CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only, 3. <>>> STK-4 Thrombolytic Therapy15. The CQMC is a diverse coalition of health care leaders representing over 75 consumer groups, medical associations, health insurance providers, purchasers and other quality stakeholders, all working together to develop and recommend core sets of measures by clinical area to assess and improve the quality of health care in America. . One-hundred and forty-eight (148) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. .gov The required sample size for the CSTK-01 measure is a minimum of 42 cases for the month (28 cases from Table 4 plus 14 cases from Table 5 equals 42). Percent of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge. CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture11. Dude JA, Lohse KR, Cramer SC, Worrall BB; GPAS Collaboration Phenotyping Core. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. *7.`"}K3t;qBEN]1F"9V>7[?)] CSTK-02 Modified Rankin Score (mRS at 90 Days)3. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). CMS and TJC update Core Measures and retire some Core Measures on an ongoing basis. If you search for multiple terms, CMIT will return all deliverables containing at least one of the terms. A hospitals Ischemic sub-population is 5 patients during February. 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. *Note: Significant changes to this measure set begin July 1, 2021. 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. Research projects are hypothesis-driven studies that are developed into manuscripts suitable for peer-reviewed publication. CSTK-10a Functional Status Prior to Stroke-Independent: IV Alteplase Only, 2. 2023 Medisolv, Inc. All Rights Reserved. Test your ideas. CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy4. 2021). 3 0 obj 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 . The CSTK Initial Patient Population is unique in that it is comprised of three distinct subpopulations: ischemic stroke patients who do not undergo a reperfusion therapy (i.e., procedure), ischemic stroke patients who undergo a reperfusion therapy (IV t-PA, IA t-PA, or mechanical endovascular reperfusion (MER) therapy), and hemorrhagic stroke patients. CSTK-10d Functional Status Prior to Stroke-Dependent: MER Therapy, 9. 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. One-hundred and twenty-three (123) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The required quarterly sample size would be 100% of the patient population or 5 cases for the quarter, No sampling; 100% Initial Patient Population required. decreased providers collection burden and cost. Calculate the Length of Stay. We help you select and set up measures that make sense based on your hospitals situation. Especially if you use an EHR vendor right now, youll notice a huge difference. 4 0 obj STK-2 Discharged on Antithrombotic Therapy8. Download Get With The Guidelines- Stroke fact sheets and forms here. % /'6sh]l{;VSCe}>j}1#R/E5SzOOl%5-Ybh_+/y}V4jru*nvJ_VRF|8w^5 @/K6jPw*sfoqW}"3v}qCmqytT_.NnwT*_kL?hokU^dU2h=>tLi stream Stroke Core Measures Stroke 'core measures' are critical steps in a patient's hospital stay that have been established based on outcomes. Sometimes it works best to start small and build on success. 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 guiding principles used by the Collaborative in developing the core measure sets are that they be meaningful to patients, consumers, and physicians, while reducing variability in measure selection, collection burden, and cost. 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 Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 75 cases for the quarter. Calculate Patient Age. Measure 6a is new and is being pilot tested in 2009. 1 0 obj To submit a research proposal for the Get With The Guidelines - Stroke program, email a completed Get With The Guidelines Data Request Form (download) to QualityResearch@heart.org. CSTK-10d Functional Status Prior to Stroke-Dependent: MER Therapy, Rate of Rapid Effective Reperfusion From Hospital Arrival. 4 0 obj A hospitals hemorrhagic stroke patient population size is 392 cases during the second quarter. The required quarterly sample is 45 cases. TARGET: STROKE MEASURE Door to IV rt-PA in 60 minutes (Historic-Quality): Percent of ischemic stroke patients receiving IV t-PA at your hospital who are treated within 60 minutes after triage (ED arrival). STK-1 Venous Thromboembolism (VTE Prophylaxis)4. Measure Type: InpatientNumber of Measures Included: 3 process measuresCertification Requirement: The Joint Commissions Disease-Specific Care Certification, Measure Type: OutpatientNumber of Measures Included: 2 process measuresCertification Requirement: The Joint Commissions Disease-Specific Care Certification, Door to Transfer to Another Hospital**RETIRED Effective July 1, 2021**, Note: All Joint Commission certified acute stroke ready hospitals, as well as those seeking initial certification, will be required to collect the STK-OP-1 Door to Transfer to Another Hospital measure for discharges on and after July 1, 2021. In the specifications manual, Version 2021B, it is in Section 7: Joint Commission National Quality Measures Data Processing, Joint Commission Stroke Measures table: https://manual.jointcommission.org/releases/TJC2021B/TransmissionChapterTJC.html. Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 42 cases for the quarter. In addition, the public may compare specific healthcare organizations' results on Core Measures at the We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. Set the Initial Patient Population Reject Case Flag to equal Yes. A hospitals ischemic stroke patient population size is 295 cases during March. Clinical practice guidelines for the prevention of VTE recommend the use of preventive therapies in at-risk patients. 3 0 obj Here is a diagram that outlines the submission differences. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)7. An antithrombotic agent is a drug that reduces the formation of blood clots. In the final section, I review the way this information is submitted to The Joint Commission and CMS. The STK Initial Patient Population sizes for a hospital are 1 and 3 patients respectively per the sub-populations for the quarter. stroke patients receiving IV t-PA at your hospital who are treated within 45 minutes after triage (ED arrival). A hospitals Hemorrhagic sub-population is 3 patients during January. Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 50 cases for the month. CSM special February 2021 Motor planning after stroke CSM special January 2021 January 2021 Stroke SIG and CSM 2 January 2021 Stroke SIG and CSM January 2021, Locomotor Podcast - Intensity and stepping. A hospitals Hemorrhagic sub-population is 3 patients during the first quarter. Core measures are based on the most common condition's hospitals see, such as acute myocardial infarction (AMI), heart failure (HF), pneumonia, surgical care, children's asthma care, venous thromboembolism (VTE), stroke, and more. The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measure Maintenance Technical Advisory Panel (TAP). %PDF-1.5 7.gbu>/u?3>kW?^n-'\\o.T(A2Y/-.>+ . 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. ASR-OP-1 Thrombolytic Therapy (Drip and Ship)5. I hope this high-level overview was helpful and can be a reference for you. Create your baseline by entering 30 records into the Patient Management Tool. Commercial health plans are rolling out the core measures as part of their contract cycle. endobj The Ischemic sub-population has 392 patients per quarter, which requires a 20% sample size, or 79 cases (twenty percent of 392 equals 78.4 rounded to the next highest whole number equals 79). 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . For an overview of data housed in the Stroke Patient Management Tool, please refer to the Stroke Case Record Form(PDF). Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nations health care system moves from one that pays based on volume of services to one that pays for value. The goal is to establish broadly agreed upon core measure sets that could be harmonized across both commercial and government payers. Disclaimer of Warranties and Liabilities. Please see http://www.qualityforum.org/CQMC_Core_Sets.aspx for more information. <> This content does not have an Arabic version. In addition, 36 states reported more Adult Core Set measures for FFY 2019 than for FFY 2018. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. 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. 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). Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size is less than the minimum required quarterly sample size, so 100% of the subpopulation or all 67 cases are sampled. Time from symptom onset to stroke alert is delayed in in-hospital stroke. 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). Set the Initial Patient Population Reject Case Flag to equal Yes. A hospitals Hemorrhagic sub-population is 316 during February. The listed denominator criteria are used to identify the intended patient population. STK-5 Antithrombotic Therapy By End of Hospital Day Two8. Honestly though Stroke Outpatient versus Outpatient Stroke. Part 1: A review of the different stroke measure sets. The primary goal of rehabilitation is to prevent complications, minimize impairments, and maximize function. CSTK-06 Nimodipine Treatment Administered6. x\_s6fE4f+[Itd2)Q" 2tIB.|Qe{r?);|_gb-rv>XS?m>`_\WNO>(b\@~f'4( L`yXS7?b!0@qp) Return to Clinical Data Processing Flow in the Data Processing section. An antithrombotic is a medication that prevents blood clots. *Note: There are additional measures needed to fulfill this certification. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. 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. STK-6 Discharged on Statin Medication12. Measure Submission Type: Measure data may be submitted by individual MIPS eligible clinicians, groups, or third party intermediaries. Eleven (11) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. There are five major stroke measure sets. Ready to get started with CMIT 2.0? Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size is less than the minimum required quarterly sample size, so 100% of the subpopulation or all 37 cases are sampled. STK-8 Stroke Education18. 2021; 96:e1812-e1822 . Share sensitive information only on official, secure websites. CSTK-10a Functional Status Prior to Stroke-Independent: IV Alteplase Only2. Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. with acute ischemic stroke in the hospital setting will submit this measure. 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). This is a big year for Quality. uz'*\08 DLli_{5:G}M=}nS`M6C'{AREuw%~NM5Ydam\[\_#$ s8S@ AE"4u0qwCmWN N`h,bp``+bv\~B9M Brainstorm with your team to find ways to improve your hospital's treatment rates. STK-10 Assessed for Rehabilitation. STK-OP-1e Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and NOT MER Eligible6. Claims-Based Measures by Category Claims-Based Patient Safety Measures for 2022 Claims-Based Mortality Measures for 2022 Claims-Based Coordination of Care Measures for 2022 690 0 obj <>stream CMS will use these mortality measures, which it reports under the Clinical Care domain, in the FY 2019 program. For an overview of data housed in the Stroke Patient Management Tool, please refer to the Stroke Case Record Form (PDF). Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Patients admitted to the hospital for inpatient acute care are included in the CSTK 3-Hemorrhagic Stroke subpopulation sampling group if they have: ICD-10-CM Principal Diagnosis Code as defined in Appendix A, Table 8.2, a Patient Age (Admission Date Birthdate) 18 years and a Length of Stay (Discharge Date - Admission Date) 120 days. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. STK-OP-1a Overall Rate (Not Reported2. The ACM is a pass-fail measure at the individual patient level that asks whether an eligible patient has received all of the appropriate care for the condition for which he or she is being treated. The required monthly sample is 60 cases. Assemble your multidisciplinary team to determine roles and processes for entering patient data. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. "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. 4 0 obj A hospitals hemorrhagic stroke patient population size is 60 cases during March. 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). endstream endobj startxref ASR OP-2 Door to Transfer to Another Hospital **RETIRED Effective July 1, 2021**, 1. Approximately 2-4% of patients with stroke have their event while hospitalized for another condition, with almost one half resulting from a vascular procedure. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter14. 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 quarterly sampling table for the Ischemic 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). A hospitals Ischemic sub-population is 5 patients during the first quarter. The following are Stroke chart abstracted measures used by The Joint Commission. Youll see them abbreviated like this: Measure Type: InpatientNumber of Measures Included: 10Certification Requirement: The Joint Commissions Comprehensive Stroke Certification. 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. In regard to stroke, The Joint Commission has four different types of certification programs that go along with these stroke measure sets. REMINDER: Stroke is now a Core Measure for CMS!!! endobj The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. STK-OP-1g Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible**ADDED as of 7/1/2021**8. CMS will go through a public notice and comment rule-making for implementation of these core sets and looks forward to public input on the measures included in these core measure sets. So, Ive attempted to structure it in a way that will be a reference for you. All rights reserved. CSTK-09 Arrival Time to Skin Puncture, 8. Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Rate of Rapid Effective Reperfusion From Skin Puncture. Finally, I have listed a few more resources for you. <>/Metadata 285 0 R/ViewerPreferences 286 0 R>> Measure Set Stroke Measure ID # STR-1 Measure Name Prehospital Screening for Suspected Stroke Patients Percent of acute ischemic stroke patients who arrive at this hospital within 2 hours of time last known well and for whom IV t-PA was initiated at this hospital within 3 hours of time last known well. The Differences Between The 5 Major Stroke Measure Sets, Thrombolytic Therapy: Inpatient Admission, Antithrombotic Therapy By End of Hospital Day 2, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and NOT MER Eligible, Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO, National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients), Ischemic Stroke; IV Alteplase Prior to Transfer (Drip and Ship), CSTK-05a: Hemorrhagic Transformation for Patients Treated with Intravenous (IV) Thrombolytic (t-PA) Therapy Only, CSTK-05b: Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade), 1. Arrhythmia means that