i need help with this assignment

PRESENT ON ADMISSION (POA)/HOSPITAL ACQUIRED CONDITIONS (HAC)

Using the POA Reporting Designations select the correct designation for the examples (See AHIMA article for more detailed description). HINT: Remember to review the exempt codes

Y – Present on admission

W – Based on data and clinical judgment it is not possible to document when the onset of the condition occurred

N – Not present on admission

U – Documentation is insufficient to determine if the condition was present on admission

1 – Exemption from POA reporting

	CONDITION	DESIGNATION
	Pt was admitted with an intracranial hemorrhage, nontraumatic. He was noted to have cognitive social deficits. What is the designation for the cognitive social deficits?
	Pt admitted with dx of breast cancer and mets to the brain is diagnosed during stay. What is the designation for the brain mets
	Pt admitted with dx of chronic COPD; during the stay the physician notes that he has acute exacerbation. What is the designation?
	Pt admitted for pneumonia. During the stay the patient falls out of bed and fx L hip. What is the designation for the L hip fx?
	Pt has n/v, pain. She is diagnosed with gastritis. During the stay she was also diagnosed with a UTI. What is the designation for the UTI?
	Pt develops sepsis during stay after hernia repair. What is the designation for the sepsis?
	Pt is admitted directly from a dialysis center for a clogged shunt. What is the designation for the clogged shunt?
	Pt admitted with indwelling urinary catheter and pneumonia from a nursing home. Cultures for urine from the ER come back the next day as positive for Ecoli. What is the designation for the UTI?
	NB was affected by maternal hypertensive disorder. What is the designation?
10	Patient was admitted with a stage II pressure ulcer. During the stay the pressure ulcer progresses to a stage III. What is the designation for the Stage III?