Purpose:
Below are the error messages which may be generated on the Chart-Abstracted Data Entry page when the edits are executed. The edits do not run “real-time”, instead they will run when the “Submit” button is clicked.
If an edit error was found,” Month – Errors” (in red text) will show on the top of the month that had error. Scroll down the page to find the error messages, correct the errors, and click the “Submit” button to reprocess the data against the edits.
If no error is found, “Month – Saved” (in green text) will show on the top of the month and “Edit” button will be activated to allow for further change.
Notes:
This DDSP expects all 3 months of data to be entered before submitting, however, it is not required to enter all 3 months of data to allow for data saving. As long as there is one full month data without errors, that month data will be saved. If you plan to submit only 1-2 months data, for remaining months (where data is not entered), you will see ‘This Field is Required.’ error and edit errors for all fields in missing month/s.
Entered and saved numeric data may be changed or cleared, before the close of quarter. If the intent is to delete the entire month of data, be sure to clear all of the numeric entered data. Clear the entered numeric data by either backspacing through the number or highlight the number and hit the Delete key.
Chart-Abstracted Error Messages:
Denominator cannot be greater than Hospital Sample Size for the month (error)
Fields (type of measure): Denominator (proportion/ratio)
Measures: IMM-2; OP-23; PC-01, 02, 05, 06; SUB-2, 3; TOB-3; VTE-6
Edit Information: Denominator must be <= Hospital Sample Size
Denominator cannot be greater than (Hospital Sample Size * 24 hours) for the month (error)
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: HBIPS-2, 3 (all strata)
· Edit Information: Denominator must be <= (Hospital Sample Size * 24)
Hospital Sample Size cannot be greater than Initial Population for the month (error)
· Fields (type of measure): Hospital Sample Size (all)
· Measures: ED-1, 2; IMM-2; OP-18; OP-23; PC-01, 02, 05; SUB-2, 3; TOB-3
· Edit Information:
o All measures: If Quarterly Sampling Frequency = "monthly" or "quarterly", then Hospital Sample Size cannot be > Initial Population
o All measures: If Quarterly Sampling Frequency = " Not Sampling", then Hospital Sample Size must be = Initial Population
Minimum Observation cannot be greater than Mean Observation for the month (error)
· Fields (type of measure): Minimum Observation (CV)
· Measures: ED-1,2 (all strata); OP-18 (all strata)
· Edit Information: Minimum Observation must be <= Mean Observation
Minimum Observation cannot be greater than Median Observation for the month (error)
· Fields (type of measure): Minimum Observation (CV)
· Measures: ED-1,2 (all strata); OP-18 (all strata)
· Edit Information: Minimum Observation must be <= Median Observation
Mean Observation cannot be greater than Maximum Observation for the month (error)
· Fields (type of measure): Mean Observation (CV)
· Measures: ED-1,2 (all strata); OP-18 (all strata)
· Edit Information: Mean Observation must be <= Maximum Observation
Median Observation cannot be greater than Maximum Observation for the month (error)
· Fields (type of measure): Median Observation (CV)
· Measures: ED-1,2 (all strata); OP-18 (all strata)
· Edit Information: Median Observation must be <= Maximum Observation
Number of Unique Patients within the Numerator cannot be greater than Hospital Sample Size for the month (error)
· Fields (type of measure): Number of Unique Patients within the Numerator (ratio only)
· Measures: HBIPS-2, 3 (all strata)
· Edit Information: Number of Unique Patients within the Numerator must be <= Hospital Sample Size
NOTE: This edit is a 'fuzzy' edit and will only capture really bad typing mistakes. It is comparing patients to hours, so the number of patients can never be > the sum of the hours the patients had with the event.
