NICU admission for intensive care vs non-intensive care

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    • TJC specifications vs eCQM specifications
    • Thank you for your question! Your understanding is correct the measure is looking for the level of care and not the location. Therefore, you would not exclude the observation, boarding and non-intensive patients.
    • Possible inappropriate exclusion of cases

      Per TJC specifications, a "NICU is defined as a hospital unit providing critical care services which is organized with personnel and equipment to provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness. If the newborn is admitted to the NICU for observation or transitional care, select allowable value “no”. Transitional care is defined as a stay of 4 hours or less in the NICU. There is no time limit for Observation". If a pt. is transferred to the NICU as a boarder or for bili light therapy and does not have an accommodation code of "intensive care" (keeps the accommodation code of "newborn nursery/pediatric"), we answer "no" to the element as no intensive care services were rendered. The eCQM only indicates the denominator exclusion for PC-05 is for "Newborns who were admitted to the...NICU", which would exclude those admitted for boarding, observation or not receiving intensive care services. Just want to verify that this is correct - that ALL admits to NICU are excluded, no matter what the level of care.

            Assignee:
            Joelencia Leflore
            Reporter:
            Pamela Anderson (Inactive)
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