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Release Notes:
Data Element
Version 2012A

Data Element Name: Admission Date
Collected For: All Records
Definition:The month, day, and year of admission for inpatient care.
Suggested Data Collection Question:What is the date the patient was admitted to inpatient care?
Format:
Length:10 MM-DD-YYYY (includes dashes)
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2001-Current Year)

Notes for Abstraction:
  • The intent of this data element is to determine the date that the patient was actually admitted to inpatient care. Because this data element is critical in determining the population for all measures, the abstractor should NOT assume that the claim information for the admission date is correct. If the abstractor determines through chart review that the date from billing is incorrect, for purposes of abstraction, she/he should correct and override the downloaded value.
  • For patients who are admitted to Observation status and subsequently admitted to acute inpatient care, abstract the date that the determination was made to admit to acute inpatient care and the order was written. Do not abstract the date that the patient was admitted to Observation.
    • Example: Medical record documentation reflects that the patient was admitted to observation on 04-05-20xx. On 04-06-20xx the physician writes an order to admit to acute inpatient effective 04-05-20xx. The Admission Date would be abstracted as 04-06-20xx; the date the determination was made to admit to acute inpatient care and the order was written.
  • If there are multiple inpatient orders, use the order that most accurately reflects the date that the patient was admitted. The admission date should not be abstracted from the earliest admission order without regard to substantiating documentation. If documentation suggests that the earliest admission order does not reflect the date the patient was admitted to inpatient care, this date should not be used.
    • Example: Preoperative Orders are dated as 04-06-20xx with an order to admit to Inpatient. Postoperative Orders, dated 05-01-20xx, state to admit to acute inpatient. All other documentation supports that the patient presented to the hospital for surgery on 05-01-20xx. The admission date would be abstracted as 05-01-20xx.
  • For HBIPS only, admission dates prior to 2001 are acceptable.
  • For PC only, an initial set of physician orders addressing care or treatment of the newborn can be interpreted as newborn admission orders, and the date of these orders can be considered the admission date.
Suggested Data Sources:

ONLY ALLOWABLE SOURCES

  • Physician orders
  • Face sheet
  • UB-04, Field Location: 12

Excluded Data Sources

  • UB-04, Field Location: 06
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • Admit to observation
  • Arrival date

Admission Date
Specifications Manual for Joint Commission National Quality Measures (v2012A)
Discharges 01-01-12 (1Q12) through 06-30-12 (2Q12)