Discharged to Home

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United States of America
Publishing Organisation
Joint Commisson Total Hip and Total Knee Replacement Inpatient (THKR-IP)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Functional Change

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
No
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
Administrative data
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
Monthly
Frequency of Data Collection in Days
30
Reporting Methods

Reporting for Comprehensive Cardiac Centre (CCC) certification.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

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
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025