Release Notes:
Data Element
Version 2010B
| Data Element Name: | Patient Discharged on Anticoagulation Therapy |
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| Collected For: | , |
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| Definition: | Patient was prescribed anticoagulation therapy at time of hospital discharge |
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| Suggested Data Collection Question: | Does documentation indicate that the patient was discharged with a prescription for anticoagulation therapy? |
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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 was discharged on anticoagulation therapy)
N (No, the patient was not discharged on anticoagulation therapy or unable to determine from medical record documentation)
NC (No, documented reason for not prescribing antithrombotic therapy exists)
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| Notes for Abstraction: | Documentation that demonstrates that patient/caregiver was given prescription for anticoagulation therapy at time of hospital discharge.
Reasons for not prescribing anticoagulation therapy must be documented by a physician, nurse practitioner or physician assistant. If reasons are not mentioned in the context of anticoagulation therapy, do not make inferences.
If documentation indicates that patient/caregiver refused prescription for anticoagulation therapy at discharge, choose “NC”.
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| Suggested Data Sources: |
- Physician orders
- Pharmacy/medication records
- Clinical logs
- Discharge instructions
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
Examples of anticoagulation therapy include:
- Warfarin/Coumadin
- Heparin/heparinoids
- Other anticoagulants, e.g., Lepirudin
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- Patients who are discharged only on low doses (5000 units subQ bid) of heparin or equivalent doses for DVT prophylaxis using LMWH
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Patient Discharged on Anticoagulation Therapy
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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