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HBIPS-2 Hours of physical restraint use

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

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

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.20 Types of Data Sources
      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

      Most Recent Endorsement Activity
      Endorsed Behavioral Health and Substance Use Spring Cycle 2019
      Initial Endorsement
      Last Updated
      Steward Organization
      The Joint Commission
      Steward POC email
      jalban@jointcommission.org
      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.

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