Release Notes:
Data Element
Version 2010B
| Data Element Name: | ICU Transfer or Admission Within First 24 Hours |
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| Collected For: | PN-3a, PN-6, PN-6a, PN-6b, |
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| Definition: | The patient was admitted or transferred to the intensive care unit (ICU) at this hospital within the first 24 hours following arrival at this hospital. Direct admits, admissions via the emergency department, or transfers from lower levels of in-patient care are included. |
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| Suggested Data Collection Question: | Was the patient admitted or transferred to the intensive care unit (ICU) at this hospital within the first 24 hours following arrival at the hospital?
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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: |
1 (Yes) The patient was admitted or transferred to the ICU at this hospital within the first 24 hours after arrival. Any time spent in the ICU within the first 24 hours is included.
2 (No) The patient was not admitted or transferred to an ICU at this hospital within the first 24 hours of the hospital arrival.
3 (UTD) Unable to determine from medical record documentation if the patient was transferred to ICU at this hospital within the first 24 hours of hospital arrival.
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| Notes for Abstraction: |
- If other pneumonia related reasons for transfer or admission, such as septic shock, respiratory distress or failure, hypotension, tachypnea, hypoxemia or the need for a ventilator are documented, select “Yes.”
- If the patient was transferred or admitted to the ICU at this hospital within the first 24 hours after arrival to the hospital for reasons other than complications due to pneumonia, answer “No” to this question (i.e., a patient presents to the ED with pneumonia and shortly after arrival has a GI bleed or cardiac arrhythmia or the ICU may be the only place with monitored beds).
- If there is an order for ICU and not moved due to lack of beds, select “Yes.”
- If there is no other documented reason why the patient was transferred/admitted to the ICU at this hospital, assume it was for complications due to pneumonia.
- Do not use clinical judgment based on the type of care administered to the patient. The level of intensive care MUST be documented.
- PCU is not an inclusion for ICU, unless it is identified as a Pulmonary Care Unit, which can be considered synonymous with Respiratory Care Unit.
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| Suggested Data Sources: |
- Emergency department record
- History and physical
- Nursing notes
- Nursing admission assessment
- Progress notes
- Physician orders
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Coronary care unit (CCU, CICU)
- Intensive care unit (ICU)
- Medical intensive care unit (MICU, MCU)
- Respiratory intensive care unit (RICU, RCU)
- Surgical intensive care unit (SCU, SICU)
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- Do not include ED, OR, or procedure units as inpatient units.
- Do not include inpatient units with telemetry monitoring that are not intensive care units.
- Intermediate care unit (IMCU)
- Post coronary care unit (PCCU)
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ICU Transfer or Admission Within First 24 Hours
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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