Release Notes:
Data Element
Version 2010B
| Data Element Name: | Referral for Addictions Treatment |
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| Collected For: | TAM-07, |
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| Definition: | Documentation that a referral was made at discharge for addictions treatment by a physician or non-physician (such as nurse, psychologist, or counselor). A referral may can be defined as an appointment made by the provider either through telephone contact, fax or e-mail, or contact information given to the patient including person to contact, number to call or fax, or e-mail address to make an appointment. The referral may be to an addictions treatment program, to a mental health program or mental health specialist for follow-up for substance use or addiction treatment, or to a medical or health professional for follow-up for substance use or addiction. |
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| Suggested Data Collection Question: | Did the patient receive at discharge a referral for addictions treatment? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
1 The patient received the referral for addictions treatment
2 The patient refused the referral for addictions treatment
3 A referral for addictions treatment was not offered at discharge
4 UTD, unable to determine from medical record documentation |
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| Notes for Abstraction: | |
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| Suggested Data Sources: |
- Discharge summary
- Transfer sheet
- Discharge Instruction Sheet
- Nursing Discharge Notes
- Physician Order Sheet
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Group counseling
- Individual counseling
- Personal physician
- Psychiatrist
- Psychologist
- Addictions counselor
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- Self help interventions (brochures, videotapes, audiotapes, reactive hotlinges/help lines)
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Referral for Addictions Treatment
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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