Numerator cannot be greater than Denominator for the month (error)
· Fields (type of measure): Numerator (proportion/ratio)
· Measures: HBIPS- 2, 3, (all strata); IMM-2; OP-23; PC-01, 02, 05; PC-06 (all strata); SUB-2, 3 (all strata); TOB-3 (all strata); VTE-6
· Additional Edit Information:
o HBIPS-2, 3; IMM-2; OP-23; PC-01, 02, 05; VTE-6: Numerator must be <= Denominator
o PC-06:
§ Moderate Numerator must be <= Denominator
§ Severe Numerator must be <= Denominator
o SUB-2:
§ Numerator SUB-2 must be <= Denominator
§ Numerator SUB-2a must be <= Denominator
§ Numerator SUB-2a must be <= SUB-2 Numerator
o SUB-3:
§ Numerator SUB-3 must be <= Denominator
§ Numerator SUB-3a must be <= Denominator
§ Numerator SUB-3a must be <= SUB-3 Numerator
o TOB-3:
§ Numerator TOB-3 must be <= Denominator
§ Numerator TOB-3a must be <= Denominator
§ Numerator TOB-3a must be <= TOB-3 Numerator
One or more of the Measure Exclusions values is incorrect. Please verify your answers to the Measure Exclusions questions (error)
· Fields (type of measure): Total Exclusion Count (all)
· Measures: ED-1, 2; HBIPS-2, 3; IMM-2; OP-18; OP-23; PC-01, 02, 05, 06; SUB-2, 3; TOB-3; VTE-6
· Edit Information:
o HBIPS-2, 3; IMM-2; OP-23; PC-01, 02, 05, 06; SUB-2, 3; TOB-3; VTE-6: Total Exclusion Count cannot be > (Hospital Sample Size - Denominator)
o ED-1, 2;: Total Exclusion Count cannot be > (Hospital Sample Size - Overall Population)
o OP-18: Total Exclusion Count cannot be > (Hospital Sample Size)
Population cannot be greater than Hospital Sample Size for the month (error)
· Fields (type of measure): Population (CV)
· Measures: ED-1,2 (all strata); OP-18 (all strata)
· Edit Information: Population must be <= Hospital Sample Size
Standard Deviation of the Observation cannot exist when Population = 1 (error)
· Fields (type of measure): Standard Deviation of the Observation (CV)
· Measures: ED-1,2 (all strata); OP-18 (all strata)
· Edit Information: If Population = 1, then the Standard Deviation of the Observation cannot be entered
This field accepts only an integer value (error)
· Fields (type of measure): Initial Population (all); Hospital Sample Size (all); Denominator (proportion/ratio), Measure Exclusion questions (all); Numerator (proportion measures only); Number of Unique Patients in Numerator (ratio); Population (CV); Minimum Observation (CV); Maximum Observation (CV)
· Measures: ED-1, 2 (all strata); HBIPS-2, 3 (all strata - does not include the Numerator field); IMM-2; OP-18 (all strata); OP-23; PC-01, 02, 05; PC-06 (all strata); SUB-2, 3 (all strata);
TOB-3 (all strata); VTE-6
· Edit Information: Fields are defined as integer, meaning they do not allow decimal places or alphanumeric characters
This field accepts only decimal values (error)
· Fields (type of measure): Median Observation (CV); Mean Observation (CV); Standard Deviation of the Observation (CV); Numerator (ratio measures only);
· Measures: ED-1, 2 (all strata); HBIPS-2, 3 (all strata); OP-18 (all strata)
· Edit Information: Fields are defined as decimal, meaning they do not allow alphanumeric characters.
This field may only contain values zero (0) to 10,000,000 (error)
· Fields (type of measure): Initial Population (all); Denominator (proportion/ratio); Measure Exclusion questions (all); Numerator (proportion measures only); Number of Unique Patients in Numerator (ratio); Population (CV); Minimum Observation (CV); Maximum Observation (CV)
· Measures: ED-1, 2 (all strata); HBIPS-2, 3 (all strata); IMM-2; OP-18 (all strata); OP-23; PC-01, 02, 05; PC-06 (all strata); SUB-2, 3 (all strata); TOB-3 (all strata); VTE-6
· Edit Information: Fields may contain values integer numbers from zero (0) to 10,000,000
This field may only contain values zero (0) to 10,000,000.000 (error)
· Fields (type of measure): Median Observation (CV); Mean Observation (CV); Standard Deviation of the Observation (CV); Numerator (ratio measures only)
· Measures: ED-1, 2 (all strata); HBIPS-2, 3 (all strata); OP-18 (all strata)
· Edit Information: Fields may contain values decimal numbers from zero (0) to 10,000,000.000
This field may only contain values 1 to 10,000,000 (error)
· Fields (type of measure): Hospital Sample Size (all)
· Measures: ED-1, 2; IMM-2; OP-18; OP-23; PC-01, 02, 05; SUB-2, 3; TOB-3
· Edit Information: Field may contain values integer numbers from 1 to 10,000,000
The sum of each stratum's Numerator cannot be greater than the Denominator for the month (error)
· Fields (type of measure): Numerator (proportion/ratio)
· Measures: PC-06; SUB-2, 3; TOB-3
· Edit Information:
o PC-06: (Severe Numerator + Moderate Numerator) must be <= Denominator
o SUB-2: Numerator SUB-2 must be <= Denominator
o SUB-3: Numerator SUB-3 must be <= Denominator
o TOB-3: Numerator TOB-3 must be <= Denominator
The Overall Denominator must equal the sum of the measure's Strata Denominator for the month (error)
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: HBIPS-2a, 3a (only these strata)
· Additional Edit Information:
o HBIPS-2a: Denominator must = the sum of the Denominator for (HBIPS-2b + HBIPS-2c + HBIPS-2d + HBIPS-2e)
o HBIPS-3a: Denominator must = the sum of the Denominator for (HBIPS-3b + HBIPS-3c + HBIPS-3d + HBIPS-3e)
