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Item 8: When was the consent document shared with the patient?

Download Abstraction Tool Manual
Download Abstraction Tool Questionnaire

For more information about the Abstraction Tool and detailed measure methodology, please visit the CMS Measure Methodology website.

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Abstraction Training Table of Contents

  • Important Guidance
  • Item 1 – Description of Procedure
    • What Qualifies?
    • Examples
  • Item 2 – Is a description of “HOW the procedure will be performed” provided for the patient?
    • What Qualifies
    • Examples
  • Item 3 – Is the clinical rationale (purpose) for “WHY the procedure will be performed” provided?
    • What Qualifies?
    • Examples
  • Item 4 – Is any patient-oriented benefit (intended impact on patient’s health, longevity, and/or quality of life) provided for the patient?
    • What Qualifies?
    • Examples
  • Item 5 – Is a QUANTITATIVE probability provided for any procedure-specific risk?
    • What Qualifies?
    • Examples
  • Item 6 – Is a QUALITATIVE probability provided for any procedure-specific risk?
    • What Qualifies?
    • Examples
  • Item 7 – Is any alternative provided for the patient?
    • What Qualifies?
    • Examples
  • Item 8 – When was the consent document shared with the patient?
    • What Qualifies?
  • Abstractor Experience
  • Sample Document – Example 1
  • Sample Document – Example 2