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mnemonic

QUESTION TEXT

RESPONSE

DEFINITIONS/DECISION RULES

 

 

 

 

 

 

1

nonvet

Was the patient a non-veteran in one of the following categories: a non-veteran employee, individual on active military duty, spouse of individual on active military duty, CHAMPUS beneficiary, or CHAMPVA?

 

1*,2

*If 1, except the record.

 

 

Exception Statement:

The patient was a non-veteran user of a VHA inpatient facility.

2

inptcare

 Did the patient have an inpatient episode of care at this VAMC, as indicated by the discharge date shown on the pull list?

 

1,2*

*If 2, except the record

The “date indicated on the pull list” is the apparent date of discharge.  The question addresses whether the patient had an actual inpatient episode of care and not whether the discharge date is correct

Exception Statement:

Although the case was selected by apparent discharge date, the patient did not have an inpatient episode of care at that time.

3

amicode

For the selected episode of care, was the principal diagnosis coded as 410.0 - 410.9, with a fifth digit of 1, as follows:

410         acute myocardial infarction  (sudden, severe death                                 of heart muscle due to decreased coronary blood                      flow; classification is based on the location of the                      affected tissue, when known)
                                Includes: cardiac infarction
                                coronary (artery) embolism, occlusion, rupture,                  thrombosis
                                infarction of heart, myocardium, or ventricle
                                rupture of heart, myocardium, or ventricle
410.01     of anterolateral wall
410.11     of other anterior wall
410.21     of inferolateral wall
410.31     of inferoposterior wall

410.41     of other inferior wall
410.51     of other lateral wall
410.61     true posterior wall infarction
410.71     subendocardial infarction
410.81     of other specified sites
410.91     unspecified site

 

 

 

 

 

1,2

The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as “that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.”

Acute MI records are selected from cases discharged with a diagnosis code of 410.0 – 410.9, with a fifth digit of 1.  A fifth digit of 0 or 2 is not acceptable

To respond “1,” the principal diagnosis code must be one of the listed codes.

The fifth digit of 0 = episode of care unspecified

The fifth digit of 1 = initial episode of care for an AMI.  Used to designate the first episode of care (regardless of facility site) for a newly diagnosed myocardial infarction.  The fifth digit 1 is assigned regardless of the number of times a patient may be transferred during the initial episode of care.

The fifth digit of 2 = subsequent episode of care.  Used to designate an episode of care following the initial episode when the patient is admitted for further observation, evaluation, or treatment for a myocardial infarction that has received initial treatment but is still less than 8 weeks old.  Cases coded with fifth digit of 2 are not to be reviewed. 

 


 

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mnemonic

QUESTION TEXT

RESPONSE

DEFINITIONS/DECISION RULES

 

 

 

 

 

4

aprocode

What was the AMI ICD-9-CM code selected as the principal diagnosis for this medical record.

 

_ _ _. _ _

 

Use the code assigned by the VAMC.  Do not attempt to code the AMI by any code other than that assigned by the facility.

5

trueami

Does physician documentation in the discharge summary confirm the principal diagnosis was an acute myocardial infarction?

 

1*,2**

*If 1 and amicode=1, go to othhrdx

*If 1 and amicode=2, except the record with Exception Statement #1

(JCAHO Category A)

**If 2 and amicode=1, except the record with Exception Statement #2

(JCAHO Category A)

**If 2 and amicode=2, except the record with Exception Statement #2

(JCAHO Category B)

To respond ‘yes,” the discharge summary, or other physician documentation (if the discharge summary is not present), must record a definitive diagnosis of myocardial infarction.  Rule out MI (r/o) or undetermined diagnoses, such as MI vs unstable angina are not acceptable.  An MI that is a subsequent episode of care is also not acceptable.

The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as “that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.”

Exception Statement #1

The record was miscoded and cannot be included in the JCAHO Core Measures sample.

Exception Statement #2

Physician documentation in the record does not support a definitive, principal diagnosis of Acute MI.

6

othrdx

Enter the ICD-9-CM other diagnosis codes selected for this medical record.

 

---. --

Enter ALL of the ICD-9-CM other diagnosis codes selected for this medical record.  Use the diagnoses listed in the discharge summary for this episode of inpatient care.

7

hospdt

Is the date of formal admission to inpatient status documented in the record?

1,2*

*If 2, go to hosptime, else go to admdt

Admission date = date on which the patient was admitted to inpatient status.  Admission to observation and/or arrival date are excluded.

8

admdt

Enter the date the patient was admitted to inpatient care.

 

mm/dd/yyyy

The exact date of inpatient admission must be entered.  The use of 01 to designate an unknown day or month is not acceptable.

Excluded:  admission to observation, arrival date


 

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mnemonic

QUESTION TEXT

RESPONSE

DEFINITIONS/DECISION RULES

 

 

 

 

 

9

hosptime

Is the time of formal admission to inpatient status documented in the record?

1,2*

*If 2, go to admtype, else go to admtime

Admission time = time the patient was admitted to inpatient status. 

Excluded:  admission to observation, arrival date

10

admtime

Enter the time the patient was admitted to inpatient care.

 

_____

military time

The exact time of inpatient admission must be entered in military time.

Excluded:  admission to observation, arrival date

11

admtype

Designate the type of admission for this patient:

1.      Emergency

2.      Urgent

3.      Elective

5.      Trauma

9.      Information not available

 

 

 

1,2,3,5,9

1.        Emergency=the patient required immediate medical intervention as a result of severe, life threatening, or potentially disabling conditions.  Generally, the patient was admitted through the emergency room.

2.        Urgent=the patient required immediate attention for the care and treatment of a physical or mental disorder.  Generally, the patient was admitted to the first available and suitable accommodations.

3.        Elective=the patient’s condition permitted adequate time to schedule the availability of a suitable accommodation

5.        Trauma=Visit to the trauma center/hospital as licensed by the state or local government authority to do so, or as verified by the American College of Surgeons and involving a trauma activation.

9.       Information not available=the hospital cannot classify the type of admission.  This code is used only on rare occasions.

12

transedd

Was the patient received as a transfer from an emergency department of another hospital?

1.      yes

2.      no

3.      unable to determine

 

 

 

1,2,3

 

1 = may be from another VAMC or community hospital, but the patient cannot have been an inpatient.  The abstractor must know the patient was transferred from the ED.

Note: the emergency department of another hospital includes both emergency room AND observation bed/unit stays at that hospital.

2 = Patient not received as a transfer from another facility’s Emergency Department

3 = unable to determine from medical record documentation.  Counted as a “no” response.

Suggested Data Sources: Emergency department record, face sheet, nursing admission assessment, progress notes, transfer forms


 

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mnemonic

QUESTION TEXT

RESPONSE

DEFINITIONS/DECISION RULES