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CSTK-10 Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. 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. hbbd``b` SY ~H0[@D1HI-Hp @o$xA }:.PHplp%H^'n&F&QT'340 Ji Medisolv Can HelpThis is a big year for Quality. Watch the "Introduction to CMIT 2.0" video to learn more about the latest features! % All rights reserved. A hospitals ischemic stroke patient population size is 129 cases during March. Pets and Your Health / Healthy Bond for Life, La Iniciativa Nacional de Control de la Hipertensin, Contact your local Get With The Guidelines, Get With The Guidelines Data Request Form. This content does not have an Arabic version. 3 0 obj REMINDER: Stroke is now a Core Measure for CMS!!! Percent of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services. If you search for multiple terms, CMIT will return all deliverables containing at least one of the terms. CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. See our editorial policies and staff. The DDS platform is where hospitals submit performance measurement data to The Joint Commissions to meet ORYX reporting requirements. Core Measure Data as of 3/2/2022. The primary goal of rehabilitation is to prevent complications, minimize impairments, and maximize function. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter14. R,A`=N T$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 STK-8 Stroke Education13. %PDF-1.4 % Finally, I have listed a few more resources for you. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2 0 obj STK-1 Venous Thromboembolism (VTE Prophylaxis)4. 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. The required quarterly sample is 45 cases. A modified sampling procedure is required for hospitals performing quarterly sampling for STK. Nineteen (19) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. Hospital OQR Quality Measures and Timelines for the CY 2021 Payment Determination . Twenty (20) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. *{o7@FNhR/ This Agreement will terminate upon notice if you violate its terms. By not making a selection you will be agreeing to the use of our cookies. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter for the measure set cannot sample. 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. The AMA does not directly or indirectly practice medicine or dispense medical services. This measure set is applicable to patients with diagnoses of ischemic stroke and hemorrhagic stroke, and TIA. The psychometric properties of the measures are reviewed using a modified EDGE (Evidence Database to Guide Effectiveness) template (a format recommended by the APTA EDGE task force). Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. Stroke patients are at increased risk of developing venous thromboembolism (deep vein blood clots). CSTK-10d Functional Status Prior to Stroke-Dependent: MER Therapy, Rate of Rapid Effective Reperfusion From Hospital Arrival. website belongs to an official government organization in the United States. Program details are found in Part 2. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 14 cases for the month. Specifications for these measures are available below: There are no Stroke chart abstracted measures applicable or available for Accreditation purposes. <>>> or x\_s6fE4f+[Itd2)Q" 2tIB.|Qe{r?);|_gb-rv>XS?m>`_\WNO>(b\@~f'4( L`yXS7?b!0@qp) The Core Quality Measure Collaborative, led by the Americas Health Insurance Plans (AHIP) and its member plans Chief Medical Officers, leaders from CMS and the National Quality Forum (NQF), as well as national physician organizations, employers and consumers, worked hard to reach consensus on core performance measures. 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. {8Dm.;JHTBXEXh^^^.Y)oH 6K;ANf!;*#.\1\c"1cKE. 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. Set the Initial Patient Population Reject Case Flag to equal Yes. 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. Stroke Core Stroke Measures As a Certified Stroke Center the stroke committee would like to provide physicians with updates on how we are performing on the stroke performance and quality measures. endobj If the Principal Diagnosis code falls on Table 8.1 it will be placed in the Ischemic Stroke, or sub-pop 1 and if it has a Principal Diagnosis code that falls on Table 8.2, then it will be placed in the Hemorrhagic Stroke or sub-pop-2. In this post we are either referencing CMS or The Joint Commission as the Measure Stewards. stream Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Brainstorm with your team to find ways to improve your hospital's treatment rates. This item requires a Core Return or Core Charge. Data Source: American Heart Association Get With The Guidelines stroke database. Please see link below for more information. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only, 3. hb``` eaX`3P@7pi%It' s9MZxTPN )4 3Hr102)iq }p!