All rights reserved. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter9. STK-1 Venous Thromboembolism (VTE Prophylaxis)12. We help troubleshoot technical and clinical issues to improve your measures. In regard to stroke, The Joint Commission has four different types of certification programs that go along with these stroke measure sets. CSTK-06 Nimodipine Treatment Administered6. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. The American Medical Association reserves all rights to approve any license with any Federal agency. CSTK-10d Functional Status Prior to Stroke-Dependent: MER Therapy, Rate of Rapid Effective Reperfusion From Hospital Arrival. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. Nozzle assembly is comprehensively flow tested to measure flow rate, leak and seat condition to validate injection consistency. Specifications for these measures are available below: There are no Stroke chart abstracted measures applicable or available for Accreditation purposes. Neurology. <>>> Each certification may require your hospital to submit one or more of the five measure sets we reviewed above. The ACM is a pass-fail measure at the individual patient level that asks whether an eligible patient has received all of the appropriate care for the condition for which he or she is being treated. Chart Abstracted Measures for Certification. <> with acute ischemic stroke in the hospital setting will submit this measure. A hospitals hemorrhagic stroke patient population size is 60 cases during March. %PDF-1.5 So, Ive attempted to structure it in a way that will be a reference for you. .gov Learn about the priorities that drive us and how we are helping propel health care forward. 1-800-AHA-USA-1 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Include the patient in the Initial Patient Population for the appropriate measures. This measure set is applicable to patients with diagnoses of ischemic stroke and hemorrhagic stroke, and TIA. Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size required is 84 cases for the quarter. 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. 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. % }J The core measurescan be found at: http://www.qualityforum.org/cqmc/. Learn how working with the Joint Commission benefits your organization and community. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. Q2 (April 1-June 30); Q3 (July 1-September 30); Q4 (October 1-December 31); Q1 . CMS and TJC update Core Measures and retire some Core Measures on an ongoing basis. 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. 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 . A hospitals Hemorrhagic sub-population is 3 patients during January. endobj This post is a guide to understanding the differences between the five major stroke measure sets. Quarterly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 392 during the first quarter. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. A hospitals ischemic stroke patient population size is 37 cases during the second quarter. CSTK-10a Functional Status Prior to Stroke-Independent: IV Alteplase Only2. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. stroke patients receiving IV t-PA at your hospital who are treated within 45 minutes after triage (ED arrival). The next measure set we review is abbreviated ASR-IP/OP. A hospital may choose to use a larger sample size than is required. Length of Stay, in days, is equal to the Discharge Date minus the Admission Date. Measure 6a is new and is being pilot tested in 2009. *7.`"}K3t;qBEN]1F"9V>7[?)] Find more information on our content editorial process. Stroke Core Measure - About Us - Mayo Clinic , . 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. Visit: . There are currently at least 5 major US-based stroke quality improvement programs implementing stroke measures. Assemble your multidisciplinary team to determine roles and processes for entering patient data. 2011-2021 6.7L Ford Power Stroke; 2008-2010 6.4L Ford Power Stroke; 2003-2007 6.0L Ford Power Stroke; . The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measure Maintenance Technical Advisory Panel (TAP). <> CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Numerous published studies demonstrate the program's success in improving patient outcomes. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. A hospitals Ischemic sub-population is 5 patients during February. Stroke Core Stroke Measures As a Certified Stroke Center the stroke committee would like to provide physicians with updates on how we are performing on the stroke performance and quality measures. {8Dm.;JHTBXEXh^^^.Y)oH 6K;ANf!;*#.\1\c"1cKE. 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. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only, 3. 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. For an overview of data housed in the Stroke Patient Management Tool, please refer to the Stroke Case Record Form (PDF). The Hemorrhagic sub-population is less than the minimum required quarterly sample size, so 100% of this sub-population is sampled. Test your ideas. Data Source: American Heart Association Get With The Guidelines stroke database. ASR-OP-2a Door to Transfer to Another Hospital Overall Rate2. Approximately 2-4% of patients with stroke have their event while hospitalized for another condition, with almost one half resulting from a vascular procedure. By not making a selection you will be agreeing to the use of our cookies. Nonvalvular atrial fibrillation is a common arrhythmia and an important risk factor for stroke. They also could require other measures. 2023 American Heart Association, Inc. All rights reserved. A hospitals Ischemic sub-population is 100 during the first quarter. Patients admitted to the hospital for inpatient acute care are included in the CSTK 1-Ischemic Stroke Without Procedure subpopulation sampling group if they have: ICD-10-CM Principal Diagnosis Code as defined in Appendix A, Table 8.1, a Patient Age (Admission Date Birthdate) 18 years and a Length of Stay (Discharge Date - Admission Date) 120 days. <>>> a set of re-specified measures in 2019, which were updated in 2021. Oh, also, I included a ton of resources and links throughout this article and a specific list of resources at the end. <> 2021; 97: . Share sensitive information only on official, secure websites. CSTK-02 Modified Rankin Score (mRS at 90 Days)3. 