Release Notes:
Data Element
Version 2010B
| Data Element Name: | Education Addresses Warning Signs and Symptoms of Stroke |
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| Collected For: | , |
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| Definition: | The medical record should include documentation that patient and/or caregiver received education and/or resource materials that address the warning signs and symptoms of stroke. |
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| Suggested Data Collection Question: | Did the patient or caregiver receive education and/or resource materials regarding the warning signs and symptoms of stroke? |
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| Format: | | Length: | |
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| Type: | Alphanumeric |
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| Occurs: | |
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| Allowable Values: |
Y (Yes) The patient or caregiver received education regarding the warning signs of stroke
N (No) The patient or caregiver did not receive education regarding the warning signs and symptoms of stroke OR unable to determine from medical record documentation
NC (No, the patient or caregiver did not receive written education and/or resource materials regarding the warning signs and symptoms of stroke occur. The patient is unable to comprehend, and no caregiver is available)
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| Notes for Abstraction: | Record documentation must reflect that the patient and/or caregiver received education and/or electronic resource materials. If the organization uses standardized written materials that contain the required component, i.e., warning signs of stroke, then documentation of receipt of these tools is adequate.
Electronically formatted media such as videos, CDs, and DVDs are acceptable for educational materials. Documentation must clearly convey that (1) warning signs and symptoms are included in the material, and (2) the patient was given a copy to take home.
If there is documentation that the patient refused education and/or education materials which addressed warning signs and symptoms, select “Y”.
The caregiver is defined as the patient’s family or any other person (e.g., home health/VNA provider) who will be responsible for care of the patient after discharge.
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| Suggested Data Sources: |
- Progress notes
- Discharge summary
- Care plans/clinical pathways
- Flow charts
- Discharge instruction sheet
- Nursing discharge notes
- Physical therapy notes
- Teaching sheet
- Education record
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
Examples of stroke warning signs may include but are not limited to:
- Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
- Sudden confusion, trouble speaking or understanding
- Sudden trouble seeing in one or both eyes
- Sudden trouble walking, dizziness, loss of balance or coordination
- Sudden severe headache with no known cause
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Education Addresses Warning Signs and Symptoms of Stroke
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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