stroke core measures 2021

REMINDER: Stroke is now a Core Measure for CMS!!! endobj CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. ASR-OP-2d Ischemic Stroke; no IV alteplase prior to transfer, Measures for TJC Primary Stroke Center Certification, 1. National Center A hospital may choose to use a larger sample size than is required. 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. Nineteen (19) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. 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). 1 0 obj CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only3. Neurology. . CMS and TJC update Core Measures and retire some Core Measures on an ongoing basis. stroke patients receiving IV t-PA at your hospital who are treated within 45 minutes after triage (ED arrival). 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. <>/Metadata 285 0 R/ViewerPreferences 286 0 R>> Here I have broken it into the inpatient measure set and the outpatient measure set. 4 0 obj The core measurescan be found at: http://www.qualityforum.org/cqmc/. OP Stroke General Data Element List General Data Element Name Collected For: Arrival Time View them by specific areas by clicking here. >ob=AOtVt. Request Appointment Quality and Mayo Clinic Arizona Florida Minnesota Event reporting Quality measures Quality rankings Stroke Core Measure Loading chart. A hospital may choose to use a larger sample size than is required. 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. 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. Disclaimer of Warranties and Liabilities. 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. Early rehabilitation interventions initiated following stroke can enhance the recovery process and minimize functional disability. Refine processes and protocols to ensure they are in line with the guidelines. or The required quarterly sample sizes for each sub-population would be 79 and 5. 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). Initial Population: Inpatient hospitalizations for patients age 18 and older . 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. 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. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 2. This item requires a Core Return or Core Charge. 4 0 obj 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 monthly sample is 60 cases. 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. If the Patient Age is greater than or equal to 18 years, continue processing and proceed to Length of Stay Calculation. A hospitals ischemic stroke patient population size is 129 cases during March. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. <> Oh, also, I included a ton of resources and links throughout this article and a specific list of resources at the end. A hospitals ischemic stroke patient population size is 295 cases during March. Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size required is 42 cases for the quarter. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)5. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. ASR-OP-1 Thrombolytic Therapy (Drip and Ship)5. The six measures are: . The measure set contains two independent sub-populations: Ischemic STK patients and Hemorrhagic STK patients. Test your ideas. A hospitals ischemic stroke patient population size is 7 cases during March. Find evidence-based sources on preventing infections in clinical settings. Share sensitive information only on official, secure websites. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. A hospitals Hemorrhagic sub-population is 316 during February. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. 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. Measure Type: InpatientNumber of Measures Included: 8Certification Requirement: The Joint Commissions Primary Stroke Certification, Anticoagulation Therapy for Atrial Fibrillation/Flutter, Antithrombotic Therapy By End of Hospital Day Two. hWn8,CIDE ;its8MZAt,9!%_e'Kaxs8>f9! The STK Initial Patient Population sizes for a hospital are 392 and 5 patients respectively per the sub-populations for the quarter. CSTK-09 Arrival Time to Skin Puncture, 8. Return to Clinical Data Processing Flow in the Data Processing section. <> 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-4 Thrombolytic Therapy15. Get With The Guidelines- Stroke has been funded in the past through support from Janssen Pharmaceuticals, Boeringher-Ingelheim, and Merck. Here is a diagram that outlines the submission differences. CMS will use these mortality measures, which it reports under the Clinical Care domain, in the FY 2019 program. See how our expertise and rigorous standards can help organizations like yours. 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. 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. STK-1 Venous Thromboembolism (VTE Prophylaxis)7. A hospitals ischemic stroke patient population size is 392 cases during the second quarter. 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. 3= recommended; the outcome measure has good psychometric . ** The Adult Core Set includes the NCQA version of the measure, whichis adapted from the CMS measure (NQF #1879). Process all cases that have successfully reached the point in the Clinical Data Processing Flow which calls this Initial Patient Population Algorithm. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)7. 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 [emailprotected]. To address this problem, the Centers for Medicare & Medicaid Services (CMS), commercial plans, Medicare and Medicaid managed care plans, purchasers, physician and other care provider organizations, and consumers worked together through the Core Quality Measures Collaborative to identify core sets of quality measures that payers have committed to using for reporting as soon as feasible. 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. 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. Mayo Clinic does not endorse any of the third party products and services advertised. x\_s6fE4f+[Itd2)Q" 2tIB.|Qe{r?);|_gb-rv>XS?m>`_\WNO>(b\@~f'4( L`yXS7?b!0@qp) STK-10 Assessed for Rehabilitation, Measures for TJC Thrombectomy Capable Stroke Center Certification, 1. In addition, 36 states reported more Adult Core Set measures for FFY 2019 than for FFY 2018. A hospitals hemorrhagic stroke patient population size is 67 cases during the second quarter. 3 0 obj The Pathfinder Core Rulebook includes: More than 600 pages of game rules, advice, character options, treasure, and more for players and Game Masters! If the Patient Age is less than 18 years, the patient is not in the STK Initial Patient Population and is not eligible to be sampled for the STK measure set. CPT is a registered trademark of the American Medical Association. Hospital OQR Quality Measures and Timelines for the CY 2021 Payment Determination . 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. This began in Fiscal Year (FY) 2014. An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. 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. STK-10 Assessed for Rehabilitation. A hospitals hemorrhagic stroke patient population size is 17 cases during March. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter6.