Table of Contents


Population Criteria

        • "ED Encounter with Decision to Admit"
         
        • "Initial Population"
         
        • /*Exclude the most recent ED encounter (LastEDVisit) that occurred within an hour of the inpatient admission with ED admission source in "Hospital Setting" (any different facility- by location or CCN )*/
          Global."Inpatient Encounter" EncounterInpatient
            where "LastEDEncounter"(EncounterInpatient).admissionSource in "Hospital Settings"
         
        • /*Patient encounters without a principal diagnosis (rank=1) of "Psychiatric/Mental Health Diagnosis*/
          Global."Inpatient Encounter" EncounterInpatient
            where not exists ( EncounterInpatient.diagnoses Diagnosis
                where Diagnosis.code in "Psychiatric/Mental Health Diagnosis"
                  and Diagnosis.rank = 1
            )
         
        • /*Patient encounters with a principal diagnosis (rank=1) of "Psychiatric/Mental Health Diagnosis*/
          Global."Inpatient Encounter" EncounterInpatient
            where exists ( EncounterInpatient.diagnoses Diagnosis
                where Diagnosis.code in "Psychiatric/Mental Health Diagnosis"
                  and Diagnosis.rank = 1
            )
         
        • Median (
            /*The duration from the Decision to Admit (order or assessment) to the departure from the Emergency Department*/
          duration in minutes of Interval[Coalesce("AdmitDecisionUsingAssessmentDuringLastEDBeforeDeparture"(EncounterInpatient).relevantDatetime, "AdmitDecisionUsingEncounterOrderDuringLastEDandBeforeDeparture"(EncounterInpatient).authorDatetime), "EDDepartureTime"("LastEDEncounter"(EncounterInpatient))]
          )
         
  • Definitions

    Functions

    Terminology

    • valueset "Admit Inpatient" (2.16.840.1.113762.1.4.1111.164)
    • valueset "Decision to Admit to Hospital Inpatient" (2.16.840.1.113883.3.117.1.7.1.295)
    • valueset "Emergency Department Evaluation" (2.16.840.1.113762.1.4.1111.163)
    • valueset "Emergency Department Visit" (2.16.840.1.113883.3.117.1.7.1.292)
    • valueset "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307)
    • valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
    • valueset "Hospital Settings" (2.16.840.1.113762.1.4.1111.126)
    • valueset "ONC Administrative Sex" (2.16.840.1.113762.1.4.1)
    • valueset "Payer" (2.16.840.1.114222.4.11.3591)
    • valueset "Psychiatric/Mental Health Diagnosis" (2.16.840.1.113883.3.117.1.7.1.299)
    • valueset "Race" (2.16.840.1.114222.4.11.836)

    Data Criteria (QDM Data Elements)

    • "Assessment, Performed: Emergency Department Evaluation" using "Emergency Department Evaluation (2.16.840.1.113762.1.4.1111.163)"
    • "Encounter, Order: Decision to Admit to Hospital Inpatient" using "Decision to Admit to Hospital Inpatient (2.16.840.1.113883.3.117.1.7.1.295)"
    • "Encounter, Performed: Emergency Department Visit" using "Emergency Department Visit (2.16.840.1.113883.3.117.1.7.1.292)"
    • "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient (2.16.840.1.113883.3.666.5.307)"
    • "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
    • "Patient Characteristic Payer: Payer" using "Payer (2.16.840.1.114222.4.11.3591)"
    • "Patient Characteristic Race: Race" using "Race (2.16.840.1.114222.4.11.836)"
    • "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex (2.16.840.1.113762.1.4.1)"

    Supplemental Data Elements

    Risk Adjustment Variables