. Ready to get started with CMIT 2.0? ASR-IP-3: Discharged on Antithrombotic Therapy4. The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. Use the month and day portion of admission date and birthdate to yield the most accurate age. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. ASR-IP-1: Thrombolytic Therapy (IV alteplase initiated in the ED followed by inpatient admission to the ASRH)2. 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 Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter6. <>/Metadata 285 0 R/ViewerPreferences 286 0 R>> STK-5 Antithrombotic Therapy By End of Hospital Day Two16. Ongoing monitoring by the Collaborative of the use of these measures will enable modifications of measure sets, as needed and based on lessons learned, including minimizing unintended consequences and selection of new measures as better measures become available. Contact Us, Hours Calculate Patient Age. Research projects are hypothesis-driven studies that are developed into manuscripts suitable for peer-reviewed publication. 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. endstream endobj startxref 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. Download Get With The Guidelines- Stroke fact sheets and forms here. Find evidence-based sources on preventing infections in clinical settings. CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy, 4. Fifty (50) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes. Designed to be meaningful to patients, consumers, and physicians, the alignment of these core measure sets will aid in: CMS believes that by reducing burden on providers and focusing quality improvement on key areas across payers, quality of care can be improved for patients more effectively and efficiently. Learn how working with the Joint Commission benefits your organization and community. The two Measure Stewards (CMS and TJC) require hospitals to submit their chart-abstracted data in two different ways. Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size required is 42 cases for the quarter. 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. Pets and Your Health / Healthy Bond for Life, La Iniciativa Nacional de Control de la Hipertensin, Contact your local Get With The Guidelines, Get With The Guidelines Data Request Form. Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Rate of Rapid Effective Reperfusion From Skin Puncture. Data collection for STK-OP-1 will replace ASR-OP-2. Information in this course pertains to 01/1/13 - 12/31/13, version 4.2 of the Specifications Manual. A hospitals ischemic stroke patient population size is 70 cases during March. The administration of anticoagulation therapy is an effective strategy in preventing recurrent stroke in high stroke risk-atrial fibrillation patients. endobj A single copy of these materials may be reprinted for noncommercial personal use only. Process all cases that have successfully reached the point in the Clinical Data Processing Flow which calls this Initial Patient Population Algorithm. 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 . Due to exclusions, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. Monday - Friday: 7 a.m. 7 p.m. CT STK-5 Antithrombotic Therapy By End of Hospital Day Two11. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. In addition, 36 states reported more Adult Core Set measures for FFY 2019 than for FFY 2018. <> The six measures are: . 0 A hospitals hemorrhagic stroke patient population size is 60 cases during March. We help troubleshoot technical and clinical issues to improve your measures. The AMA is a third party beneficiary to this Agreement. In the Hospital Inpatient VBP Program Final Rule, CMS adopted the 30-day mortality measures for acute myocardial infarction (AMI), heart failure (HF), and pneumonia* under the Outcome domain. A hospitals hemorrhagic stroke patient population size is 129 cases during March. 2021; 97: . By improving stroke care, our Get With The Guidelines- Stroke program benefits patients as well as hospitals. See how our expertise and rigorous standards can help organizations like yours. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. >0SPJ*@6W/rq+ERY_X&14>k( In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. Hospital Outpatient Quality Measure Stroke. m/P]H(ZVk[/ "+TPy9|9J1C0.ZOK_i@"$B'r~-("tNZmO}cv!eB The listed denominator criteria are used to identify the intended patient population. Disclaimer of Warranties and Liabilities. CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy4. Neurology. 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. The Perfect Care Report identifies patients that received perfect care. Measure Type: InpatientNumber of Measures Included: 3 process measuresCertification Requirement: The Joint Commissions Disease-Specific Care Certification, Measure Type: OutpatientNumber of Measures Included: 2 process measuresCertification Requirement: The Joint Commissions Disease-Specific Care Certification, Door to Transfer to Another Hospital**RETIRED Effective July 1, 2021**, Note: All Joint Commission certified acute stroke ready hospitals, as well as those seeking initial certification, will be required to collect the STK-OP-1 Door to Transfer to Another Hospital measure for discharges on and after July 1, 2021. The numerator options included in this The Hemorrhagic sub-population is less than the minimum required quarterly sample size, so 100% of this sub-population is sampled. This section includes the measure type (inpatient vs outpatient), the number of measures in the set, which certification the measure set is a part of, a list of the measures in the set and the associated algorithm. 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. Its a nightmare trying to keep straight this wide range of acronym-filled information. 