>8O:nI-BFo4NB4@4@c _ R/ Contact Us, Hours 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . Create your baseline by entering 30 records into the Patient Management Tool. There are five major stroke measure sets. The listed denominator criteria are used to identify the intended patient population. <> 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. If the Length of Stay is less than or equal to 120 days, continue processing and proceed to ICD-10-CM Principal Diagnosis Code Check. The goal is to establish broadly agreed upon core measure sets that could be harmonized across both commercial and government payers. In light of these points, a blueprint is proposed for using domain-specific outcome measures in stroke recovery trials. Measure Information 2021 Reporting Period; CMS eCQM ID: CMS71v10 Short Name: STK-3 NQF Number: Not Applicable Description: Ischemic stroke patients with atrial fibrillation/flutter who are prescribed or continuing to take anticoagulation therapy at hospital discharge. *Red Dress DHHS, Go Red AHA ; National Wear Red Day is a registered trademark. One-hundred and forty-eight (148) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. Here I have broken it into the inpatient measure set and the outpatient measure set. 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. 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 4 0 obj STK-1 Venous Thromboembolism (VTE Prophylaxis)7. Youll see them abbreviated like this: Measure Type: InpatientNumber of Measures Included: 10Certification Requirement: The Joint Commissions Comprehensive Stroke Certification. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 5. }J The required quarterly sample size for the CSTK-01 measure is a minimum of 84 cases (42 cases from Table 1 plus 42 cases from Table 2 equals 84). Using the monthly sampling table for the Ischemic sub-population, the sample size is less than the minimum required monthly sample size, so 100% of this sub-population is sampled. Get With The Guidelines- Stroke has been funded in the past through support from Janssen Pharmaceuticals, Boeringher-Ingelheim, and Merck. STK-5 Antithrombotic Therapy By End of Hospital Day Two16. CPT is a registered trademark of the American Medical Association. STK-2 Discharged on Antithrombotic Therapy13. STK-5 Antithrombotic Therapy By End of Hospital Day Two11. .gov 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. Remember that changes do not have to be large. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Major causes of HF are coronary artery disease, high blood pressure, and diabetes. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> In addition, stroke rehabilitation incorporates prevention and treatment of medical and mental health complications such as aspiration pneumonia, soft-tissue contractures, decubitus ulcers, infection, deep vein thrombosis (DVT), malnourishment, and depression. The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. Learn more about the communities and organizations we serve. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Anticoagulation therapy is a course of drug therapy in which medications are administered to a patient to slow the rate at which the patient's blood clots. Learn how working with the Joint Commission benefits your organization and community. 2 0 obj 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 Nonvalvular atrial fibrillation is a common arrhythmia and an important risk factor for stroke. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the (AMA is not recommending their use. This content does not have an English version. Request Appointment Quality and Mayo Clinic Arizona Florida Minnesota Event reporting Quality measures Quality rankings Stroke Core Measure Loading chart. The required quarterly sample is 60 cases. % Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. CPT is a registered trademark of the American Medical Association. 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). You can decide how often to receive updates. Stroke Performance Measure 1: VTE Prophylaxis (ischemic and hemorrhagic stroke patients who received The core measurescan be found at: http://www.qualityforum.org/cqmc/. 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. In addition, 36 states reported more Adult Core Set measures for FFY 2019 than for FFY 2018. If the Length of Stay is greater than 120 days, the patient is not in the STK Initial Patient Population and is not eligible to be sampled for the STK measure set. Arrhythmia means that the heart's normal beating rhythm is interrupted. CSTK-05a: Hemorrhagic Transformation for Patients Treated with Intravenous (IV) Thrombolytic (t-PA) Therapy Only2. Percent of ischemic stroke patients with an LDL greater than or equal to 70 mg/dL, or LDL not measured, or who were on a lipid-lowering medication prior to hospital arrival are prescribed statin medication at hospital discharge. Source: Medisolv Perfect Care Report (eff. lock STK-OP-1i Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, 3. CSTK-05b: Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 4. 