stroke core measures 2021

endobj Percent of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge. An antithrombotic agent is a drug that reduces the formation of blood clots. 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. Forty states reported at least half (16) of the Adult Core Set measures for FFY 2019. Once a patient is qualified, he/she moves to the second part of the algorithm which tells you which sub-population he/she falls into. Find more information on our content editorial process. The Differences Between The 5 Major Stroke Measure Sets - Medisolv A hospitals Ischemic sub-population is 316 during January. A hospitals Ischemic sub-population is 5 patients during the first quarter. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. There are no Stroke eCQMs applicable or available for Certification purposes. Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size is less than the minimum required monthly sample size, so 100% of the subpopulation or all 17 cases are sampled. 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 Core Measures | CMS - Centers for Medicare & Medicaid Services A hospitals hemorrhagic stroke patient population size is 67 cases during the second quarter. Commercial health plans are rolling out the core measures as part of their contract cycle. <>/Metadata 285 0 R/ViewerPreferences 286 0 R>> 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. Core Measures - Nursing On Point Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. sI OP Stroke General Data Element List General Data Element Name Collected For: Arrival Time 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. Repeat steps 8 and 9 until your team is happy with your treatment rates and your hospital is eligible for. CSTK-06 Nimodipine Treatment Administered6. In regard to stroke, The Joint Commission has four different types of certification programs that go along with these stroke measure sets. PDF Hospital Outpatient Quality Reporting Stroke Measure Set - RWHC *{o7@FNhR/ The Perfect Care Report identifies patients that received perfect care. The DDS platform is where hospitals submit performance measurement data to The Joint Commissions to meet ORYX reporting requirements. Monday - Friday: 7 a.m. 7 p.m. CT 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: 2012 . Nonvalvular atrial fibrillation is a common arrhythmia and an important risk factor for stroke. 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 Watch the "Introduction to CMIT 2.0" video to learn more about the latest features! 1-800-AHA-USA-1 %PDF-1.5 Based on this review and discussion the workgroups identified a consensus core set for the selected clinical areas. A hospitals ischemic stroke patient population size is 295 cases during March. 3= recommended; the outcome measure has good psychometric . This post is a guide to understanding the differences between the five major stroke measure sets. Initial Population: Inpatient hospitalizations for patients age 18 and older . Stroke Corner - Education - neuropt.org STK-OP-1c Ischemic Stroke; IV Alteplase Prior to Transfer (Drip and Ship) **RETIRED 7/1/2021**4. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. Dude JA, Lohse KR, Cramer SC, Worrall BB; GPAS Collaboration Phenotyping Core. 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . Each certification may require your hospital to submit one or more of the five measure sets we reviewed above. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 5. A hospitals Hemorrhagic sub-population is 3 patients during January. Stroke (STK) (v2021B) The listed denominator criteria are used to identify the intended patient population. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). The American Heart Association is a qualified 501(c)(3) tax-exempt organization. This means the patient passed every measure they qualified for. We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 2. CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy4. Include the patient in the Initial Patient Population for the appropriate measures. Quarterly sampling for the two combined populations for Joint Commission certification purposes. %PDF-1.4 % <> The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. Medisolv Can HelpThis is a big year for Quality. Monthly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 228 during March. 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). 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). Heres a good reference document in case you get confused. 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. We help you select and set up measures that make sense based on your hospitals situation. PDF CMCS Informational Bulletin - Medicaid.gov An official website of the United States government 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 more information on our content editorial process. STK-4 Thrombolytic Therapy15. 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. Each measure includes patients from one or more categories. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. <> 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. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). STK-1 Venous Thromboembolism (VTE Prophylaxis)7. Sometimes, TPA can be given up to 4.5 hours after stroke symptoms started. 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). CPT is a registered trademark of the American Medical Association. Source: Medisolv Perfect Care Report (eff. 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 treatment, 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, Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH ), 2. 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. CMS will use these mortality measures, which it reports under the Clinical Care domain, in the FY 2019 program. Sign up to get the latest information about your choice of CMS topics. All rights reserved. Electronic Clinical Quality Measures (eCQMs) for Accreditation, Chart Abstracted Measures for Accreditation, Electronic Clinical Quality Measures (eCQMs) for Certification. Heres a link to TJCs full program comparison sheet with guidelines of certification requirements. This measure set is applicable to patients with diagnoses of ischemic stroke and hemorrhagic stroke, and TIA. 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. STK-6 Discharged on Statin Medication9. 4 0 obj A modified sampling procedure is required for hospitals performing quarterly sampling for STK. endstream endobj startxref 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. Core Rulebook (disambiguation) This is a disambiguation page; that is, one that points to other pages that might otherwise have the same name.Pathfinder 2E.Expand your capabilities by selecting general feats that improve your statistics or give you. 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). 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. Brainstorm with your team to find ways to improve your hospital's treatment rates. 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 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). Return to Clinical Data Processing Flow in the Data Processing section.

stroke core measures 2021 2023