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HBIPS-2 Hours of physical restraint use

CBE ID
0640
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2025
1.3 Measure Description

The total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were maintained in physical restraint.

        • 1.14 Numerator

          The total number of hours that all psychiatric inpatients were maintained in physical restraint.

          Numerator Basis: The numerator evaluates the number of hours of physical restraint; however, the algorithm calculates the number of minutes to ensure a more accurate calculation of the measure. Convert the minutes to hours when analyzing and reporting this measure.

        • 1.15 Denominator

          Number of psychiatric inpatient days

          Denominator basis: per 1,000 hours

          To compute this measure rate, a base of 1000 hours has been applied to total patient days in the denominator (i.e., total patient days are divided by 1000). The purpose of this is to create a smaller denominator number, thus providing a more understandable rate. When multiplied by 1000, this rate measures numerator occurrence per total patient days.

        • Exclusions

          Total leave days

        • OLD 1.12 MAT output not attached
          Attached
          1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Behavioral Health and Substance Use Spring Cycle 2019
          Initial Endorsement
          Last Updated
        • Steward
          The Joint Commission
          Steward Organization POC Email
          Steward Organization Copyright

          No royalty or use fee is required for copying or reprinting this manual, but the following are required as a condition of usage: 1) disclosure that the Specifications Manual is periodically updated, and that the version being copied or reprinted may not be up-to-date when used unless the copier or printer has verified the version to be up-to-date and affirms that, and 2) users participating in Joint Commission accreditation, including ORYX® vendors, are required to update their software and associated documentation based on the published manual production timelines.

              • Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off