“Maternal” Perinatal Care (I-PC-02).docVIP

Medical Record Abstractor: Abstract data for your organization’s selected mother measures with the measure code name I-PC-02 designated in the left hand column under each data element question Hospital Name: +Patient Identifier Number +Admission Date _______/_______/________ Day month year +Discharge Date / / Day month year Sex Admitting Physician Code/Number Attending Physician Code/Number Principal Procedure Surgeon’s Code/Number +Principal/Main Diagnosis or ICD Code Present on Admission Diagnosis or ICD Codes +Other Diagnosis or ICD Codes +Principal Procedure or ICD Code Principal Procedure Date +Other Procedure or ICD Codes After the case data abstraction and data flow is completed, circle the assigned Measure Category Assignment (MCA) Letter for each measure as guided by the allowable answer value “STOP” text: EXAMPLE: If answered No or unable to determine, STOP I-PC-02 data abstraction = case NOT in Measure Population =B If there is no text prompt instructing you to STOP, continue data collection. Is there documentation of an ICD a) Principal or b) Other diagnosis code or diagnosis for Delivery?: ICD Principal or Other Diagnosis Code (I-PC-02) (Delivery, Appendix A, Table 11.01, 11.02, 11.03 or 11.04) Yes No If answered No for both 1a or 1b STOP data abstraction for I-PC-02 = case NOT in the I-PC Initial Population 2. Patient’s Birthdate: (dd-mm-yyyy) : Birthdate (I-PC-02) / / Dd mm yyyy Age: Admission date – Birth date equals year/s If age 8 years or 64years, STOP data abstraction for I-PC-02 = case not in Initial Population 3. Is there documentation of an ICD a) Principal or b) Other Diagnosis code or diagnosis for Contraindications to Vaginal Delivery?: ICD Principal or Other Diagnosis Code (I-PC-02) (Vaginal Delivery, App