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). A hospitals hemorrhagic stroke patient population size is 17 cases during March. Stroke patients are at increased risk of developing venous thromboembolism (deep vein blood clots). The primary goal of rehabilitation is to prevent complications, minimize impairments, and maximize function. Data Source: American Heart Association Get With The Guidelines stroke database. Joint Commission Clinical Measures. 3= recommended; the outcome measure has good psychometric . 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. Nineteen (19) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. Claims-Based Measures by Category Claims-Based Patient Safety Measures for 2022 Claims-Based Mortality Measures for 2022 Claims-Based Coordination of Care Measures for 2022 All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. 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. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Youll see them abbreviated like this: Measure Type: InpatientNumber of Measures Included: 10Certification Requirement: The Joint Commissions Comprehensive Stroke Certification. CSTK-10 Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Measure 6a is new and is being pilot tested in 2009. Nozzle assembly is comprehensively flow tested to measure flow rate, leak and seat condition to validate injection consistency. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. 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. hWn8,CIDE ;its8MZAt,9!%_e'Kaxs8>f9! Dallas, TX 75231, Customer Service endobj Dude JA, Lohse KR, Cramer SC, Worrall BB; GPAS Collaboration Phenotyping Core. A hospitals ischemic stroke patient population size is 392 cases during the second quarter. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. You can download it or email it to yourself to help you remember. Monthly sampling for the Ischemic sub-population: A hospitals Ischemic sub-population is 228 during March. CPT only copyright 2019 American Medical Association. To develop the core measure sets the Collaborative split into workgroups and reviewed measures currently in use by CMS and health plans as well as measures endorsed by NQF for the individual measure sets. Use the PMT benchmarking reports to identify areas for improvement and refine processes and protocols to ensure they are in line with the guidelines. 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. lock 2 0 obj The Duke Health system tracks and measures the care we provide to our patients based on these quality measures. Closed on Sundays. 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. 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. CMS will use these mortality measures, which it reports under the Clinical Care domain, in the FY 2019 program. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. 2 0 obj Create your baseline by entering 30 records into the Patient Management Tool. 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. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> . A hospitals hemorrhagic stroke patient population size is 795 cases during the second quarter. Electronic Clinical Quality Measures (eCQMs) for Accreditation, Chart Abstracted Measures for Accreditation, Electronic Clinical Quality Measures (eCQMs) for Certification. 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. In addition, TJC established the Certification Measure Information Process (CMIP) tool where hospitals must manually enter their certification data for the program certifications we reviewed above (ASR, PSC, TSC and CSC). The Core Quality Measures Project currently includes 6 of 11 National EMS Quality Measures. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter for the measure set cannot sample. The reduction of LDL cholesterol, through lifestyle modification and drug therapy when appropriate, is recommended for the prevention of recurrent ischemic stroke, heart attack, and other major vascular events. Medisolv can help you along the way. 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. Calculate the Length of Stay. Two-hundred and twenty-three (223) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. 4 0 obj *Note: Significant changes to this measure set begin July 1, 2021. Part 1: A review of the different stroke measure sets. A hospitals Hemorrhagic sub-population is 100 during the first quarter. 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). CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. STK-OP-1i Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, 3. A hospitals ischemic stroke patient population size is 495 cases during the second quarter. Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size is less than the minimum required monthly sample size, so 100% of the subpopulation or all 17 cases are sampled. An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. Set the Initial Patient Population Reject Case Flag to equal No. Twenty (20) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. Patients admitted to the hospital for inpatient acute care are included in the CSTK 3-Hemorrhagic Stroke subpopulation sampling group if they have: ICD-10-CM Principal Diagnosis Code as defined in Appendix A, Table 8.2, a Patient Age (Admission Date Birthdate) 18 years and a Length of Stay (Discharge Date - Admission Date) 120 days. 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. The most common signs and symptoms of HF are shortness of breath on exertion; orthopnea; weight gain with edema in the feet, legs, or lower back; fatigue; and weakness. CPT is a registered trademark of the American Medical Association. 3 0 obj CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)5. lock CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)7. 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). Due to exclusions, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. Sign up to get the latest information about your choice of CMS topics.