Specifications Manual

Discharges 10/1/2007 to 03/31/2008

Complete Manual

Download Manual
Specifications Manual for discharges 10/01/2007 - 03/31/2008. Release Notes, Version 2.3 (PDF) Release Notes, Version 2.3a (PDF) Release Notes, Version 2.3b (PDF)	Download Version 2.3b

Manual By Section

View and/or download individual sections of the Specifications Manual, (PDF documents, unless noted), listed below.

Acknowledgment Document
Introduction
Table Of Contents
Using the Manual

Section 1 - Data Dictionary
	Introduction Data Integrity Interpretation of Data Dictionary Terms Data Element Dictionary Terms General Abstraction Guidelines Alphabetical Data Dictionary

Section 2 - Measurement Information
Section 2.1
	Acute Myocardial Infarction (AMI) AMI National Quality Measures AMI Data Element List AMI ICD Population Measure Information Form (MIF) / Flowchart (Algorithm) AMI-1 AMI-2 AMI-3 AMI-4 AMI-5 AMI-6 AMI-7 AMI-7a AMI-8 AMI-8a AMI-9 AMI-T1a AMI-T2
Section 2.2
	Heart Failure (HF) HF National Quality Measures HF Data Element List HF ICD Population Measure Information Form (MIF) / Flowchart (Algorithm) HF-1 HF-2 HF-3 HF-4
Section 2.3
	Pneumonia (PN) PN National Quality Measures PN Data Element List PN ICD Population Measure Information Form (MIF) / Flowchart (Algorithm) PN-1 PN-2 PN-3a PN-3b PN-4 PN-5 PN-5b and PN-5c PN-6, PN-6a, PN-6b PN-7
Section 2.4
	Surgical Care Improvement Project (SCIP) SCIP National Quality Measures SCIP Data Element List SCIP ICD Population Measure Information Form (MIF) / Flowchart (Algorithm) SCIP-Inf-1 SCIP-Inf-2 SCIP-Inf-3 SCIP-Inf-4 SCIP-Inf-6 SCIP-Inf-7 SCIP-Card-2 SCIP-VTE-1 SCIP-VTE-2
Section 2.5
	Pregnancy and Related Conditions (PR) PR National Quality Measures PR Data Element List PR ICD Population Measure Information Form (MIF) / Flowchart (Algorithm) PR-1 (revised 7-2007) PR-2 PR-3
Section 2.6
	Children's Asthma Care (CAC) CAC National Quality Measures CAC Data Element List CAC ICD Population Measure Information Form (MIF) / Flowchart (Algorithm) CAC-1 CAC-2 CAC-3

Section 3 - Missing and Invalid Data
Introduction Data Collection and the Unable to be Determined (UTD) Allowable Value Missing and Invalid Episode of Care (EOC) Data

Section 3 - Missing and Invalid Data

Introduction

Data Collection and the Unable to be Determined (UTD) Allowable Value

Missing and Invalid Episode of Care (EOC) Data

Section 4 - Population and Sampling Specifications
Introduction Order of Data Flow Sample Size Requirements Sampling Approaches Transmission of ICD Population and Sample Data Elements

Section 5 - Data Quality
(Joint Commission Performance Measurement Systems Only)

Section 6 - Risk Adjustment
(Joint Commission Performance Measurement Systems Only)

Section 7 - Steps to Calculate Rates and Measurements
(Joint Commission Performance Measurement Systems Only)

Section 8 - National Hospital Quality Measure Verification Process
(Joint Commission Performance Measurement Systems Only) Introduction Overview of the Verification Process Process to Complete National Hospital Quality Measure Verification Self-Verification Documents Verification Results File format Test Cases Introduction Format and Distribution Data Element Specification for Verification Level Data Elements

Section 8 - National Hospital Quality Measure Verification Process

(Joint Commission Performance Measurement Systems Only)

Introduction

Overview of the Verification Process

Process to Complete National Hospital Quality Measure Verification

Self-Verification Documents

Verification Results File format

Test Cases

Introduction
Format and Distribution

Data Element Specification for Verification Level Data Elements

Section 9 - National Hospital Quality Measure Data Transmission
	Introduction Joint Commission National Hospital Quality Measure Data Transmission CMS National Hospital Quality Measure Data Transmission CMS and Joint Commission Guidelines for Submission of Data Transmission Data Element Pages Transmission Data Processing Flow Hospital Clinical Data XML File Layout, XLS Hospital ICD Population Data XML File Layout, XLS (revised 5/21/08)

Section 9 - National Hospital Quality Measure Data Transmission

Introduction
Joint Commission National Hospital Quality Measure Data Transmission
CMS National Hospital Quality Measure Data Transmission

CMS and Joint Commission Guidelines for Submission of Data

Transmission Data Element Pages

Transmission Data Processing Flow

Hospital Clinical Data XML File Layout, XLS

Hospital ICD Population Data XML File Layout, XLS (revised 5/21/08)

Section 10 - CMS Risk-Adjusted 30-Day Mortality Measures
MORT-30-AMI: Acute Myocardial Infarction (AMI) 30-Day Mortality MORT-30-HF: Heart Failure (HF) 30-Day Mortality MORT-30-PN: Pneumonia (PN) 30-Day Mortality

Section 10 - CMS Risk-Adjusted 30-Day Mortality Measures

MORT-30-AMI: Acute Myocardial Infarction (AMI) 30-Day Mortality

MORT-30-HF: Heart Failure (HF) 30-Day Mortality

MORT-30-PN: Pneumonia (PN) 30-Day Mortality

Appendices
	Appendix A - ICD-9 Code Tables (revised 7-2007)PDF or MS Excel Appendix B - Risk Factor Definitions (Joint Commission Performance Measurement Systems Only) AMI-9, PR-1, PR-2, PR-3 Appendix C - Medication Tables PDF or MS Excel Appendix D - Glossary of Terms Appendix E - Overview of Measure Information Form And Flowchart Formats Appendix F - ICD-9-CM Format Appendix G - Resources Appendix H - Miscellaneous Tables