STK-1 Venous Thromboembolism (VTE Prophylaxis)4. lock The most common signs and symptoms of HF are shortness of breath on exertion; orthopnea; weight gain with edema in the feet, legs, or lower back; fatigue; and weakness. Stroke Performance Measure 1: VTE Prophylaxis (ischemic and hemorrhagic stroke patients who received Percent of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge. endobj This may be achieved by administering the t-PA drug intravenously to eligible patients within three hours of stroke onset. 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). 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. CSTK-11 Rate of Rapid Effective Reperfusion From Hospital Arrival10. Assemble your multidisciplinary team to determine roles and processes for entering patient data. Hospital OQR Quality Measures and Timelines for the CY 2021 Payment Determination . Include the patient in the Initial Patient Population for the appropriate measures. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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). 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. lock 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. 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. Create your baseline by entering 30 records into the Patient Management Tool. Heres a good reference document in case you get confused. *Red Dress DHHS, Go Red AHA ; National Wear Red Day is a registered trademark. 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). Sometimes, TPA can be given up to 4.5 hours after stroke symptoms started. Clinical practice guidelines for the prevention of VTE recommend the use of preventive therapies in at-risk patients. A single copy of these materials may be reprinted for noncommercial personal use only. Stroke - Diagnosis and treatment - Mayo Clinic The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. 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. PDF Standardized Performance Measures for Primary Stroke Centers By not making a selection you will be agreeing to the use of our cookies. 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). StrokEdge - neuropt.org CSTK-06 Nimodipine Treatment Administered6. The AMA is a third party beneficiary to this Agreement. Monday - Friday: 7 a.m. 7 p.m. CT STK-8 Stroke Education18. Suspected stroke symptoms can be confounded by medications, metabolic encephalopathy, and comorbid conditions. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. PDF California EMS System Core Quality Measures Instruction Manual CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy4. 1-800-242-8721 The STK Initial Patient Population sizes for a hospital are 392 and 5 patients respectively per the sub-populations for the quarter. Start STK Initial Patient Population logic sub-routine. 2022 Hospital IQR Requirements - Medisolv Comprehensive Stroke (CSTK) (v2021A1) - Performance Measurement Network endobj Saturday: 9 a.m. - 5 p.m. CT A hospitals Ischemic sub-population is 316 during January. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. In addition, TJC established the Certification Measure Information Process (CMIP) tool where hospitals must manually enter their certification data for the program certifications we reviewed above (ASR, PSC, TSC and CSC). Do not process cases that have been rejected before this point in the Clinical Data Processing Flow. <>/Metadata 285 0 R/ViewerPreferences 286 0 R>> A hospitals hemorrhagic stroke patient population size is 60 cases during March. Approximately 2-4% of patients with stroke have their event while hospitalized for another condition, with almost one half resulting from a vascular procedure. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 75 cases for the quarter. Family/caregivers will also need guidance in planning effective and realistic care strategies appropriate to the patient's prognosis and potential for rehabilitation. STK-8 Stroke Education13. 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 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 Medical Association reserves all rights to approve any license with any Federal agency. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. stream Regulatory/AccreditationExamples would include the Center for Medicare & Medicaid Services (CMS) required core measures (e.g., fibrinolytic therapy received within 30 minutes of emergency department (ED) arrival, aspirin at arrival) and documentation of Joint Commission standard achievement. 2023 Medisolv, Inc. All Rights Reserved. Learn more about the communities and organizations we serve. We help you select and set up measures that make sense based on your hospitals situation. CSTK-04 Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH )4. In this post we are either referencing CMS or The Joint Commission as the Measure Stewards. Refine processes and protocols to ensure they are in line with the guidelines. endobj uz'*\08 DLli_{5:G}M=}nS`M6C'{AREuw%~NM5Ydam\[\_#$ s8S@ AE"4u0qwCmWN N`h,bp``+bv\~B9M Stroke Quality Scores | Duke Health A hospitals Ischemic sub-population is 5 patients during February. CSTK-09 Arrival Time to Skin Puncture, 1. Percent of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services. 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. The AMA does not directly or indirectly practice medicine or dispense medical services. Monthly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 228 during March. ASR-IP-1: Thrombolytic Therapy (IV alteplase initiated in the ED followed by inpatient admission to the ASRH)2. Medisolv can help you along the way. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). A hospitals ischemic stroke patient population size is 70 cases during March. The two Measure Stewards (CMS and TJC) require hospitals to submit their chart-abstracted data in two different ways. Eleven (11) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. 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. Section 3. Measuring Emergency Department Performance 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. A hospitals ischemic stroke patient population size is 129 cases during March. 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 Fifty (50) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. CSTK-09 Arrival Time to Skin Puncture, 8. The required quarterly sample sizes for each sub-population would be 79 and 5. Using the monthly 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 monthly sample size, so 100% of the subpopulation or all 11 cases are sampled. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter14. An antithrombotic is a medication that prevents blood clots. The required monthly sample is 60 cases. CSTK-05 Hemorrhagic Transformation, 1. Research projects are hypothesis-driven studies that are developed into manuscripts suitable for peer-reviewed publication. Measure 6a is new and is being pilot tested in 2009. ASR-OP-1 Thrombolytic Therapy (Drip and Ship)5. 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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