CSTK-05a: Hemorrhagic Transformation for Patients Treated with Intravenous (IV) Thrombolytic (t-PA) Therapy Only2. Quarterly sampling for the Ischemic sub-population: A hospitals Ischemic sub-population is 392 during the first quarter. CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture11. Learn how working with the Joint Commission benefits your organization and community. The required quarterly sample is 45 cases. Updated eCQM Specifications and eCQM Materials for 2021 Reporting Now Using the notice and public comment rule-making process, CMS also intends to implement new core measures across applicable Medicare quality programs as appropriate, while eliminating redundant measures that are not part of the core set. Understanding core measures for heart-failure treatment - American Nurse The required quarterly sample is 45 cases. endobj All Records, Optional for HBIPS-2 and HBIPS-3, No sampling; 100% Patient Population required, ICD-10-PCS Principal or Other Procedure Codes. <>>> Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 25 cases for the month. The administration of anticoagulation therapy is an effective strategy in preventing recurrent stroke in high stroke risk-atrial fibrillation patients. These core measure sets are a major step forward for alignment of quality measures between public and private payers and provides a framework upon which future efforts can be based. Set the Initial Patient Population Reject Case Flag to equal Yes. 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. endobj % The goal is to establish broadly agreed upon core measure sets that could be harmonized across both commercial and government payers. But hospitals see benefits as well. Source: Medisolv Perfect Care Report (eff. Hospitals will receive a score for their performance on 10 Claims-Based measures in four categories: patient safety, mortality, coordination of care and payment. PDF Quality ID #187: Stroke and Stroke Rehabilitation: Thrombolytic Therapy % There are no Stroke eCQMs applicable or available for Certification purposes. CSTK-05a: Hemorrhagic Transformation for Patients Treated with Intravenous (IV) Thrombolytic (t-PA) Therapy Only2. There are five major stroke measure sets. A hospitals hemorrhagic stroke patient population size is 200 cases during the second quarter. Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 84 cases for the quarter. ASR-OP-2b Hemorrhagic Stroke3. Stroke Core Measures Stroke 'core measures' are critical steps in a patient's hospital stay that have been established based on outcomes. 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. A hospitals ischemic stroke patient population size is 295 cases during March. Anticoagulation Therapy for Atrial Fibrillation/Flutter Specifications Manual for Joint Commission National Quality Measures (v2021B), Stroke (STK) Initial Patient Population Algorithm Narrative, Anticoagulation Therapy Prescribed at Discharge, Antithrombotic Therapy Administered by End of Hospital Day 2, Antithrombotic Therapy Prescribed at Discharge, Education Addresses Activation of Emergency Medical System, Education Addresses Follow-up After Discharge, Education Addresses Medication Prescribed at Discharge, Education Addresses Risk Factors for Stroke, Education Addresses Warning Signs and Symptoms of Stroke, IV OR IA Alteplase Administered at This Hospital or Within 24 Hours Prior to Arrival, Reason for Extending the Initiation of IV Alteplase, Reason for No VTE Prophylaxis Hospital Admission, Reason for Not Administering Antithrombotic Therapy by End of Hospital Day 2, Reason for Not Prescribing Statin Medication at Discharge, Statin Medication Prescribed at Discharge, 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, Anticoagulation Therapy for Atrial Fibrillation/Flutter, Antithrombotic Therapy By End of Hospital Day Two, 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. We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes. The required quarterly sample is 60 cases. A hospitals hemorrhagic stroke patient population size is 17 cases during March. One-hundred and twenty-three (123) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. stream Below are the list of Stroke measures by Certification Program. m/P]H(ZVk[/ "+TPy9|9J1C0.ZOK_i@"$B'r~-("tNZmO}cv!eB Length of Stay, in days, is equal to the Discharge Date minus the Admission Date. 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. The required quarterly sample sizes for each sub-population would be 79 and 5. 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. 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. 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. 