The total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were maintained in physical restraint.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.20 Testing Data Sources
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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.
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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.
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Exclusions
Total leave days
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OLD 1.12 MAT output not attachedAttached1.13a Data dictionary not attachedNo
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Most Recent Endorsement ActivityEndorsed Behavioral Health and Substance Use Spring Cycle 2019Initial EndorsementLast Updated
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StewardThe Joint CommissionSteward Organization POC EmailSteward 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.
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)
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Planned UseUse In Federal Program
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