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Release Notes:
Data Element
Version 2010B

Data Element Name: Discharge Status-Stroke
Collected For: , STK-10, , , , , , , , , , All Records-Stroke
Definition:The place or setting to which the patient was discharged
Suggested Data Collection Question:What was the patientís discharge disposition?
Format:
Length:
Type:Alphanumeric
Occurs:
Allowable Values:

01     Discharged to home care or self care (routine discharge)

02     Discharged/transferred to another short term general hospital for inpatient care

03     Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification

04     Discharged /transferred to an intermediate care facility

05     Discharged/transferred to another type of health care institution (not defined elsewhere in this code list) for inpatient care.
Usage note: Cancer hospitals excluded from PPS and childrenís hospitals are examples of such other types of health care institutions.

06     Discharged/transferred to home under care of organized home health service organization

07     Left against medical advice or discontinued care

20     Expired

41     Expired in medical facility, such as hospital, SNF, ICF, or freestanding hospice.
Usage note: For use only on Medicare and CHAMPUS (TRICARE) claims for hospice care.

43     Discharged/transferred to a federal health care facility
Usage note: Discharged and transfers to a government operated health care facility such as a Department of Defense hospital, a Veteranís Administration hospital or a Veteranís Administration nursing facility. To be used whenever the destination at discharge is a federal health care facility, whether the patient resides there or not.

50     Hospice Ė home

51     Hospice Ė medical facility

61     Discharged/transferred to hospital-based Medicare approved swing bed
Usage note: Medicare-used for reporting patients discharged/transferred to a SNF level of care within a hospitalís approved swing bed arrangement.

62     Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital

63     Discharge/transferred to a Medicare certified long term care hospital (LTCH)

64     Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare

65     Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital

66     Discharged/transferred to a Critical Access Hospital (CAH)

Notes for Abstraction:The values for Discharge Status are taken from the National Uniform Billing Committee Manual (NUBC) manual which is used by the billing/HIM to complete the UB-04.
  • Because this data element is critical in determining the population for many measures, the abstractor should NOT assume that he UB-04 value is what is reflected in the medical record. For abstraction purposes, it is important that the medical record reflect the appropriate discharge status. If the abstractor determines through chart review that the UB-04 discharge status is not what is reflected in the medical record, she/he should correct and override the downloaded value.
  • It would be appropriate to work with your billing office to develop processes that can be incorporated to improve medical record documentation to support the appropriate discharge status and to ensure consistency between the UB-04 discharge status and the medical record.

If state assigned codes are used, it is the organizationís responsibility to ensure that one of the allowable values listed is used.

While there are additional UB-04 values for this data element, they are used for these measures at this time.

Suggested Data Sources:
  • Face sheet
  • Progress notes
  • Physician orders
  • Discharge summary
  • Discharge instruction sheet
  • Nursing discharge notes
  • Social service notes
  • Transfer record
  • UB-04, (previously UB-92)
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

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