Present on Admission (POA) training tools provide information on the importance of adding POA indicators to data collection streams and how to collect the information.

POA Training Tools

• POA Training Material for Physicians and Other Health Care Professionals
• What Physicians Need to Know About New Present-on-Admission (POA) Coding Requirements

This video, produced by Michael Pine and Associates (MPA) with the Minnesota Hospital Association, provides information about the POA indicator, including how to accurately code conditions, examples and case studies of POA coding, why it is important for hospitals to code correctly, and information on a study by Pine and others to assess the accuracy of POA coding in New York hospitals.


• Video and Video Transcript (PDF file, 137 KB), MN Pilot project
• Screening Algorithms to Assess the Accuracy of Present-on-Admission Coding, article referenced in the video about the study to assess the accuracy of POA coding in New York hospitals (Pine et al, 2009 Perspectives in Health Information Management)

Technical information to assist with using the video:


• This video presentation is 29 minutes in length.
• The video is best viewed in Windows Media Player.
• Coming Soon: Information on acquiring continuing medical education (CME) credits from MPA for physicians viewing this video will be provided in a future update to this page.


• Present on Admission Indicators: Today and Tomorrow (PDF file, 118 KB; HTML), presentation by P. Kennedy
  Toolkit Editor's Note: Information about CMS policy may no longer be current since this presentation was given in 2008.


• Developing the Business Case
• The Case for the Present-on-Admission (POA) Indicator (PDF file, 246 KB). This 2006 HCUP Methods Report provides an overview of the POA indicator, as well as references to literature on the value of POA, including:
• Supporting views for the use of the POA indicator cited in health policy research literature,
• Evidence showing the impact that POA would have on research and policymaking, and
• Efforts that should be undertaken to enhance POA coding accuracy


• The Case for the Present-on-Admission (POA) Indicator: Update 2011 (PDF file, 323 KB). This 2011 HCUP Methods Report provides POA-related information and developments that have occurred over the past five years, including UB data reporting standards for the POA indicator, CMS requirements for POA reporting, and implementation of the POA indicator in software. The report also includes an updated literature review that covers:
• The value of the POA indicator in hospital quality measurement
• Use of POA to assess potential hospital reimbursement policies
• Issues and challenges of accurate POA coding