0641: HBIPS-3 Hours of seclusion use

0641

Click here to download this measure's specifications from the Behavioral Health and Substance Use Spring Cycle 2019 project.

HBIPS-3 Hours of seclusion use

STEWARD: The Joint Commission

Below is the most recently endorsed version of the measure specifications:

Measure Description:

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

Numerator Statement:

The total number of hours that all psychiatric inpatients were held in seclusion

Numerator Basis: The numerator evaluates the number of hours of seclusion; 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.

Numerator Details:

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Denominator Statement:

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.

Denominator Details:

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Exclusions:

Total leave days

Exclusion Details:

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Risk Adjustment:

No risk adjustment or risk stratification

Classification:

Measure Type:

Process

Measure Format:

measure

Condition:

Non-Condition Specific:

Safety: Overuse, Person-and Family-Centered Care, Safety

Care Setting:

Inpatient/Hospital

National Quality Strategy Priorities:

Effective Communication and Care Coordination

Current Use:

Payment Program, Public Reporting, Quality Improvement (Internal to the specific organization), Quality Improvement with Benchmarking (external benchmarking to multiple organizations), Regulatory and Accreditation Programs

Planned Use:

Public reporting

Data Source:

Electronic Health Records: Electronic Health Records, Paper Medical Records

Level of Analysis:

Facility, Other

Target Population:

Elderly

Measure Selection Attributes (Learn more):

Patient-and Caregiver-Focused

Measure Steward Contact Information:

For additional measure specification information, please contact the Measure Steward.

Measure Steward Organization:

The Joint Commission

Primary Measure Steward Contact:

jalban@jointcommission.org

Measure Disclaimer:

Measure Steward 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.

Measure History: