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Release Notes:
Data Element
Version 2010B

Data Element Name: Plan for LDL-Cholesterol Test
Collected For: AMI-T1a, , (CMS Optional Test Measure)
Definition:Documentation of a plan to do LDL-cholesterol (LDL-c) testing after discharge.
Suggested Data Collection Question:Is there a plan to do LDL-cholesterol (LDL-c) testing after discharge?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y    (Yes)   Documentation of a plan to do LDL-c testing after discharge

N   (No)   No documentation of a plan to do LDL-c testing after discharge or unable to determine from medical record documentation

Notes for Abstraction:
  • There must be documentation of a definitive plan to do LDL-c testing after discharge (e.g., “Will do cholesterol testing after discharge”). Documentation, which indicates only that LDL-c testing after discharge will be considered (e.g., “May do cholesterol testing at next office visit”), is not sufficient.
  • In the absence of explicit documentation of a plan to do LDL-c testing after discharge, it should be inferred that LDL-c testing is planned if there is documentation of a plan to do lipid testing after discharge.
Suggested Data Sources:
  • Consultation notes
  • Progress notes
  • Physician orders
  • Discharge summary
  • Discharge instruction sheet
  • Discharge planning notes

Excluded Data Sources:
Any documentation dated/timed after discharge, except discharge summary and operative/procedure/diagnostic test reports (from procedure done during hospital stay)

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
LDL-cholesterol (LDL-c)
  • Low den lipoprotein
  • Low density lipoprotein (LDL)

Lipid testing

  • Cholesterol analysis
  • Cholesterol check ( √ )
  • Cholesterol panel
  • Cholesterol profile
  • Cholesterol testing
  • Fasting lipids
  • LDL: HDL
  • LDL: HDL ratio
  • Lipid analysis
  • Lipid check ( √ )
  • Lipid panel
  • Lipid profile
  • Lipids
  • Lipoprotein analysis
LDL-cholesterol (LDL-c)
VLDL (very low density lipoprotein)

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