The Overall Initial Population must equal the sum of the measure's Strata Initial Populations for the month (error)
· Fields (type of measure): Initial Population (all)
· Measures: HBIPS-2a, 3a (only these strata)
· Edit Information:
o HBIPS-2a: Initial Population Overall must = the sum of the Initial Population for (HBIPS-2b + HBIPS-2c + HBIPS-2d + HBIPS-2e)
o HBIPS-3a: Initial Population Overall must = the sum of the Initial Population for (HBIPS-3b + HBIPS-3c + HBIPS-3d + HBIPS-3e)
The Overall Maximum Observation must equal the highest of the measure's Strata Maximum Observation for the month (error)
· Fields (type of measure): Maximum Observation (CV)
· Measures: ED-1a, 2a (only these strata)
· Edit Information:
o ED-1a: Maximum Observation Overall = the higher of Maximum ED-1b or Maximum ED-1c
o ED-2a: Maximum Observation Overall = the higher of Maximum ED-2b or Maximum ED-2c
The Overall Minimum Observation must equal the lowest of the measure's Strata Minimum Observation for the month (error)
· Fields (type of measure): Minimum Observation (CV)
· Measures: ED-1a, 2a (only these strata)
· Edit Information:
o ED-1a: Minimum Observation Overall = the lower of Minimum ED-1b or Minimum ED-1c
o ED-2a: Minimum Observation Overall = the lower of Minimum ED-2b or Minimum ED-2c
The Overall Number of Unique Patients must equal the sum of the measure's Strata Number of Unique Patients for the month (error)
· Fields (type of measure): Number of Unique Patients within the Numerator (ratio only)
· Measures: HBIPS-2a, 3a (only these strata)
· Edit Information:
o HBIPS-2a: Number of Unique Patients Overall must = the sum of the Number of Unique Patients for (HBIPS-2b + HBIPS-2c + HBIPS-2d + HBIPS-2e)
o HBIPS-3a: Number of Unique Patients Overall must = the sum of the Number of Unique Patients for (HBIPS-3b + HBIPS-3c + HBIPS-3d + HBIPS-3e)
The Overall Numerator must equal the sum of the measure's Strata Numerator for the month (error)
· Fields (type of measure): Numerator (proportion/ratio)
· Measures: HBIPS-2a, 3a (only these strata)
· Edit Information:
o HBIPS-2a: Numerator Overall must = the sum of the Numerator for (HBIPS-2b + HBIPS-2c + HBIPS-2d + HBIPS-2e)
o HBIPS-3a: Numerator Overall must = the sum of the Numerator for (HBIPS-3b + HBIPS-3c + HBIPS-3d + HBIPS-3e)
The Overall Population must equal the sum of the measure's Strata Population for the month (error)
· Fields (type of measure): Population (CV)
· Measures: ED-1a, 2a (only these strata)
· Edit Information:
o ED-1a: Population Overall must = the sum of the Population for (ED-1b + ED-1c)
o ED-2a: Population Overall must = the sum of the Population for (ED-2b + ED-2c)
Sum of Denominator and Total Exclusions cannot be > Hospital Sample Size
· Fields (type of measure): Total Count of Cases with Category Y or X (all)
· Measures: ED-1, 2; IMM-2; OP-23; PC-01, 02, 05, 06; SUB-2, 3; TOB-3; VTE-6
· Edit Information:
o Total Count of Cases with Category Y or X cannot be > (Hospital Sample Size - Total Exclusion Count - Denominator)
Attestation checkboxes
· Fields (type of measure): Attestation checkbox (Initial Population, Population, Denominator)
· Measures: ALC-01, 02, 03, 04, 05; ED-1, 2; HBIPS-2, 3 (all strata); IMM-2; OP-18; OP-23; PC-01, 02, 05, 06; SUB-2, 3; TOB- 3; VTE-6
· Edit Information:
o If Initial Population = 0, then
o If Population = 0, then
o If Denominator = 0, then
Denominator cannot be greater than Number of Staff Employed
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: ALC-05a
· Edit Information: Value must be an integer within 0 to 199 and less than or equal to the Number of Staff Employed
Denominator cannot be greater than Number of Direct Staff Employed
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: ALC-05b
· Edit Information: Value must be an integer within 0 to 199 and less than or equal to the Number of Direct Staff Employed
Numerator must be <= Denominator
· Fields (type of measure): Numerator (proportion/ratio)
· Measures: ALC-01, ALC-02, ALC-03, ALC-04
· Edit Information: Value must be an integer within 0 to 199 and less than or equal to the Denominator
Calculation: Numerator= Number of Staff Employed minus Number of Positions or employees on the last day of month
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: ALC-05a
· Edit Information: Number of Staff Employed minus Number of Positions or employees on the last day of month, and cannot be less than 0
Calculation: Numerator = Number of Direct Care Staff Employed minus Number of Direct Care Positions or Employees on the last day of month
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: ALC-05b
· Edit Information: Value is the result of: Number of Direct Care Staff Employed minus number of direct care positions or employees on the last day of month, and cannot be less than 0
Number of Staff Employed
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: ALC-05a
· Edit Information: Value must be an integer within 0 to 199
Number of Direct Care Staff Employed
· Fields (type of measure): Denominator (proportion/ratio)
· Measures: ALC-05b
· Edit Information: Value must be an integer within 0 to 199 and less than or equal to the Number of Staff Employed
Continue to the next section: Chart-Abstracted Measure List
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