notes: |
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| Guidelines for Abstraction: |
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Home Management Plan of Care Document Given to Patient/Caregiver
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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