The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. Nonvalvular atrial fibrillation is a common arrhythmia and an important risk factor for stroke. ) OP Stroke General Data Element List General Data Element Name Collected For: Arrival Time Get With The Guidelines- Stroke supports hospitals in many ways, including: Data submission and feedback reporting are performed using the American Heart Association's Get With The Guidelines Registry (IRP)(link opens in new window). The numerator options included in this Patients admitted to the hospital for inpatient acute care are included in the CSTK-2 Ischemic Stroke With IV t-PA, IA t-PA, or MER subpopulation sampling group if they have: ICD-10-CM Principal Diagnosis Code as defined in Appendix A, Table 8.1 AND ICD-10-PCS Principal or Other Procedure Codes as defined in Appendix A, Table 8.1a OR Table 8.1b, a Patient Age (Admission Date Birthdate) 18 years and a Length of Stay (Discharge Date - Admission Date) 120 days. /'6sh]l{;VSCe}>j}1#R/E5SzOOl%5-Ybh_+/y}V4jru*nvJ_VRF|8w^5 @/K6jPw*sfoqW}"3v}qCmqytT_.NnwT*_kL?hokU^dU2h=>tLi If you search for multiple terms, CMIT will return all deliverables containing at least one of the terms. CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Hospitals now have one place to submit both chart-abstracted and eCQM data. or 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Reports, http://www.qualityforum.org/CQMC_Core_Sets.aspx. Hospital OQR Quality Measures and Timelines for the CY 2021 Payment Determination . Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 20% of this subpopulation or 26 cases for the month (20% of 129 equals 25.8 rounded to the next highest whole number equals 26). Start STK Initial Patient Population logic sub-routine. CQMC will release four additional updated core measure sets and two new core measure sets over the coming months. a set of re-specified measures in 2019, which were updated in 2021. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 150 cases for the quarter. endobj CSTK-09b Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who present directly to your hospital and undergo endovascular treatment, 6. Do not process cases that have been rejected before this point in the Clinical Data Processing Flow. Specifications for these measures are available below: There are no Stroke chart abstracted measures applicable or available for Accreditation purposes. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 20% of this subpopulation or 26 cases for the month (20% of 129 equals 25.8 rounded to the next highest whole number equals 26). The Duke Health system tracks and measures the care we provide to our patients based on these quality measures. The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measure Maintenance Technical Advisory Panel (TAP). Suspected stroke symptoms can be confounded by medications, metabolic encephalopathy, and comorbid conditions. All Records, Optional for HBIPS-2 and HBIPS-3, No sampling; 100% of the Initial Patient Population is required, Patient level data must be processed in order to submit your aggregate data. CPT is a registered trademark of the American Medical Association. Patient education should include information about the event (e.g., cause, treatment, and risk factors), the role of various medications or strategies, as well as desirable lifestyle modifications to reduce risk or improve outcomes. Medisolv can help you along the way. A hospital may choose to use a larger sample size than is required. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. Commercial health plans are rolling out the core measures as part of their contract cycle. Set expectations for your organization's performance that are reasonable, achievable and survey-able. lock The required monthly sample is 60 cases. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. Here are some resources to help you get started: JoAnne Marino is a Registered Nurse that is currently working as a Senior Clinical Consultant for Medisolv helping clients with the ENCOR Hospital Abstracted Measures. Visit: . . CSTK-10 Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. You can use the words "AND" and "OR" along . >0SPJ*@6W/rq+ERY_X&14>k( This measure set is applicable to patients with diagnoses of ischemic stroke and hemorrhagic stroke, and TIA. JoAnne has a background in Quality Management and has been working with hospitals on their Core Measures compliance with CMS and The Joint Commission since 2008. Share sensitive information only on official, secure websites. Heart Attack), Pneumonia, and Surgical Site Infection prevention. Arrhythmia means that the heart's normal beating rhythm is interrupted. This Agreement will terminate upon notice if you violate its terms. Include the patient in the Initial Patient Population for the appropriate measures. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 25 cases for the month. The next measure set we review is abbreviated ASR-IP/OP. See how our expertise and rigorous standards can help organizations like yours. ASR-OP-2c Ischemic Stroke; drip and ship4. 