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. At the beginning of 2020, The Joint Commission switched over to the Direct Data Submission Platform (DDSP). A hospitals Ischemic sub-population is 316 during January. The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measure Maintenance Technical Advisory Panel (TAP). The final clinical diagnosis is used to identify the measure population. <>>> A hospitals hemorrhagic stroke patient population size is 60 cases during March. We help you select and set up measures that make sense based on your hospitals situation. 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). ASR-OP-2a Door to Transfer to Another Hospital Overall Rate2. To develop the core measure sets the Collaborative split into workgroups and reviewed measures currently in use by CMS and health plans as well as measures endorsed by NQF for the individual measure sets. endobj 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. Nozzle assembly is comprehensively flow tested to measure flow rate, leak and seat condition to validate injection consistency. endobj Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, Measures for Acute Stroke Ready Center Certification, Measures for Primary Stroke Center Certification, Measures for Thrombectomy Capable Stroke Center Certification, Measures for Comprehensive Stroke Center Certification, eSTK-2 Discharged on Antithrombotic Therapy, eSTK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter, eSTK-5 Antithrombotic Therapy by End of Hospital Day Two, ASR-IP-1 Thrombolytic Therapy: Inpatient Admission, ASR-IP-2 Antithrombotic Therapy By End of Hospital Day 2, ASR-IP-3 Discharged on Antithrombotic Therapy, ASR-OP-1 Thrombolytic Therapy: Drip and Ship, CSTK-01 National Institutes of Health Stroke Scale (NIHSS) Score Performed for Ischemic Stroke Patients, CSTK-02 Modified Rankin Score (mRS) at 90 Days, CSTK-03 Severity Measurement Performed for SAH and ICH Patients, CSTK-04 Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH), CSTK-06 Nimodipine Treatment Administered, CSTK-08 Thrombolysis in Cerebral Infarction (TICI) Post-Treatment Reperfusion Grade, CSTK-10 Modified Rankin Score (mRS) at 90 Days: Favorable Outcome, CSTK-11 Rate of Rapid Effective Reperfusion From Hospital Arrival, CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture, STK-1 Venous Thromboembolism (VTE) Prophylaxis, STK-2 Discharged on Antithrombotic Therapy, STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter, STK-5 Antithrombotic Therapy By End of Hospital Day Two, STK-OP-1 Door to Transfer to Another Hospital, STK-VOL-1 Eligible Ischemic Stroke Patients Who Receive Mechanical Endovascular Reperfusion Therapy. Download Get With The Guidelines- Stroke fact sheets and forms here. Written by American Heart Association editorial staff and reviewed by science and medicine advisers. STK-2 Discharged on Antithrombotic Therapy8. 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. Suspected stroke symptoms can be confounded by medications, metabolic encephalopathy, and comorbid conditions. Due to exclusions, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. /'6sh]l{;VSCe}>j}1#R/E5SzOOl%5-Ybh_+/y}V4jru*nvJ_VRF|8w^5 @/K6jPw*sfoqW}"3v}qCmqytT_.NnwT*_kL?hokU^dU2h=>tLi Percent of ischemic stroke patients who received antithrombotic therapy by the end of hospital day two. 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. stream 2023 American Heart Association, Inc. All rights reserved. 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. A hospitals hemorrhagic stroke patient population size is 295 cases during March. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 150 cases for the quarter. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter6. The change in the performance measure requirements for Acute Stroke Ready Hospitals, (i.e., STK-OP-1 replacing ASR-OP-2 effective with discharges on and after July 1, 2021) can be found in several places. A hospitals ischemic stroke patient population size is 295 cases during March. 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). 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). The Core Quality Measures Project currently includes 6 of 11 National EMS Quality Measures. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. STK-OP-1g Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible**ADDED as of 7/1/2021**8. STK-4 Thrombolytic Therapy10. Secure .gov websites use HTTPSA Fifty (50) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. Forty states reported at least half (16) of the Adult Core Set measures for FFY 2019. Repeat steps 8 and 9 until your team is happy with your treatment rates and your hospital is eligible for. Stroke (STK) (v2021B) Home Stroke (STK) Release Notes: Measure Information Form Version 2021B Stroke (STK) On this page: Set Measures General Data Elements Algorithm Output Data Elements Measure Set Specific Data Elements Related Materials Initial Patient Population Algorithm Stroke (STK) Initial Patient Population Algorithm Narrative Find evidence-based sources on preventing infections