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. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 150 cases for the quarter. STK-OP-1i Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, 3. They are responsible for making the necessary updates to the measure and for informing NQF (National Quality Forum) about any changes that are made to the measure on an annual basis. Hospitals will receive a score for their performance on 10 Claims-Based measures in four categories: patient safety, mortality, coordination of care and payment. This Agreement will terminate upon notice if you violate its terms. The required quarterly sample sizes for each sub-population would be 79 and 5. A hospitals ischemic stroke patient population size is 200 patients during the second quarter. 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$Ae[BvzWR?y'1XV%^m#. CSTK-09a Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who are transferred from another hospital and undergo endovascular treatment, CSTK-09b Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who present directly to your hospital and undergo endovascular treatment, Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH ), 2. The required quarterly sample size would be 100% of the patient population or 5 cases for the quarter, No sampling; 100% Initial Patient Population required. STK-5 Antithrombotic Therapy By End of Hospital Day Two11. ruTv?U J4lUBex(a8{g$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 . 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 This consensus core set was further discussed by all Collaborative members before being finalized. 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. By improving stroke care, our Get With The Guidelines- Stroke program benefits patients as well as hospitals. This content does not have an English version. A hospital may choose to use a larger sample size than is required. Get With The Guidelines- Stroke supports hospitals in many ways, including: Data submission and feedback reporting are performed using the American Heart Association's Get With The Guidelines Registry (IRP)(link opens in new window). CSTK-03 Severity Measurement Performed for SAH and ICH Patients (Overall Rate)3. Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Rate of Rapid Effective Reperfusion From Skin Puncture. Research projects are hypothesis-driven studies that are developed into manuscripts suitable for peer-reviewed publication. x[o ?;8o b+cIC[jN_:u!s@>:H?O>/?w`}?gheqMU Return to Clinical Data Processing Flow in the Data Processing section. STK-6 Discharged on Statin Medication12. 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). x\_s6fE4f+[Itd2)Q" 2tIB.|Qe{r?);|_gb-rv>XS?m>`_\WNO>(b\@~f'4( L`yXS7?b!0@qp) CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 5. lock CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy, 4. All rights reserved. Comprehensive Stroke (CSTK) (v2021A1) Home Comprehensive Stroke (CSTK) Comprehensive Stroke (CSTK) On this page: Comprehensive Stroke (CSTK) Initial Patient Population Monthly Sampling Sample Size Examples Set Measures General Data Elements Algorithm Output Data Elements Measure Set Specific Data Elements A single copy of these materials may be reprinted for noncommercial personal use only. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)7. 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. One-hundred and forty-eight (148) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). 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 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 QualityResearch@heart.org. 2018 - 2021. 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). endobj A hospitals hemorrhagic stroke patient population size is 392 cases during the second quarter. The six measures are: . If you search for multiple terms, CMIT will return all deliverables containing at least one of the terms. Heart Attack), Pneumonia, and Surgical Site Infection prevention. CQMC will release four additional updated core measure sets and two new core measure sets over the coming months. There are no Stroke eCQMs applicable or available for Certification purposes. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only3. A hospitals Hemorrhagic sub-population is 316 during February. . 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . In the specifications manual, Version 2021B, it is in Section 7: Joint Commission National Quality Measures Data Processing, Joint Commission Stroke Measures table: https://manual.jointcommission.org/releases/TJC2021B/TransmissionChapterTJC.html. This section reviews The Joint Commission certifications and clarifies the CMS accreditation requirement. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter14. 4 0 obj The two Measure Stewards (CMS and TJC) require hospitals to submit their chart-abstracted data in two different ways. The primary goal of rehabilitation is to prevent complications, minimize impairments, and maximize function. Mayo Clinic does not endorse any of the third party products and services advertised. Return to Clinical Data Processing Flow in the Data Processing section. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. endobj lock Percent of ischemic or hemorrhagic stroke patients, or their caregivers, who were given educational materials during the hospital stay addressing. This means the patient passed every measure they qualified for. 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. In addition, the public may compare specific healthcare organizations' results on Core Measures at the STK-OP-1g Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible**ADDED as of 7/1/2021**8. Find the exact resources you need to succeed in your accreditation journey. STK-OP-1 Door to Transfer to Another Hospital, 1. A hospitals hemorrhagic stroke patient population size is 129 cases during March. STK-6 Discharged on Statin Medication17.
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