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . Disclaimer of Warranties and Liabilities. The median number of Adult Core Set measures reported by states is 22.5 measures for FFY 2019, up from 20 measures reported for FFY 2018 and 17 measures for FFY 2017. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. See our editorial policies and staff. Learn how working with the Joint Commission benefits your organization and community. This may be achieved by administering the t-PA drug intravenously to eligible patients within three hours of stroke onset. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size is less than the minimum required monthly sample size, so 100% of the subpopulation or all 7 cases are sampled. Electronic Clinical Quality Measures (eCQMs) for Accreditation, Chart Abstracted Measures for Accreditation, Electronic Clinical Quality Measures (eCQMs) for Certification. STK-1 Venous Thromboembolism (VTE Prophylaxis)12. Using the quarterly sampling table for the Ischemic sub-population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population is sampled. Understanding Stroke Measure Sets - f.hubspotusercontent30.net Find more information on our content editorial process. These updated core sets are a result of months of consensus-based review and deliberation among the groups 75+ multi-stakeholder member organizations, evaluating hundreds of existing quality measures against the CQMCs rigorous criteria. STK-10 Assessed for Rehabilitation. I hope this high-level overview was helpful and can be a reference for you. If the Patient Age is less than 18 years, the patient is not in the STK Initial Patient Population and is not eligible to be sampled for the STK measure set. The DDS platform is where hospitals submit performance measurement data to The Joint Commissions to meet ORYX reporting requirements. Part 2: A review of the different stroke certifications. I also included the complete list of measures required for each certification. CMS will use these mortality measures, which it reports under the Clinical Care domain, in the FY 2019 program. You can decide how often to receive updates. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. Initial Population: Inpatient hospitalizations for patients age 18 and older . stroke patients receiving IV t-PA at your hospital who are treated within 45 minutes after triage (ED arrival). A hospitals ischemic stroke patient population size is 200 cases during the second quarter. Find the exact resources you need to succeed in your accreditation journey. Using the quarterly sampling table for the Hemorrhagic sub-population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population is sampled. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. January 1, 2021: Actual Primary Completion Date : June 30, 2021: Estimated Study Completion Date : December 31, 2021: Groups and Cohorts. R,A`=N T$gZq,AW@0H#`.K#AJk_~}~Dc7?o=0T,qp{"+&y8N^-9yG-W +~ZY(DA[xvc2EGJv;P.Q12`3'o0f}ahq+ci;")i EmNW`0}d\K?QD-ki'e1ACa%i^\|.I$a-4>b(L Hospitals report on these measures quarterly or monthly, and compliance can affect TJC accreditation and CMS . A hospitals Ischemic sub-population is 100 during the first quarter. Percent of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge. By not making a selection you will be agreeing to the use of our cookies. Time from symptom onset to stroke alert is delayed in in-hospital stroke. You, your employees and agents are authorized to use CPT only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. %PDF-1.4 % It is difficult to have actionable and useful information because physicians and other clinicians must currently report multiple quality measures to different entities. Data collection for STK-OP-1 will replace ASR-OP-2. A hospitals hemorrhagic stroke patient population size is 200 cases during the second quarter. Secure .gov websites use HTTPSA Remember that changes do not have to be large. Set the Initial Patient Population Reject Case Flag to equal No. <> Finally, I have listed a few more resources for you. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Rate of Rapid Effective Reperfusion From Skin Puncture. A hospitals Hemorrhagic sub-population is 3 patients during January. Stroke Performance Measure 1: VTE Prophylaxis (ischemic and hemorrhagic stroke patients who received All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. Measure ID # Measure Short Name OP-23 . }J These measures include intravenous thrombolysis, deep vein thrombosis prophylaxis, dysphagia screening, stroke education, and discharge-related medications and assessments. Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size required is 20% of this subpopulation or 78 cases for the quarter (20% of 392 equals 78.4 rounded to the next highest whole number equals 78). 1 0 obj Research projects are hypothesis-driven studies that are developed into manuscripts suitable for peer-reviewed publication. Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. CSTK-09b Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who present directly to your hospital and undergo endovascular treatment, Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. You receive one consultant that you can call anytime with questions or concerns. CSTK-10d Functional Status Prior to Stroke-Dependent: MER Therapy, 9. Measure requirements are often not aligned among payers, which has resulted in confusion and complexity for reporting providers. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes. This product includes CPT which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. STK-5 Antithrombotic Therapy By End of Hospital Day Two16. U.S. Government Rights This content does not have an Arabic version. %%EOF endobj TJC Comprehensive Stroke Performance Measures HOS-Sanford Medical Center Fargo Annual summaries for 2020 through 2022 Updated: 2/2023 3. CSTK-05b: Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 4. Specifications Manual for Joint Commission National Quality Measures (v2021A1), Comprehensive Stroke (CSTK) Initial Patient Population, First Pass of a Mechanical Reperfusion Device, Highest NIHSS Score Documented Within 36 Hours Following IA Alteplase or MER Initiation, Highest NIHSS Score Documented Within 36 Hours Following IV Alteplase Initiation, IV Alteplase Prior to IA or Mechanical Reperfusion Therapy, Initial Blood Glucose Value at Hospital Arrival, Initial Blood Pressure at Hospital Arrival, Initial Platelet Count at Hospital Arrival, NIHSS Score Documented Closest to IA Alteplase or MER Initiation, NIHSS Score Documented Closest to IV Alteplase Initiation, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Time, Reason for Not Administering Nimodipine Treatment, Reason for Not Administering a Procoagulant Reversal Agent, Appendix E - Overview of Measure Information Form and Flowchart Formats, Cover Page for the Joint Commission Manual, Joint Commission Clinical Data Processing Flow, Joint Commission National Quality Measures Data Processing, Using the The Joint Commission's National Measure Specifications Manual, National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients), Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH ), Hemorrhagic Transformation (Overall Rate), Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade), Modified Rankin Score (mRS at 90 Days: Favorable Outcome), Rate of Rapid Effective Reperfusion From Hospital Arrival, Rate of Rapid Effective Reperfusion From Skin Puncture, All Records, Not collected for HBIPS-2 and HBIPS-3, All Records, Optional for HBIPS-2, HBIPS-3, All Records, Optional for All HBIPS Records. stream But hospitals see benefits as well. Sometimes, TPA can be given up to 4.5 hours after stroke symptoms started. The primary goal of rehabilitation is to prevent complications, minimize impairments, and maximize function. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. The core measurescan be found at: http://www.qualityforum.org/cqmc/. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter9. Pets and Your Health / Healthy Bond for Life, La Iniciativa Nacional de Control de la Hipertensin, Contact your local Get With The Guidelines, Get With The Guidelines Data Request Form. MjMO2n7( LBm6N.Hl#|oKP?lEF@L9ew,w\XpP{]8vxmtV}Or,kU{ `B7{"'Tf(DL[}ZEY 7'XoFo(|{%Jlv,_v}%DPnpoAucQGPy'YVJGXv:E j5(kts,?BcBKd?R . A hospitals ischemic stroke patient population size is 200 patients during the second quarter. Forty states reported at least half (16) of the Adult Core Set measures for FFY 2019. The following links provide you with information available on past, present and future versions of the specification manuals, including release notes, measure information forms, data dictionaries, missing and invalid data, population and sampling, data transmission, tools and resources, and appendices. hbspt.cta._relativeUrls=true;hbspt.cta.load(491484, '41fd9d46-8610-4a5f-a135-c143fe55a31f', {"useNewLoader":"true","region":"na1"}); By JoAnne Marino April 30, 2021 Regulatory Updates: Hospital. Using the monthly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 20% of this subpopulation or 25 cases for the month (20% of 123 equals 24.6 rounded to the next highest whole number equals 25). 2018 - 2021. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only3. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter/month for the sub-population cannot sample that sub-population. A hospitals ischemic stroke patient population size is 37 cases during the second quarter. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. A hospitals hemorrhagic stroke patient population size is 17 cases during March. 2023 Medisolv, Inc. All Rights Reserved. Dallas, TX 75231, Customer Service The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. Part 1: A review of the different stroke measure sets. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. The Measure Steward refers to the organization that is responsible for providing the required measure information for the measure maintenance process that occurs approximately every three years. endobj Find out about the current National Patient Safety Goals (NPSGs) for specific programs. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size is less than the minimum required quarterly sample size, so 100% of the subpopulation or all 19 cases are sampled. endobj Ongoing monitoring by the Collaborative of the use of these measures will enable modifications of measure sets, as needed and based on lessons learned, including minimizing unintended consequences and selection of new measures as better measures become available. Measure Set Stroke Measure ID # STR-1 Measure Name Prehospital Screening for Suspected Stroke Patients Based on this review and discussion the workgroups identified a consensus core set for the selected clinical areas. Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 20% of this subpopulation or 45 cases for the quarter (20% of 223 equals 44.6 rounded to the next highest whole number equals 45). Studies at this time suggest that antithrombotic therapy should be administered within 2 days of symptom onset in acute ischemic stroke patients to reduce stroke mortality and morbidity. Program details are found in Part 2. By improving stroke care, our Get With The Guidelines- Stroke program benefits patients as well as hospitals. Unauthorized use prohibited. The coalition was convened in 2015 by Americas Health Insurance Providers (AHIP) and the Centers for Medicare & Medicaid Services (CMS) and is housed at the National Quality Forum (NQF). The goal is to quickly get rid of any blood clot(s) to restore function to the area that is impacted by a stroke, such as the brain. View them by specific areas by clicking here. Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size required is 84 cases for the quarter. STK-10 Assessed for Rehabilitation, Measures for TJC Thrombectomy Capable Stroke Center Certification, 1. To address this problem, the Centers for Medicare & Medicaid Services (CMS), commercial plans, Medicare and Medicaid managed care plans, purchasers, physician and other care provider organizations, and consumers worked together through the Core Quality Measures Collaborative to identify core sets of quality measures that payers have committed to using for reporting as soon as feasible. ASR-OP-2b Hemorrhagic Stroke3. We help you select and set up measures that make sense based on your hospitals situation. The STK Initial Patient Population sizes for a hospital are 392 and 5 patients respectively per the sub-populations for the quarter. The annual Acute Care Hospital Quality Improvement Program Measures reference guide provides a comparison of measures for five Centers for Medicare & Medicaid Services (CMS) acute care hospital quality improvement programs, including the: Hospital IQR Program Hospital Value-Based Purchasing (VBP) Program Promoting Interoperability Program A hospitals ischemic stroke patient population size is 7 cases during March. <>>> Measure Type: InpatientNumber of Measures Included: 8Certification Requirement: The Joint Commissions Primary Stroke Certification, Anticoagulation Therapy for Atrial Fibrillation/Flutter, Antithrombotic Therapy By End of Hospital Day Two. CPT is a registered trademark of the American Medical Association. The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. CMIT searches all fields in the inventory and is not case-sensitive. {8Dm.;JHTBXEXh^^^.Y)oH 6K;ANf!;*#.\1\c"1cKE. This consensus core set was further discussed by all Collaborative members before being finalized. Submission of aggregate data is still required. CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture11. An antithrombotic agent is a drug that reduces the formation of blood clots. Here is a diagram that outlines the submission differences. 7272 Greenville Ave. %PDF-1.5 3= recommended; the outcome measure has good psychometric . In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. 2023 American Heart Association, Inc. All rights reserved. Create your baseline by entering 30 records into the Patient Management Tool. 671 0 obj <>/Filter/FlateDecode/ID[<8968A4F338E55446928FCF4A155C4BC8>]/Index[646 45]/Info 645 0 R/Length 114/Prev 86415/Root 647 0 R/Size 691/Type/XRef/W[1 2 1]>>stream The reduction of LDL cholesterol, through lifestyle modification and drug therapy when appropriate, is recommended for the prevention of recurrent ischemic stroke, heart attack, and other major vascular events. Measure Submission Type: Measure data may be submitted by individual MIPS eligible clinicians, groups, or third party intermediaries. This section includes the measure type (inpatient vs outpatient), the number of measures in the set, which certification the measure set is a part of, a list of the measures in the set and the associated algorithm. Oh, also, I included a ton of resources and links throughout this article and a specific list of resources at the end. STK-8 Stroke Education10. A modified sampling procedure is required for hospitals performing quarterly sampling for STK. In light of these points, a blueprint is proposed for using domain-specific outcome measures in stroke recovery trials. n01Qf i# ]gmJIYan{"I,$ }T/~yN)NeiAog@ckRLkd,'? $BJ8W(d`W $0s2[AS}4cpLtaDZhTb E,Jy;;S N/! Especially if you use an EHR vendor right now, youll notice a huge difference. