Process all cases that have successfully reached the point in the Clinical Data Processing Flow which calls this Initial Patient Population Algorithm. 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 treatment, 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, Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH ), 2. 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. Part 1: A review of the different stroke measure sets. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Early rehabilitation interventions initiated following stroke can enhance the recovery process and minimize functional disability. CMIT searches all fields in the inventory and is not case-sensitive. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. 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. A hospitals ischemic stroke patient population size is 495 cases during the second quarter. 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. The listed denominator criteria are used to identify the intended patient population. 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. The numerator options included in this Medisolv can help you along the way. By not making a selection you will be agreeing to the use of our cookies. endobj 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. 2 0 obj Specifications for these measures are available below: There are no Stroke chart abstracted measures applicable or available for Accreditation purposes. Stroke (STK) (v2021B) Home Stroke (STK) Release Notes: Measure Information Form Version 2021B Stroke (STK) On this page: Set Measures General Data Elements Algorithm Output Data Elements Measure Set Specific Data Elements Related Materials Initial Patient Population Algorithm Stroke (STK) Initial Patient Population Algorithm Narrative For an overview of data housed in the Stroke Patient Management Tool, please refer to the Stroke Case Record Form(PDF). Return to Clinical Data Processing Flow in the Data Processing section. CSTK-11 Rate of Rapid Effective Reperfusion From Hospital Arrival10. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. Set the Initial Patient Population Reject Case Flag to equal No. ASR-OP-2d Ischemic Stroke; no IV alteplase prior to transfer, Measures for TJC Primary Stroke Center Certification, 1. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). 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#. stream 4 0 obj The American Medical Association reserves all rights to approve any license with any Federal agency. The AMA is a third party beneficiary to this Agreement. Share sensitive information only on official, secure websites. STK-OP-1i Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, 3. <>/Metadata 285 0 R/ViewerPreferences 286 0 R>> This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Percent of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services. endobj An injection of TPA is usually given through a vein in the arm within the first three hours. Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 25 cases for the month. The Centers for Medicare & Medicaid Services (CMS) has posted the electronic clinical quality measure ( eCQM) specifications for the 2021 reporting period for Eligible Hospitals and Critical Access Hospitals, and the 2021 performance period for Eligible Professionals and Eligible Clinicians. 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. Find more information on our content editorial process. 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 . ASR-IP-1: Thrombolytic Therapy (IV alteplase initiated in the ED followed by inpatient admission to the ASRH)2. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only, 3. A hospitals Ischemic sub-population is 5 patients during February. A hospitals hemorrhagic stroke patient population size is 295 cases during March. 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 section reviews The Joint Commission certifications and clarifies the CMS accreditation requirement. The CQMC is a diverse coalition of health care leaders representing over 75 consumer groups, medical associations, health insurance providers, purchasers and other quality stakeholders, all working together to develop and recommend core sets of measures by clinical area to assess and improve the quality of health care in America. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only3. We help you measure, assess and improve your performance. Q2 (April 1-June 30); Q3 (July 1-September 30); Q4 (October 1-December 31); Q1 . 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. The AMA does not directly or indirectly practice medicine or dispense medical services. Stroke Core Measure - About Us - Mayo Clinic , . STK-OP-1a Overall Rate (Not Reported2. x[o ?;8o b+cIC[jN_:u!s@>:H?O>/?w`}?gheqMU Electronic Clinical Quality Measures (eCQMs) for Accreditation, Chart Abstracted Measures for Accreditation, Electronic Clinical Quality Measures (eCQMs) for Certification. Here are some resources to help you get started: JoAnne Marino is a Registered Nurse that is currently working as a Senior Clinical Consultant for Medisolv helping clients with the ENCOR Hospital Abstracted Measures. Due to exclusions, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. CSTK-05 Hemorrhagic Transformation, 1. <> endstream endobj 647 0 obj <>/Metadata 18 0 R/Pages 644 0 R/StructTreeRoot 24 0 R/Type/Catalog/ViewerPreferences<>>> endobj 648 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 649 0 obj <>stream February 2021 intimacy and sex after stroke February 2021 Post-stroke outcome, falls and fatigue February 2021 improving stroke care. Measure Submission Type: Measure data may be submitted by individual MIPS eligible clinicians, groups, or third party intermediaries. 10960 Grantchester Way, Suite 520Columbia, MD 21044. CQMC will release four additional updated core measure sets and two new core measure sets over the coming months. You can download it or email it to yourself to help you remember. 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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. Submission of aggregate data is still required. Each certification may require your hospital to submit one or more of the five measure sets we reviewed above. This content does not have an Arabic version. 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 ischemic stroke patient population size is 129 cases during March. ASR OP-2 Door to Transfer to Another Hospital **RETIRED Effective July 1, 2021**, 1. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 75 cases for the quarter. <> Set expectations for your organization's performance that are reasonable, achievable and survey-able. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. STK-OP-1g Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible**ADDED as of 7/1/2021**8. Major causes of HF are coronary artery disease, high blood pressure, and diabetes. Arrhythmia means that the heart's normal beating rhythm is interrupted. with acute ischemic stroke in the hospital setting will submit this measure. 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. <> Percent of ischemic or hemorrhagic stroke patients, or their caregivers, who were given educational materials during the hospital stay addressing. The AMA does not directly or indirectly practice medicine or dispense medical services. CPT only copyright 2019 American Medical Association. 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). Monthly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 228 during March. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The median number of Adult Core Set measures reported by states is 22.5 measures for FFY 2019, up from 20 measures reported for FFY 2018 and 17 measures for FFY 2017. 3 0 obj The Core Quality Measures Project currently includes 6 of 11 National EMS Quality Measures. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 28 cases for the month. Measures for TJC Acute Stroke Ready Center Certification, 1. A hospitals Ischemic sub-population is 5 patients during the first quarter. Four-hundred and twenty-eight (428) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. Secure .gov websites use HTTPSA The following table identifies the population . Monthly sampling for the Ischemic sub-population: A hospitals Ischemic sub-population is 228 during March. Family/caregivers will also need guidance in planning effective and realistic care strategies appropriate to the patient's prognosis and potential for rehabilitation. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter6. The two sub-populations must be sampled independently from each other. 2023 Medisolv, Inc. All Rights Reserved. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. ) Program details are found in Part 2. The Perfect Care Report identifies patients that received perfect care. lock Contact Us, Hours 1-800-AHA-USA-1 The core measurescan be found at: http://www.qualityforum.org/cqmc/. Each measure includes patients from one or more categories. I also included the complete list of measures required for each certification. STK-6 Discharged on Statin Medication17. ( STK-2 Discharged on Antithrombotic Therapy13. 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. 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. CPT only copyright 2019 American Medical Association. 3 0 obj CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 2. Refine processes and protocols to ensure they are in line with the guidelines. >ob=AOtVt. A hospitals ischemic stroke patient population size is 37 cases during the second quarter. *Red Dress DHHS, Go Red AHA ; National Wear Red Day is a registered trademark. STK-OP-1 Door to Transfer to Another Hospital, 1. STK-5 Antithrombotic Therapy By End of Hospital Day Two16. endobj You receive one consultant that you can call anytime with questions or concerns. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The American Medical Association reserves all rights to approve any license with any Federal agency. To begin, I will clarify the two Measure Stewards we are reviewing today (there are many other Measure Stewards out there). endobj STK-5 Antithrombotic Therapy By End of Hospital Day Two8. a set of re-specified measures in 2019, which were updated in 2021. A single copy of these materials may be reprinted for noncommercial personal use only. These measures include intravenous thrombolysis, deep vein thrombosis prophylaxis, dysphagia screening, stroke education, and discharge-related medications and assessments. Repeat steps 8 and 9 until your team is happy with your treatment rates and your hospital is eligible for. In addition, stroke rehabilitation incorporates prevention and treatment of medical and mental health complications such as aspiration pneumonia, soft-tissue contractures, decubitus ulcers, infection, deep vein thrombosis (DVT), malnourishment, and depression. Return to Clinical Data Processing Flow in the Data Processing section. CSTK-04 Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH )4. Fifty (50) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. Measure Information 2021 Reporting Period; CMS eCQM ID: CMS71v10 Short Name: STK-3 NQF Number: Not Applicable Description: Ischemic stroke patients with atrial fibrillation/flutter who are prescribed or continuing to take anticoagulation therapy at hospital discharge. Approximately 2-4% of patients with stroke have their event while hospitalized for another condition, with almost one half resulting from a vascular procedure. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. Part 2: A review of the different stroke certifications. The goal is to establish broadly agreed upon core measure sets that could be harmonized across both commercial and government payers. 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. In the final section, I review the way this information is submitted to The Joint Commission and CMS. 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. Due to exclusions, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Dallas, TX 75231, Customer Service ruTv?U J4lUBex(a8{g$CHj ~>-z I&8:+hlvM(XdvY;D|BOl,Yu'D> YR9Gbl6GrJ8'},^V)\i/0 Gg:} >!81I88{'swe )I6v#{$&YymLyn\tl S3r6.o?x@q$_1A=U$H3%QUx . 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 1-800-242-8721 REMINDER: Stroke is now a Core Measure for CMS!!! Sometimes it works best to start small and build on success. What is wrong with these people making it so complicated for us? These measures include aggressive use of medications, such as antithrombotics, anticoagulation therapy, deep vein thrombosis prophylaxis, cholesterol-reducing drugs and smoking cessation, all aimed at reducing death and disability and improving the lives of stroke patients. A hospitals hemorrhagic stroke patient population size is 60 cases during March. 690 0 obj <>stream You can use the words "AND" and "OR" along . Its a nightmare trying to keep straight this wide range of acronym-filled information. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. This may be achieved by administering the t-PA drug intravenously to eligible patients within three hours of stroke onset. OP Stroke General Data Element List General Data Element Name Collected For: Arrival Time By improving stroke care, our Get With The Guidelines- Stroke program benefits patients as well as hospitals.
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