the heart's normal beating rhythm is interrupted. In this post we are either referencing CMS or The Joint Commission as the Measure Stewards. Nonvalvular atrial fibrillation is a common arrhythmia and an important risk factor for stroke. % <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 150 cases for the quarter. Written by American Heart Association editorial staff and reviewed by science and medicine advisers. TJC Comprehensive Stroke Performance Measures HOS-Sanford Medical Center Fargo Annual summaries for 2020 through 2022 Updated: 2/2023 3. The Centers for Medicare & Medicaid Services (CMS) has posted the electronic clinical quality measure ( eCQM) specifications for the 2021 reporting period for Eligible Hospitals and Critical Access Hospitals, and the 2021 performance period for Eligible Professionals and Eligible Clinicians. The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. 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). Closed on Sundays. This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. In light of these points, a blueprint is proposed for using domain-specific outcome measures in stroke recovery trials. endobj Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. We can make a difference on your journey to provide consistently excellent care for each and every patient. Chart Abstracted Measures for Certification. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. We help you measure, assess and improve your performance. January 1, 2021: Actual Primary Completion Date : June 30, 2021: Estimated Study Completion Date : December 31, 2021: Groups and Cohorts. They are responsible for making the necessary updates to the measure and for informing NQF (National Quality Forum) about any changes that are made to the measure on an annual basis. This may be achieved by administering the t-PA drug intravenously to eligible patients within three hours of stroke onset. CSTK-09a Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who are transferred from another hospital and undergo endovascular treatment2. <> The American Medical Association reserves all rights to approve any license with any Federal agency. endstream endobj 647 0 obj <>/Metadata 18 0 R/Pages 644 0 R/StructTreeRoot 24 0 R/Type/Catalog/ViewerPreferences<>>> endobj 648 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 649 0 obj <>stream hb``` eaX`3P@7pi%It' s9MZxTPN )4 3Hr102)iq }p!>8O:nI-BFo4NB4@4@c _ R/ 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. %PDF-1.7 All Records, Optional for HBIPS-2 and HBIPS-3, No sampling; 100% Patient Population required, ICD-10-PCS Principal or Other Procedure Codes. These measures include intravenous thrombolysis, deep vein thrombosis prophylaxis, dysphagia screening, stroke education, and discharge-related medications and assessments. This is increasingly important as the health care system moves towards value-based reimbursement models. https:// ASR-OP-2a Door to Transfer to Another Hospital Overall Rate2. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 28 cases for the month. endobj The American Medical Association reserves all rights to approve any license with any Federal agency. A modified sampling procedure is required for hospitals performing quarterly sampling for STK. The AMA is a third party beneficiary to this Agreement. A hospital may choose to use a larger sample size than is required. An official website of the United States government 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. 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. <> By not making a selection you will be agreeing to the use of our cookies. Using the monthly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 28 cases for the month. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Studies suggest that antithrombotic therapy should be prescribed at hospital discharge following an ischemic stroke to reduce stroke mortality and morbidity. 1-800-AHA-USA-1 Using the monthly 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. STK-OP-1d Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and MER Eligible5. ( 646 0 obj <> endobj The CMS Measure Inventory Tool (CMIT) is the repository of record for information about the measures which CMS uses to promote healthcare quality and quality improvement. Comprehensive Core Stroke Measures were developed for the management of both ischemic and hemorrhagic stroke patients in hospitals equipped with clinical expertise, infrastructure, and specialized neurointerventional and imaging services needed to provide a higher level of stroke care. The Core Quality Measures Project currently includes 6 of 11 National EMS Quality Measures. website belongs to an official government organization in the United States. 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. The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. STK-1 Venous Thromboembolism (VTE Prophylaxis)12. 2011-2021 6.7L Ford Power Stroke; 2008-2010 6.4L Ford Power Stroke; 2003-2007 6.0L Ford Power Stroke; .

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