Discharged to Home
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients who were discharged to home following total hip or total knee replacement.
Numerator
Number of patients who were discharged to home following total hip or total knee replacement.
Denominator
Number of patients undergoing a total hip or total knee replacement.
Exclusions
Numerator Population: Included Populations: Patients discharged to home with or without home health services, in-home physical therapy or outpatient physical therapy. Excluded Populations: None Denominator Population: Included Populations: Patients with an ICD-10-PCS Principal Procedure Code as defined in Appendix A: Table 14.01a Total Hip Replacement or Table 14.02a Total Knee Replacements Excluded Populations: Patients less than 18 years of age Patients who have a Length of Stay greater than 120 days Residents of Other Health Care Facility: Extended or Intermediate Care Facility (ECF/ICF) Long-term Acute Care Hospital (LTACH) Nursing Home or Facility including Veteran's Administration Nursing Facility Psychiatric Hospital or Psychiatric Unit of a Hospital Skilled Nursing Facility (SNF), Sub-Acute Care or Swing Bed Veterans Home Patients with an ICD-10-PCS Other Procedure Code as defined in Appendix A: Table 14.01a (concurrent total hip replacements), or Table 14.02a (concurrent total knee replacements), or Table 14.05a (partial hip and partial knee replacements), or Table 14.06a (revision and resurfacing procedures), or Table 14.07a (removal of implanted devices/prostheses) Patients with an ICD-10-CM Principal Diagnosis Code or ICD-10-CM Other Diagnosis Code as defined in Appendix A: Table 14.08 (complication of internal fixation device/prosthesis), Table 14.09 (malignant neoplasm of the pelvis, sacrum, coccyx, lower limbs, or bone/bone marrow or a disseminated malignant neoplasm), or Table 14.10 (femur, hip, pelvic fracture) Patient expired Patient left against medical advice (AMA) Physician/advanced practice nurse (APN)/physician assistant (PA)/nurse/social worker/care manager/discharge planner/physical therapist/occupational therapist documentation of medical/social reason why patient cannot be discharged to home.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Hip and Knee Overall (THKR-IP-3a) Hip (THKR-IP-3b) Knee (THKR-IP-3c).
Data Attributes
Type of Data Collection
Data Collection Methods
Retrospective data sources for required data elements include administrative data and medical records. Some hospitals may prefer to gather data concurrently by identifying patients in the population of interest. This approach provides opportunities for improvement at the point of care/service. However, complete documentation includes the principal or other ICD-10 diagnosis and procedure codes, which require retrospective data entry.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting for Comprehensive Cardiac Centre (CCC) certification.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
American Medical Association (AMA).Discharged to Home. Accessed August 3, 2023. Available from: manual.jointcommission.org/releases/TJC2023A1/MIF0361.html.
Technical Specifications
Technical specifications: manual.jointcommission.org/releases/TJC2023A1/MIF0361.html