%PDF-1.5 STK-2 Discharged on Antithrombotic Therapy8. CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture11. 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 nation's health care system moves from one that pays based on volume of services to one that pays for value. endobj The American Medical Association reserves all rights to approve any license with any Federal agency. 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. STK-1 Venous Thromboembolism (VTE Prophylaxis)7. CSTK-10 Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. A hospitals Ischemic sub-population is 5 patients during February. endobj STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter9. The Measure Steward refers to the organization that is responsible for providing the required measure information for the measure maintenance process that occurs approximately every three years. CSTK-05 Hemorrhagic Transformation, 1. 3= recommended; the outcome measure has good psychometric . 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). Test your ideas. We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes. %%EOF endobj For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. *** AHRQ is the measure steward for the survey instrument in the Adult Core Set (NQF #0006) and NCQA is the developer of the survey administration protocol. 4 0 obj The core measurescan be found at: http://www.qualityforum.org/cqmc/. Return to Clinical Data Processing Flow in the Data Processing section. Download Get With The Guidelines- Stroke fact sheets and forms here. But hospitals see benefits as well. Statin drugs are medications used to reduce serum level of lipids such as cholesterol. Measure Submission Type: Measure data may be submitted by individual MIPS eligible clinicians, groups, or third party intermediaries. Appointments at Mayo Clinic Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. 1 0 obj 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. We help troubleshoot technical and clinical issues to improve your measures. 2 0 obj ASR-OP-2b Hemorrhagic Stroke3. Ready to get started with CMIT 2.0? 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). 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. Learn about the priorities that drive us and how we are helping propel health care forward. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this Agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. A hospitals ischemic stroke patient population size is 392 cases during the second quarter. . This content does not have an Arabic version. 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. A hospitals hemorrhagic stroke patient population size is 392 cases during the second quarter. STK-6 Discharged on Statin Medication17. CSTK-03 Severity Measurement Performed for SAH and ICH Patients (Overall Rate)3. It is difficult to have actionable and useful information because physicians and other clinicians must currently report multiple quality measures to different entities. We develop and implement measures for accountability and quality improvement. Data Source: American Heart Association Get With The Guidelines stroke database. By improving stroke care, our Get With The Guidelines- Stroke program benefits patients as well as hospitals. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter for the measure set cannot sample. 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. This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. A hospitals ischemic stroke patient population size is 295 cases during March. Quarterly sampling for the two combined populations for Joint Commission certification purposes. 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 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. Medisolv Can HelpThis is a big year for Quality. CSTK-09 Arrival Time to Skin Puncture, 8. Contact Us, Hours Return to Clinical Data Processing Flow in the Data Processing section. 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. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. Stroke patients are at increased risk of developing venous thromboembolism (deep vein blood clots). 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). Visit: . Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 25 cases for the month. CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy, 4. 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. Heres a link to TJCs full program comparison sheet with guidelines of certification requirements. Stroke Core Measure - About Us - Mayo Clinic , . You can download it or email it to yourself to help you remember. or Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this Agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. This section reviews The Joint Commission certifications and clarifies the CMS accreditation requirement. Additionally, the Collaborative developed a framework of aims and principles that informed the selection of core measure sets. Include the patient in the Initial Patient Population for the appropriate measures. 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. 690 0 obj <>stream Monday - Friday: 7 a.m. 7 p.m. CT A single copy of these materials may be reprinted for noncommercial personal use only. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter/month for the sub-population cannot sample that sub-population. what car is miss crawly driving in sing 2 soap2day subtitles reddit you plan to deploy the following azure web apps webapp1 that uses the net 5 runtime stack rfid . STK-5 Antithrombotic Therapy By End of Hospital Day Two16. The administration of anticoagulation therapy is an effective strategy in preventing recurrent stroke in high stroke risk-atrial fibrillation patients. Sometimes it works best to start small and build on success. STK-6 Discharged on Statin Medication9. 2011-2021 6.7L Ford Power Stroke; 2008-2010 6.4L Ford Power Stroke; 2003-2007 6.0L Ford Power Stroke; . 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. 2 0 obj 646 0 obj <> endobj 7.gbu>/u?3>kW?^n-'\\o.T(A2Y/-.>+ 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. endobj A hospitals Hemorrhagic sub-population is 100 during the first quarter. 4 0 obj Measure Type: OutpatientNumber of Measures Included: There are five process measures (youll see one additional measure listed below that is not reported and one additional measure that is retired starting with July 1, 2021 discharges). 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).
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