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. endstream endobj startxref STK-6 Discharged on Statin Medication9. In this post we are either referencing CMS or The Joint Commission as the Measure Stewards. 4 0 obj This means the patient passed every measure they qualified for. https://manual.jointcommission.org/releases/TJC2021B/TransmissionChapterTJC.html, The Joint Commission (ASR-IP, ASR-OP, PSC, TSC, CSC), program comparison sheet with guidelines of certification requirements, Centers for Medicare & Medicaid Services (CMS), The Joint Commission Stroke Certification Programs Program Concept Comparison, Specifications Manual for Joint Commission National Quality Measures (version 2021B), Acute Stroke Ready Hospital Certification (ASRH), Standardized Performance Measures for Acute Stroke Ready Hospitals, Primary Stroke Center Certification (PSC), Standardized Performance Measures for Primary Stroke Centers, Comprehensive Stroke Center Certification (CSC), Standardized Performance Measures for Comprehensive Stroke Centers, Standardized Performance Measures for Thrombectomy-Capable Stroke Centers, Using the New Opioid eCQM to Improve Prescribing Practices and Patient Care, 2021 Quality Reporting Deadlines Calendar, 2023 Promoting Interoperability Requirements, A Guide to The Joint Commissions New Health Equity Requirements, Hospital eCQM Results Are In: A Review of the January 2023 Care Compare Refresh, [Download] 2021 Hospital IQR Program Requirements, [Download] Hybrid Measure Implementation Guide, Hemorrhagic Transformation (Overall Rate), Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 minutes of ED Arrival, Ischemic Stroke with Procedure (Thrombolytic Therapy or Mechanical endovascular therapy). We can make a difference on your journey to provide consistently excellent care for each and every patient. The listed denominator criteria are used to identify the intended patient population. Eleven (11) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. The Perfect Care Report identifies patients that received perfect care. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. For the purposes of this blog, since we are focusing specifically on stroke measures, there is only one stroke measure that is used for Accreditation purposes by both CMS and TJC: OP-23. Using the quarterly sampling table for the Hemorrhagic sub-population, the sample size required is 20% of this sub-population, or 79 cases for the quarter (twenty percent of 392 equals 78.4 rounded up to the next whole number equals 79). This content does not have an English version. TJC is adding three additional measures beginning with July 1, 2021 discharges.Certification Requirement: The Joint Commissions Primary Stroke Certification, Ischemic Stroke; IV Alteplase Prior to Transfer (Drip and Ship) **RETIRED 7/1/2021**, Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and MER Eligible, Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and NOT MER Eligible, Ischemic Stroke; No IV Alteplase Prior to Transfer, No LVO, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible**ADDED as of 7/1/2021**, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and NOT MER Eligible **ADDED as of 7/1/2021**, Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, Measure Type: OutpatientNumber of Measures Included: 1 process measureAccreditation Requirement: CMS Outpatient Quality Reporting program. Return to Clinical Data Processing Flow in the Data Processing section. The required quarterly sample is 45 cases. *All health/medical information on this website has been reviewed and approved by the American Heart Association, based on scientific research and American Heart Association guidelines. CSTK-11 Rate of Rapid Effective Reperfusion From Hospital Arrival10. Much like we saw how cases fall into their respective sub-populations with CSTK, cases for STK use the same criteria when determining which sub-population a case will qualify for. Repeat steps 8 and 9 until your team is happy with your treatment rates and your hospital is eligible for. 2021; 96:e1812-e1822 . An official website of the United States government CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy4. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Joint Commission Clinical Measures. <>>> STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter14. *Note: Significant changes to this measure set begin July 1, 2021. 3 0 obj This is a big year for Quality. If the ICD-10-CM Principal Diagnosis Code is on Table 8.1, the patient is in the first Ischemic Stroke sub-population and is eligible to be sampled for the first STK sub-population. May 2021 Measure ID# Measure Short Name Measure Description STK-1 Venous Thromboembolism (VTE) This measure captures the proportion of ischemic or hemorrhagic Prophylaxis stroke patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission.
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