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

Present on Admission (POA) Toolkit: Background

This section contains links to published work and other materials that define the POA indicator, explain POA coding and reporting requirements, and describe the benefits of enhancing administrative datasets with POA indicators.

Pilot and Planning Projects: AHRQ-funded pilot and planning project descriptions with access to materials.

Overview Publications
  • 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
Other Resources

POA Toolkit | POA Toolkit - Background | Pilot & Planning Projects
Training Tools | Data Standards and Transmission Tools | Feedback and Reporting Tools

Internet Citation: Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Background Healthcare Cost and Utilization Project (HCUP). July 2016. Agency for Healthcare Research and Quality, Rockville, MD.
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Last modified 7/20/16