Release Notes:
Data Element
Version 2010B1
| Data Element Name: | Psychiatric Inpatient Days - Medicare Only |
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| Collected For: | HBIPS-2, HBIPS-3, |
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| Definition: | The sum of the number of days each Medicare patient was included in the psychiatric inpatient census during the month (includes clients on leave status).
This data element is used to calculate the Initial Patient Population Size –Medicare Only data element and the denominator for HBIPS-2 and 3. ORYX vendors can refer to the Joint Commission’s ORYX Technical Implementation Guide for more information.
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| Suggested Data Collection Question: | What is the sum of the number of days each Medicare patient was included in the psychiatric inpatient census during the month? |
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| Format: | | Length: | 6 |
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| Type: | Numeric |
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| Occurs: | 5 ( Overall rate and once per sub-strata) |
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| Allowable Values: |
0-999999
Programming Note: The value of the Initial Patient Population Size –Medicare Only may be determined electronically using a source such as an Electronic Record (EHR/EMR) or hospital billing system. Hospitals must document the specific data source (field and application) that is used and make this information available to their vendor. This information must be made available to The Joint Commission upon request.
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| Notes for Abstraction: |
- For the purposes of calculating inpatient days, the admission day (Admission Date) but not the discharge day (Discharge Date) should be counted. The only exception will be for patients who are admitted and discharged on the same day. Such patients will contribute one inpatient day to the calculation.
- If Medicare is listed as the primary, secondary, tertiary, or even lower down on the list of payers, the patient should be counted in the Medicare inpatient days.
- If the patient is an Undocumented Alien or Illegal immigrant, the patient should be counted in the Medicare inpatient days: Section 1011 of the Medicare Modernization Act of 2003 allows for reimbursement for services rendered to patients who are: Undocumented or illegal aliens (immigrants), Aliens who have been paroled a United States port of entry and Mexican citizens to enter the United States on a laser visa.
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| Suggested Data Sources: |
- Admissions/ discharges/ transfers (ADT) system
- Daily census log that is completed on the same time each day
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| Additional Notes: |
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| Guidelines for Abstraction: |
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Psychiatric Inpatient Days - Medicare Only
Specifications Manual for Joint Commission National Quality Measures (v2010B1)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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