stroke core measures 2021

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. Dallas, TX 75231, Customer Service STK-OP-1b Hemorrhagic Strok3. Assemble your multidisciplinary team to determine roles and processes for entering patient data. Arrhythmia means that the heart's normal beating rhythm is interrupted. In regard to stroke, The Joint Commission has four different types of certification programs that go along with these stroke measure sets. Below are the list of Stroke measures by Certification Program. Find evidence-based sources on preventing infections in clinical settings. To begin, I will clarify the two Measure Stewards we are reviewing today (there are many other Measure Stewards out there). The DDS platform is where hospitals submit performance measurement data to The Joint Commissions to meet ORYX reporting requirements. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. The psychometric properties of the measures are reviewed using a modified EDGE (Evidence Database to Guide Effectiveness) template (a format recommended by the APTA EDGE task force). Core Measures | CMS - Centers for Medicare & Medicaid Services Heres how you know. National Center 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 endobj So, Ive attempted to structure it in a way that will be a reference for you. The following are the list of required chart-abstracted stroke measures for each certification program. PDF Stroke Core Stroke Measures - University of Florida means youve safely connected to the .gov website. ASR-IP-1: Thrombolytic Therapy (IV alteplase initiated in the ED followed by inpatient admission to the ASRH)2. 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Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, Measures for Acute Stroke Ready Center Certification, Measures for Primary Stroke Center Certification, Measures for Thrombectomy Capable Stroke Center Certification, Measures for Comprehensive Stroke Center Certification, eSTK-2 Discharged on Antithrombotic Therapy, eSTK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter, eSTK-5 Antithrombotic Therapy by End of Hospital Day Two, ASR-IP-1 Thrombolytic Therapy: Inpatient Admission, ASR-IP-2 Antithrombotic Therapy By End of Hospital Day 2, ASR-IP-3 Discharged on Antithrombotic Therapy, ASR-OP-1 Thrombolytic Therapy: Drip and Ship, CSTK-01 National Institutes of Health Stroke Scale (NIHSS) Score Performed for Ischemic Stroke Patients, CSTK-02 Modified Rankin Score (mRS) at 90 Days, CSTK-03 Severity Measurement Performed for SAH and ICH Patients, CSTK-04 Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH), CSTK-06 Nimodipine Treatment Administered, CSTK-08 Thrombolysis in Cerebral Infarction (TICI) Post-Treatment Reperfusion Grade, CSTK-10 Modified Rankin Score (mRS) at 90 Days: Favorable Outcome, CSTK-11 Rate of Rapid Effective Reperfusion From Hospital Arrival, CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture, STK-1 Venous Thromboembolism (VTE) Prophylaxis, STK-2 Discharged on Antithrombotic Therapy, STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter, STK-5 Antithrombotic Therapy By End of Hospital Day Two, STK-OP-1 Door to Transfer to Another Hospital, STK-VOL-1 Eligible Ischemic Stroke Patients Who Receive Mechanical Endovascular Reperfusion Therapy. Return to Clinical Data Processing Flow in the Data Processing section. Using the monthy sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 14 cases for the month. ASR-OP-2b Hemorrhagic Stroke3. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)7. Create your baseline by entering 30 records into the Patient Management Tool. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. STK-10 Assessed for Rehabilitation, Measures for TJC Thrombectomy Capable Stroke Center Certification, 1. The measure set contains two independent sub-populations: Ischemic STK patients and Hemorrhagic STK patients. This Agreement will terminate upon notice if you violate its terms. /'6sh]l{;VSCe}>j}1#R/E5SzOOl%5-Ybh_+/y}V4jru*nvJ_VRF|8w^5 @/K6jPw*sfoqW}"3v}qCmqytT_.NnwT*_kL?hokU^dU2h=>tLi Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 5. Learn about the priorities that drive us and how we are helping propel health care forward. Patient Age, in years, is equal to the Admission Date minus the Birthdate. <> CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)5. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 150 cases for the quarter. endobj A hospitals Hemorrhagic sub-population is 3 patients during January. STK-2 Discharged on Antithrombotic Therapy13. 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). Get more information about cookies and how you can refuse them by clicking on the learn more button below. Based on this review and discussion the workgroups identified a consensus core set for the selected clinical areas. StrokEdge - neuropt.org For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. ( Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 14 cases for the month. IQR Measures - Centers for Medicare & Medicaid Services The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measure Maintenance Technical Advisory Panel (TAP). Remember that changes do not have to be large. decreased providers collection burden and cost. LqV)%0w#lP.s9XsG58gX'5L S AP*=;%)e0J9_T-NXC4*~bTdsSFnde#;nOOyOqsi]qQV/Fb3KtK. <> By not making a selection you will be agreeing to the use of our cookies. One-hundred and forty-eight (148) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. CPT is a registered trademark of the American Medical Association. Percent of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services. But hospitals see benefits as well. By improving stroke care, our Get With The Guidelines- Stroke program benefits patients as well as hospitals. Using the notice and public comment rule-making process, CMS also intends to implement new core measures across applicable Medicare quality programs as appropriate, while eliminating redundant measures that are not part of the core set. Ready to get started with CMIT 2.0? 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. Anticoagulation Therapy for Atrial Fibrillation/Flutter An official website of the United States government Comprehensive Stroke (CSTK) (v2021A1) - Performance Measurement Network The American Medical Association reserves all rights to approve any license with any Federal agency. Chart Abstracted Measures for Certification. We can make a difference on your journey to provide consistently excellent care for each and every patient. The Core Quality Measure Collaborative, led by the Americas Health Insurance Plans (AHIP) and its member plans Chief Medical Officers, leaders from CMS and the National Quality Forum (NQF), as well as national physician organizations, employers and consumers, worked hard to reach consensus on core performance measures. 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 . 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. Stroke | UofL Health 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). A hospitals ischemic stroke patient population size is 392 cases during the second quarter. PDF Standardized Performance Measures for Primary Stroke Centers Watch the "Introduction to CMIT 2.0" video to learn more about the latest features! A hospitals Hemorrhagic sub-population is 3 patients during the first quarter. Closed on Sundays. STK-1 Venous Thromboembolism (VTE Prophylaxis)4. 646 0 obj <> endobj x\_s6fE4f+[Itd2)Q" 2tIB.|Qe{r?);|_gb-rv>XS?m>`_\WNO>(b\@~f'4( L`yXS7?b!0@qp) 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. 4 0 obj 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. A hospitals hemorrhagic stroke patient population size is 200 cases during the second quarter. 3 0 obj CSTK-10a Functional Status Prior to Stroke-Independent: IV Alteplase Only2. 7272 Greenville Ave. These updated core sets are a result of months of consensus-based review and deliberation among the groups 75+ multi-stakeholder member organizations, evaluating hundreds of existing quality measures against the CQMCs rigorous criteria. 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. endobj We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes. These core measure sets are a major step forward for alignment of quality measures between public and private payers and provides a framework upon which future efforts can be based. CSTK-10 Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 20% of this subpopulation or 78 cases for the quarter (20% of 392 equals 78.4 rounded to the next highest whole number equals 78). A hospitals hemorrhagic stroke patient population size is 795 cases during the second quarter. A single copy of these materials may be reprinted for noncommercial personal use only. 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 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-8 Stroke Education13. The required quarterly sample is 45 cases. There are no Stroke eCQMs applicable or available for Certification purposes. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size is less than the minimum required quarterly sample size, so 100% of the subpopulation or all 67 cases are sampled. Return to Clinical Data Processing Flow in the Data Processing section.