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Specifications Manual, Version 2.3b

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

Complete Manual

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Specifications Manual for discharges 10/01/2007 - 03/31/2008.

Download Specifications Manual
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)
Section 2.2
Heart Failure (HF)
  • HF National Quality Measures
  • HF Data Element List
  • HF ICD Population
Measure Information Form (MIF) / Flowchart (Algorithm)
Section 2.3
Pneumonia (PN)
  • PN National Quality Measures
  • PN Data Element List
  • PN ICD Population
Measure Information Form (MIF) / Flowchart (Algorithm)
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)
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)
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)
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 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

Appendices

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