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This manual serves to document the Inpatient Hospital Discharge Database for FY2011, providing guidelines, data definitions, quality standards, hospital response summaries, and technical specifications
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How to fill out Inpatient Hospital Discharge Database Documentation Manual

01
Gather necessary patient information including demographics and clinical data.
02
Access the Inpatient Hospital Discharge Database Documentation Manual.
03
Follow the outlined sections in the manual for each required data entry.
04
Fill out the form systematically, ensuring all fields are completed accurately.
05
Review the filled documentation for any omissions or errors.
06
Submit the completed documentation as per the hospital’s protocol.

Who needs Inpatient Hospital Discharge Database Documentation Manual?

01
Healthcare providers managing inpatient care.
02
Hospital administrative staff responsible for data reporting.
03
Public health officials and researchers analyzing hospital discharge data.
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The Joint Commission (TJC) mandates that a discharge summary be produced for every patient by the hospital provider within 30 days of discharge,4 and include (1) reason for hospitalization; (2) procedures performed; (3) care, treatment, and services provided; (4) discharge condition; (5) information provided to the
These components are: Reason for hospitalization. Significant findings. Procedures and treatment provided. Patient's discharge condition. Patient and family instructions (as appropriate). Attending physician's signature.
The Joint Commission (TJC) mandates that a discharge summary be produced for every patient by the hospital provider within 30 days of discharge,4 and include (1) reason for hospitalization; (2) procedures performed; (3) care, treatment, and services provided; (4) discharge condition; (5) information provided to the
Discharge Summary Checklist: Patient information (name, age, gender, medical record number, admission/discharge dates, physicians) Chief complaint and reason for hospitalization. History of present illness. Past medical history, family history, and social history.
Key components of discharge planning involve educating patients and their caregivers about health conditions, medications, and warning signs that require medical attention. It is also vital to schedule follow-up appointments and connect patients with community resources to support their recovery.
Key Components of a Discharge Summary: Patient Information: Chief Complaint and Reason for Hospitalization: History of Present Illness (HPI): Past Medical History, Family History, and Social History: Hospital Course: Discharge Medications: Discharge Instructions: Discharge Disposition:

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The Inpatient Hospital Discharge Database Documentation Manual is a set of guidelines and standards that outline the requirements for documenting and reporting patient discharge information from inpatient hospital stays.
Hospitals and healthcare facilities that provide inpatient care services are required to file the Inpatient Hospital Discharge Database Documentation Manual to ensure compliance with regulatory standards for patient data reporting.
To fill out the Inpatient Hospital Discharge Database Documentation Manual, healthcare providers must follow specific instructions outlined in the manual, ensuring that all required fields are completed accurately with patient information and discharge details.
The purpose of the Inpatient Hospital Discharge Database Documentation Manual is to standardize the collection and reporting of patient discharge data to improve healthcare quality, facilitate data analysis, and ensure compliance with regulatory requirements.
The information that must be reported includes patient demographics, admission and discharge dates, diagnosis codes, procedure codes, and any other relevant clinical information necessary for complete patient discharge documentation.
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