JC metric accurate for elective early-term delivery

JC metric accurate for elective early-term delivery

(HealthDay)—The exclusion criteria for the current Joint Commission (JC) measure PC-01 identify most valid indications, represented by International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes, for planned early-term deliveries, according to research published online Dec. 6 in Obstetrics & Gynecology.

Steven L. Clark, M.D., of the Hospital Corporation of America in Nashville, Tenn., and colleagues reviewed 205 cases of elective early-term deliveries that were noncompliant with JC metric PC-01 to determine the completeness of the exclusion criteria list.

The researchers found that 55 percent of compliance fallouts involved stated indications that were not recognized by the medical community. For the remaining cases, 25 percent had valid indications not represented by an ICD-9-CM code; 10 percent resulted from valid indications represented by ICD-9-CM codes not included on the JC exclusion list; 8 percent resulted from imprecise physician charting; and 2 percent represented chart abstraction errors. Because of the small denominator of cases that meet the current JC ICD-9-CM code criteria for indicated elective early-term deliveries, even one justified outlier each quarter would drop compliance rates below a 95 percent benchmark for about 60 percent of facilities.

"Our data validate the current JC exclusion criteria for this measure, which identify the vast majority of valid indications for early-term delivery used by obstetrician-gynecologists and identifiable with ICD-9-CM codes," the authors write. "Finally, we caution against statistically invalid comparisons and benchmarking using this metric, which could discredit and diminish the acceptance of this vital performance measure."

One author is an employee of the Joint Commission.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

ICD-9 codes underestimate statin-linked rhabdomyolysis

Apr 18, 2012

(HealthDay) -- Use of diagnostic codes, such as International Classification of Diseases -- Ninth Revision (ICD-9) codes, may result in misclassification of rare, adverse drug reactions (ADRs), including the ...

Practices are not prepared for implementation of ICD-10

Jun 20, 2013

(HealthDay)—Physician practices have made little progress in preparing for implementation of the 10th revision of the International Classification of Diseases (ICD-10), according to a report published by ...

Recommended for you

Is egg freezing an empowering option for women?

Nov 17, 2014

Katie Hammond, a PhD candidate in the Department of Sociology researching the experience of egg donation in Canada, discusses the recent decision by tech giants Facebook and Apple to offer egg freezing to ...

Peripheral nerve blocks OK for migraines in pregnancy

Nov 14, 2014

(HealthDay)—For migraines that do not respond to medications, peripheral nerve blocks may be a treatment option in pregnant women, according to research published online Nov. 5 in Obstetrics & Gynecology.

Hearing the heart of the mother and her baby

Nov 14, 2014

A group of students from the Autonomous Metropolitan University of Mexico (UAM-I) developed a technological portable prototype able to diagnose health conditions in the mother and in the baby by monitoring ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.