Care Transition Record Transmitted
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of heart failure patients discharged to home or home care with a care transition record transmitted to a next level of care provider within 7 days of discharge containing ALL of the following: Reason for hospitalisation Procedures performed during this hospitalisation Treatment(s)/Service(s) provided during this hospitalisation Discharge medications, including dosage and indication for use Follow-up treatment(s) and service(s) needed
Numerator
Care transition record transmitted to a next level of care provider within 7 days of discharge containing ALL of the following: Reason for hospitalisation Procedures performed during this hospitalisation Treatment(s)/Service(s) provided during this hospitalisation Discharge medications, including dosage and indication for use Follow-up treatment(s) and service(s) needed
Denominator
All heart failure patients discharged from a hospital inpatient setting to home or home care. Discharges with ICD-10-CM Principal Diagnosis Code for HF as defined in Appendix A, Table 2.1, and A discharge to home, home care, or court/law enforcement
Exclusions
Patients who had a left ventricular assistive device (LVAD) or heart transplant procedure during the hospital stay or a past medical history of an LVAD or heart transplant (ICD-10-PCS procedure code for LVAD and heart transplant as defined in Appendix A Table 2.2, and ICD-10 diagnosis codes on Table 2.13) Patients less than 18 years of age Patient who have a Length of Stay greater than 120 days Patients with Comfort Measures Only documented Patients enrolled in a Clinical Trial Patients discharged to locations other than home, home care, or law enforcement Patients who left against medical advice (AMA)
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Retrospective data sources for required data elements include administrative data and medical records.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
For accreditation purposes - measure retired
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Specifications Manual for Joint Commission National Quality Measures (v2023A1) manual.jointcommission.org/releases/TJC2023A1/MIF0240.html