in clinical settings. Measures that include patient and/or caregiver engagement Adult Recommended Core Measures Controlling High Blood Pressure Use of High-Risk Medications in the Elderly Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Use of Imaging Studies for Low Back Pain Domain-specific outcomes for stroke clinical trials: what the modified Rankin isn't ranking. CSTK-05a: Hemorrhagic Transformation for Patients Treated with Intravenous (IV) Thrombolytic (t-PA) Therapy Only2. ASR-OP-2d Ischemic Stroke; no IV alteplase prior to transfer, Measures for TJC Primary Stroke Center Certification, 1. Share sensitive information only on official, secure websites. https:// Clinical practice guidelines for the prevention of VTE recommend the use of preventive therapies in at-risk patients. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)5. 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). U.S. Government Rights This post is a guide to understanding the differences between the five major stroke measure sets. National Center Using the monthly sampling table for the Hemorrhagic sub-population, the sample size required is 20% of this sub-population, or 46 cases for the quarter (twenty percent of 228 equals 45.6 rounded up to the next whole number equals 46). Especially if you use an EHR vendor right now, youll notice a huge difference. >0SPJ*@6W/rq+ERY_X&14>k( Return to Clinical Data Processing Flow in the Data Processing section. 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. An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. n01Qf i# ]gmJIYan{"I,$ }T/~yN)NeiAog@ckRLkd,'? $BJ8W(d`W $0s2[AS}4cpLtaDZhTb E,Jy;;S N/! The AMA does not directly or indirectly practice medicine or dispense medical services. You can use the words "AND" and "OR" along . This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Find more information on our content editorial process. STK-10 Assessed for Rehabilitation. The six measures are: . In the Hospital Inpatient VBP Program Final Rule, CMS adopted the 30-day mortality measures for acute myocardial infarction (AMI), heart failure (HF), and pneumonia* under the Outcome domain. January 1, 2021: Actual Primary Completion Date : June 30, 2021: Estimated Study Completion Date : December 31, 2021: Groups and Cohorts. A hospital may choose to use a larger sample size than is required. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Two-hundred and twenty-three (223) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. endstream endobj startxref m/P]H(ZVk[/ "+TPy9|9J1C0.ZOK_i@"$B'r~-("tNZmO}cv!eB Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the (AMA is not recommending their use. 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. Heres how you know. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. <> Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 50 cases for the month. CSTK-06 Nimodipine Treatment Administered6. %PDF-1.5 Quarterly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 392 during the first quarter. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. ) STK-1 Venous Thromboembolism (VTE Prophylaxis)12. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 2. We help troubleshoot technical and clinical issues to improve your measures. STK-OP-1c Ischemic Stroke; IV Alteplase Prior to Transfer (Drip and Ship) **RETIRED 7/1/2021**4. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. A single copy of these materials may be reprinted for noncommercial personal use only. 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 Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. ASR-OP-2b Hemorrhagic Stroke3. These measures include aggressive use of medications, such as antithrombotics, anticoagulation therapy, deep vein thrombosis prophylaxis, cholesterol-reducing drugs and smoking cessation, all aimed at reducing death and disability and improving the lives of stroke patients. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture11. STK-10 Assessed for Rehabilitation, Measures for TJC Thrombectomy Capable Stroke Center Certification, 1. CSTK-09 Arrival Time to Skin Puncture, 8. The American Medical Association reserves all rights to approve any license with any Federal agency. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. endobj 7.gbu>/u?3>kW?^n-'\\o.T(A2Y/-.>+ Stroke Core Measure - About Us - Mayo Clinic , . A hospitals Hemorrhagic sub-population is 316 during February. Percent of ischemic stroke patients with atrial fibrillation or atrial flutter who are prescribed anticoagulation therapy at hospital discharge. We can make a difference on your journey to provide consistently excellent care for each and every patient. Information in this course pertains to 01/1/13 - 12/31/13, version 4.2 of the Specifications Manual. A hospitals ischemic stroke patient population size is 200 cases during the second quarter. Sign up to get the latest information about your choice of CMS topics. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only3. 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).