Last updated: May 17, 2016
|CMS Measure ID:||CMS26v3|
An assessment that there is documentation in the medical record that a Home Management Plan of Care (HMPC) document was given to the pediatric asthma patient/caregiver.
|Initial Patient Population:||
Pediatric asthma inpatients with an age of 2 through 17 years, and length of stay less than or equal to 120 days.
Pediatric asthma inpatients with an age of 2 through 17 years, length of stay less than or equal to 120 days, and discharged to home or police custody.
Pediatric asthma inpatients with documentation that they or their caregivers were given a written Home Management Plan of Care (HMPC) document that addresses all of the following:
|Measure Steward:||The Joint Commission|
|Domain:||Person and Caregiver-Centered Experience Outcomes|
|Next Version:||Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver|
|Previous Version:||Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver|
Improvement noted as an increase in rate.
The home management plan of care document should be a separate and patient-specific written instruction. The document must be present in the form of an explicit and separate document specific to the patient rather than components or segments of the plan spread across discharge instruction sheets, discharge orders, education sheets, or other instruction sheets.
The home management plan of care is represented in the eMeasure logic by a LOINC code for an asthma action plan document. This form, or equivalent, contains most of the components required for the home management plan of care, including information on:
In addition to the information outlined in the asthma action plan form (or equivalent document), the home management plan of care is required to include information regarding arrangements for referral or follow-up care with a healthcare provider, namely:
The home management plan of care can only be considered to comply with the criteria outlined in the measure logic if it meets the requirements outlined above and is appropriately filled-out with information specific to the patient.
Patient refusal includes refusal by a caregiver. The caregiver is defined as the patient's family or any other person (eg, home health, VNA provider, prison official or other law enforcement personnel) who will be responsible for care of the patient after discharge.
The Discharge To Home Or Police Custody value set also intends to capture the following discharge disposition values:
The unit of measurement for this measure is an inpatient episode of care. Each distinct hospitalization should be reported, regardless of whether the same patient is admitted for inpatient care more than once during the measurement period. In addition, the eMeasure logic intends to represent events within or surrounding a single occurrence of an inpatient hospitalization.
- Copyright updated.
- eMeasure version number incremented.
- Updated obsolete URLs for several references in the measure header.
- Introduced function 'satisfies all' to specify that qualifying events must meet all conditions from a set of conditions or 'satisfies any' to specify that qualifying events must meet at least one condition from a set of conditions to streamline expression logic.
- Introduced occurrencing on variables to enforce that the same instance of a clinical event is used throughout the measure when the logic within the variable does not limit the event to a single instance, e.g., FIRST or MOST RECENT.
- Introduced the 'Intersection of' operator to specify the selection of the data sets common to all individual statements underneath the 'Intersection of'.
- Introduced variable $EncounterInpatient to allow re-use of logical expressions and reduce redundancy/complexity.
- Replaced 'ORs' with 'Union of' operator to provide a mechanism for specifying that qualifying event(s) must be a member of at least one of the data elements being unioned (if appropriate for measure intent).
- Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.
- Replaced timing relationship 'during' with 'starts during' where both a start datetime and an end datetime associated with a particular QDM element are not critical to fulfill the measure intent.
- Value set Asthma (OID 2.16.840.1.1138126.96.36.199.7.1.271): Added 1 ICD10CM code (J45.909).