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Release Notes:
Data Element
Version 2010B

Data Element Name: Patient Ambulatory at End of Hospital Day Two
Collected For: ,
Definition:Documentation in the medical record indicates that the patient was ambulatory by the end of hospital day two
Suggested Data Collection Question:Was the patient ambulatory at the end of hospital day two?
Format:
Length:
Type:Alphanumeric
Occurs:
Allowable Values:

Y     (Yes, the patient was ambulatory at the end of hospital day two)

N    (No, the patient was not ambulatory at the end of hospital day two OR unable to determine from medical record documentation)

Notes for Abstraction:Ambulatory:
  • Patient ambulating without assistance (no help from another person)
  • Patient ambulating throughout the day with assistance of another person or assistive device
  • Patients ambulating to and from the bathroom
Non-ambulatory:
  • Patient is on bed rest
  • Patient is only getting out of bed to the bedside commode (or up in chair) and is primarily in the bed (or immobile) on the 2nd hospital day

If unable to determine from documentation consider this patient non-ambulatory

To compute end of hospital day two, count the arrival date as hospital day one. If the patient was ambulating by 11:59 PM of hospital day two, answer “Yes” for this data element. E.g, Patient arrives Monday 05:00, patient must be ambulatory before 23:59 on Tuesday; if patient arrives at 23:30 on Monday, patient must be ambulatory by 23:59 on Tuesday

Suggested Data Sources:
  • History and physical
  • Nursing notes
  • Progress notes
  • Nursing assessment
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

Patient Ambulatory at End of Hospital Day Two
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)