Using the monthly 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 25 cases for the month (20% of 123 equals 24.6 rounded to the next highest whole number equals 25). Brainstorm with your team to find ways to improve your hospital's treatment rates. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Quarterly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 392 during the first quarter. By not making a selection you will be agreeing to the use of our cookies. Written by American Heart Association editorial staff and reviewed by science and medicine advisers. STK-6 Discharged on Statin Medication17. 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. An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. Patient Age, in years, is equal to the Admission Date minus the Birthdate. lock Statin drugs are medications used to reduce serum level of lipids such as cholesterol. hWn8,CIDE ;its8MZAt,9!%_e'Kaxs8>f9! The Duke Health system tracks and measures the care we provide to our patients based on these quality measures. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. Data Source: American Heart Association Get With The Guidelines stroke database. This Agreement will terminate upon notice if you violate its terms. A hospitals ischemic stroke patient population size is 129 cases during March. Specifications for these measures are available below: There are no Stroke chart abstracted measures applicable or available for Accreditation purposes. Part 1: A review of the different stroke measure sets. *All health/medical information on this website has been reviewed and approved by the American Heart Association, based on scientific research and American Heart Association guidelines. A hospitals hemorrhagic stroke patient population size is 129 cases during March. You can download it or email it to yourself to help you remember. means youve safely connected to the .gov website. CSTK-05a: Hemorrhagic Transformation for Patients Treated with Intravenous (IV) Thrombolytic (t-PA) Therapy Only2. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. %PDF-1.7 Four-hundred and twenty-eight (428) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. 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 . Hospitals now have one place to submit both chart-abstracted and eCQM data. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 5. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. LqV)%0w#lP.s9XsG58gX'5L S AP*=;%)e0J9_T-NXC4*~bTdsSFnde#;nOOyOqsi]qQV/Fb3KtK. 1-800-242-8721 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. MjMO2n7( LBm6N.Hl#|oKP?lEF@L9ew,w\XpP{]8vxmtV}Or,kU{ `B7{"'Tf(DL[}ZEY 7'XoFo(|{%Jlv,_v}%DPnpoAucQGPy'YVJGXv:E j5(kts,?BcBKd?R . The goal is to establish broadly agreed upon core measure sets that could be harmonized across both commercial and government payers. 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. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Measures for TJC Acute Stroke Ready Center Certification, 1. Set the Initial Patient Population Reject Case Flag to equal Yes. This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. Learn more about the communities and organizations we serve. 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. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Comprehensive Stroke Arrival Time to Skin Puncture, Comprehensive Stroke Post Thrombolysis Revascularization Rate, Comprehensive Stroke Timeliness of IV Thrombolytic Therapy, Advertising and sponsorship opportunities, Percent of ischemic and hemorrhagic stroke patients who received venous thromboembolism (VTE) prophylaxis the day of or the day after hospital admission. Return to Clinical Data Processing Flow in the Data Processing section. IQR Measures - Centers for Medicare & Medicaid Services PDF Hospital OQR Quality Measures and Timelines for CY 2021 Payment Set the Initial Patient Population Reject Case Flag to equal Yes. January 1, 2021: Actual Primary Completion Date : June 30, 2021: Estimated Study Completion Date : December 31, 2021: Groups and Cohorts. Especially if you use an EHR vendor right now, youll notice a huge difference. Measure 6a is new and is being pilot tested in 2009. CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy4. CSTK-02 Modified Rankin Score (mRS at 90 Days)3. STK-8 Stroke Education10. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. Based on this review and discussion the workgroups identified a consensus core set for the selected clinical areas. 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. Return to Clinical Data Processing Flow in the Data Processing section. Secure .gov websites use HTTPSA 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. Chart Abstracted Measures for Certification. Measure Set Stroke Measure ID # STR-1 Measure Name Prehospital Screening for Suspected Stroke Patients Q2 (April 1-June 30); Q3 (July 1-September 30); Q4 (October 1-December 31); Q1 . We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. REMINDER: Stroke is now a Core Measure for CMS!!! All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. Share sensitive information only on official, secure websites. PDF Understanding Stroke Measure Sets - f.hubspotusercontent30.net Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Understanding Stroke Measure Sets - f.hubspotusercontent30.net 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . x[6 >tK(E4.z~bK[K6IL[Ev9$g8oon_G|&"JLEE DFowJEM/7^G7Zt]kv\}{\](6t~fFKHVY4#o}Q1ps 2)bO}eYOcfY[7YO_b;x%k)ZJE,Tx[p53^\BH\T,uFN'gI8JP^fD*VbIgWb 4*nO4>nEHlE<4VujSs.i[_i]@gjBq?yrY5r>||x\n#bi\O#_5mHXG_@0-`=[05L$Ae[BvzWR?y'1XV%^m#. All rights reserved. R,A`=N T$gZq,AW@0H#`.K#AJk_~}~Dc7?o=0T,qp{"+&y8N^-9yG-W +~ZY(DA[xvc2EGJv;P.Q12`3'o0f}ahq+ci;")i EmNW`0}d\K?QD-ki'e1ACa%i^\|.I$a-4>b(L Stroke Core Measure - About Us - Mayo Clinic Numerous published studies demonstrate the program's success in improving patient outcomes. 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 you select and set up measures that make sense based on your hospitals situation. 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. STK-OP-1d Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and MER Eligible5. A hospitals ischemic stroke patient population size is 495 cases during the second quarter. Stroke is a leading cause of serious, long-term disability in the United States. {8Dm.;JHTBXEXh^^^.Y)oH 6K;ANf!;*#.\1\c"1cKE. Heres a link to TJCs full program comparison sheet with guidelines of certification requirements. % This is a big year for Quality. In regard to stroke, The Joint Commission has four different types of certification programs that go along with these stroke measure sets. A hospitals ischemic stroke patient population size is 200 cases during the second quarter. 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. CSTK-05 Hemorrhagic Transformation, 1. STK-2 Discharged on Antithrombotic Therapy8. ASR-OP-2d Ischemic Stroke; no IV alteplase prior to transfer, Measures for TJC Primary Stroke Center Certification, 1. STK-10 Assessed for Rehabilitation. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. Domain-specific outcomes for stroke clinical trials: what the modified Rankin isn't ranking. The DDS platform is where hospitals submit performance measurement data to The Joint Commissions to meet ORYX reporting requirements. Neurology. uz'*\08 DLli_{5:G}M=}nS`M6C'{AREuw%~NM5Ydam\[\_#$ s8S@ AE"4u0qwCmWN N`h,bp``+bv\~B9M Stroke Core Measures Stroke 'core measures' are critical steps in a patient's hospital stay that have been established based on outcomes. Studies at this time suggest that antithrombotic therapy should be administered within 2 days of symptom onset in acute ischemic stroke patients to reduce stroke mortality and morbidity. STK-OP-1b Hemorrhagic Strok3. 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. Dude JA, Lohse KR, Cramer SC, Worrall BB; GPAS Collaboration Phenotyping Core. CSTK-04 Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH )4. If the Patient Age is greater than or equal to 18 years, continue processing and proceed to Length of Stay Calculation. View them by specific areas by clicking here. The guiding principles used by the Collaborative in developing the core measure sets are that they be meaningful to patients, consumers, and physicians, while reducing variability in measure selection, collection burden, and cost.