Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Toolkit

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<title>Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Toolkit</title> <link rel="stylesheet" href="/web/20140717103712cs_/http://www.hcup-us.ahrq.gov/HCUP_US.css"> <meta name="keywords" content="hcup, healthcare cost and utilization project, health, healthcare, health statistics, data analysis, analysis, data collection, data processing, databases, research">  <script type="text/javascript"> var steering = false; var team = false; var partner = false; var nhqrdr = false; </script> <script type="text/javascript" src="/web/20140717103712js_/http://www.hcup-us.ahrq.gov/menu/c_config.js"></script> <script type="text/javascript" src="/web/20140717103712js_/http://www.hcup-us.ahrq.gov/menu/c_smartmenus.js"></script>  </head> <body> <div id="skipmenu"> <a href="#skip" class="skippy">Skip Navigation</a> <a name="top"></a> </div> <div id="hideShow"> <table summary="layout" width="100%" cellspacing="2" cellpadding="0" border="0"> <tr> <td align="center" 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href="/web/20140717103712/http://www.hcup-us.ahrq.gov/datainnovations/clinicaldata/piprog.jsp">Projects in Progress</a></li> </ul> </li> <li><a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/datainnovations/clinicaldata/poatoolkit.jsp">Present on Admission Toolkit</a> <ul> <li><a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/datainnovations/clinicaldata/poaback.jsp">Background</a></li> <li><a class="NOLINK">Tools</a> <ul> <li><a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/datainnovations/clinicaldata/tktt.jsp">Training Tools</a></li> <li><a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/datainnovations/clinicaldata/tkds.jsp">Data Standards and Transmission Tools</a></li> <li><a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/datainnovations/clinicaldata/tkfeedback.jsp">Feedback and Reporting Tools</a></li> </ul> </li> <li><a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/datainnovations/clinicaldata/pilot.jsp">Pilot and Planning Projects</a></li> </ul> </li> </ul> </li> </ul> </td> </tr> <tr><td colspan="3"><a name="skip"></a></td></tr> </table> </div> <table width="100%" border="0" cellspacing="2" cellpadding="4"> <tr><td> </td></tr> <tr> <td><div class="texttitle">Present on Admission (POA) Indicator Toolkit</div> <br> <div class="pagetext"> The Present on Admission (POA) indicator is a data element on the hospital administrative record that is associated with each diagnosis field and indicates whether the condition was present at hospital admission (a comorbidity) or whether it arose during the hospitalization stay (a complication). Inclusion of the indicator can assist in identifying quality of care issues as well as providing a more accurate picture for risk-adjustment. In the 1990s, states began adding POA indicators to their hospital discharge data. POA collection became required by United States law on October 1, 2007 on certain types of Medicare inpatient claims (hospitalizations covered by Inpatient Prospective Payments System). Many states have begun to collect POA on all-payer data from all hospitals in their state regardless of the payer. <br><br> AHRQ funded four Healthcare Cost and Utilization Project (HCUP) Partner Pilot and Planning Projects to study the collection of the POA indicator, as well as explore the value of adding laboratory values to hospital administrative data. The POA Toolkit draws heavily from these HCUP Partner projects and includes materials to help others with POA indicator collection. <br><br> The Present on Admission (POA) Indicator Toolkit contains items assembled during the course of the AHRQ Pilot and Planning contracts or identified by other Partners; tools already in use in other States that are made available to AHRQ for posting; and materials to address additional needs identified by Partners, such as POA and Hospital-Acquired Conditions (HACs) benchmarks created from HCUP data. <br><br> This toolkit aims to provide a comprehensive set of materials needed for all-payer POA indicator collection and analysis, ranging from materials for educating data organizations and stakeholders and building the business case for POA collection, to surveys to gauge hospital readiness and resources. <br><br> <em>Toolkit Editor抯 Note: Although information and links within this Toolkit were current during the course of the project and are periodically updated, content may occasionally change.</em> <br><br> Documents are presented in Adobe® Acrobat® (PDF) format. The amount of time needed to access a document depends on your machine, browser, and Internet connection. PDF files require the Adobe® Acrobat® Reader™, which can be downloaded free of charge from <a href="https://web.archive.org/web/20140717103712/http://get.adobe.com/reader/" target="_blank">Adobe®</a>. <a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/pdfhelp.jsp" target="_blank">PDF Help</a> offers instructions on how to work with PDF files. <br><br> <strong>POA Indicator Toolkit Sections</strong> <br><br> <ul> <li><a href="poaback.jsp"><strong>Background</strong></a>: Presentations and publications related to the Pilot and Planning projects and illustrating the significance of collecting the POA indicator.</li> <br><br> <li><a href="tktt.jsp"><strong>Training Tools</strong></a>: Media to train health care staff and physicians on medical record documentation needed for accurate POA coding.</li> <br><br> <li><a href="tkds.jsp"><strong>Data Standards and Transmission Tools</strong></a>: Technical materials for collecting POA information.</li> <br><br> <li><a href="tkfeedback.jsp"><strong>Feedback and Reporting Tools</strong></a>: Ideas for informing hospitals and stakeholders about the quality of their reporting and assisting them in analyzing results for hospital-specific quality improvement.</li> </ul> </div> <br><br> </td></tr> </table> <table width="100%" border="0" cellspacing="2" cellpadding="4" class="clinicaltext"> <tr><td align="center"> POA Toolkit | <a href="poaback.jsp">POA Toolkit - Background</a> | <a href="pilot.jsp">Pilot & Planning Projects</a><br/> <a href="tktt.jsp">Training Tools</a> | <a href="tkds.jsp">Data Standards and Transmission Tools</a> | <a href="tkfeedback.jsp">Feedback and Reporting Tools</a> </td></tr> </table> <hr width="75%" align="center" class="hrruleblue"> <table width="100%"> <tr> <td align="center" class="citationtext"> Internet Citation: Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Toolkit Healthcare Cost and Utilization Project (HCUP). August 2011. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/datainnovations/clinicaldata/poatoolkit.jsp. </td> </tr> <tr> <td align="center" class="citationtext"> <a href="/web/20140717103712/http://www.hcup-us.ahrq.gov/viewing_prntg.jsp">Are you having problems viewing or printing pages on this Website?</a> </td> </tr> <tr> <td align="center" class="citationtext"> If you have comments, suggestions, and/or questions, please contact <a href="https://web.archive.org/web/20140717103712/mailto:hcup@ahrq.gov">hcup@ahrq.gov.</a> </td> </tr> <tr> <td align="center" class="citationtext"> <a href="https://web.archive.org/web/20140717103712/http://www.ahrq.gov/policy/electronic/privacy/index.html" target="_blank">Privacy Notice</a>, <a href="https://web.archive.org/web/20140717103712/http://www.hhs.gov/plugins.html" target="_blank">Viewers & Players</a> </td> </tr> <tr> <td align="center" class="citationtext">Last modified 8/12/11</td> </tr> </table> </body> </html>

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Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Toolkit