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). Stroke patients are at increased risk of developing venous thromboembolism (deep vein blood clots). Percent of ischemic stroke patients who received antithrombotic therapy by the end of hospital day two. Please see http://www.qualityforum.org/CQMC_Core_Sets.aspx for more information. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. All rights reserved. This measure set is applicable to patients with diagnoses of ischemic stroke and hemorrhagic stroke, and TIA. CPT is a registered trademark of the American Medical Association. Saturday: 9 a.m. - 5 p.m. CT 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. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. One-hundred and forty-eight (148) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. Learn about the "gold standard" in quality. The two Measure Stewards (CMS and TJC) require hospitals to submit their chart-abstracted data in two different ways. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. The AMA is a third party beneficiary to this Agreement. Family/caregivers will also need guidance in planning effective and realistic care strategies appropriate to the patient's prognosis and potential for rehabilitation. CSTK-03 Severity Measurement Performed for SAH and ICH Patients (Overall Rate)3. Joint Commission Clinical Measures. Comprehensive Stroke (CSTK) (v2021A1) Home Comprehensive Stroke (CSTK) Comprehensive Stroke (CSTK) On this page: Comprehensive Stroke (CSTK) Initial Patient Population Monthly Sampling Sample Size Examples Set Measures General Data Elements Algorithm Output Data Elements Measure Set Specific Data Elements 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. STK-OP-1 Door to Transfer to Another Hospital, 1. Based on this review and discussion the workgroups identified a consensus core set for the selected clinical areas. We can make a difference on your journey to provide consistently excellent care for each and every patient. Domain-specific outcomes for stroke clinical trials: what the modified Rankin isn't ranking. 3 0 obj The Perfect Care Report identifies patients that received perfect care. REMINDER: Stroke is now a Core Measure for CMS!!! This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. STK-6 Discharged on Statin Medication9. An injection of TPA is usually given through a vein in the arm within the first three hours. A hospitals hemorrhagic stroke patient population size is 67 cases during the second quarter. endobj endobj *Note: There are additional measures needed to fulfill this certification. Hospitals report on these measures quarterly or monthly, and compliance can affect TJC accreditation and CMS . 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. STK-5 Antithrombotic Therapy By End of Hospital Day Two16. Additionally, the Collaborative developed a framework of aims and principles that informed the selection of core measure sets. Domain-Specific Outcome Measures in Clinical Trials of Therapies Major causes of HF are coronary artery disease, high blood pressure, and diabetes. x\_s6fE4f+[Itd2)Q" 2tIB.|Qe{r?);|_gb-rv>XS?m>`_\WNO>(b\@~f'4( L`yXS7?b!0@qp) Designed to be meaningful to patients, consumers, and physicians, the alignment of these core measure sets will aid in: CMS believes that by reducing burden on providers and focusing quality improvement on key areas across payers, quality of care can be improved for patients more effectively and efficiently. Time from symptom onset to stroke alert is delayed in in-hospital stroke. The following are Stroke chart abstracted measures used by The Joint Commission. TARGET: STROKE MEASURE You can decide how often to receive updates. Using the monthly sampling table for the Ischemic 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). Measure requirements are often not aligned among payers, which has resulted in confusion and complexity for reporting providers. A hospitals ischemic stroke patient population size is 37 cases during the second quarter. 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. CPT only copyright 2019 American Medical Association. 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. The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. . A hospitals Hemorrhagic sub-population is 316 during February. Please see link below for more information. 2 0 obj <> Nozzle assembly is comprehensively flow tested to measure flow rate, leak and seat condition to validate injection consistency. LqV)%0w#lP.s9XsG58gX'5L S AP*=;%)e0J9_T-NXC4*~bTdsSFnde#;nOOyOqsi]qQV/Fb3KtK. 2021). %PDF-1.5 The following table identifies the population . uz'*\08 DLli_{5:G}M=}nS`M6C'{AREuw%~NM5Ydam\[\_#$ s8S@ AE"4u0qwCmWN N`h,bp``+bv\~B9M Its a nightmare trying to keep straight this wide range of acronym-filled information. endobj 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 Clinical Measures Outcomes | Cleveland Clinic Sixty (60) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March.