Statin drugs are medications used to reduce serum level of lipids such as cholesterol. STK-4 Thrombolytic Therapy15. 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 [emailprotected]. STK-OP-1f Ischemic Stroke; No IV Alteplase Prior to Transfer, No LVO7. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. Written by American Heart Association editorial staff and reviewed by science and medicine advisers. 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. STK-6 Discharged on Statin Medication12. 2021; 96:e1812-e1822 . If the Principal Diagnosis code falls on Table 8.1 it will be placed in the Ischemic Stroke, or sub-pop 1 and if it has a Principal Diagnosis code that falls on Table 8.2, then it will be placed in the Hemorrhagic Stroke or sub-pop-2. STK-8 Stroke Education13. A hospitals hemorrhagic stroke patient population size is 67 cases during the second quarter. stream Commercial health plans are rolling out the core measures as part of their contract cycle. CSTK-12 Rate of Rapid Effective Reperfusion From Skin Puncture11. Data Source: American Heart Association Get With The Guidelines stroke database. 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. . 4 0 obj This is increasingly important as the health care system moves towards value-based reimbursement models. In the final section, I review the way this information is submitted to The Joint Commission and CMS. Monthly sampling for the Ischemic sub-population: A hospitals Ischemic sub-population is 228 during March. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. promotion of measurement that is evidence-based and generates valuable information for quality improvement, reduction in the variability in measure selection, and. *7.`"}K3t;qBEN]1F"9V>7[?)] Start STK Initial Patient Population logic sub-routine. Studies suggest that antithrombotic therapy should be prescribed at hospital discharge following an ischemic stroke to reduce stroke mortality and morbidity. Do not process cases that have been rejected before this point in the Clinical Data Processing Flow. 3= recommended; the outcome measure has good psychometric . February 2021 intimacy and sex after stroke February 2021 Post-stroke outcome, falls and fatigue February 2021 improving stroke care. For an overview of data housed in the Stroke Patient Management Tool, please refer to the Stroke Case Record Form (PDF). {8Dm.;JHTBXEXh^^^.Y)oH 6K;ANf!;*#.\1\c"1cKE. Use the month and day portion of admission date and birthdate to yield the most accurate age. 2023 Medisolv, Inc. All Rights Reserved. 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. Heart Attack), Pneumonia, and Surgical Site Infection prevention. Time from symptom onset to stroke alert is delayed in in-hospital stroke. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. 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. %PDF-1.5 CSTK-10 Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. 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. If the ICD-10-CM Principal Diagnosis Code is on Table 8.1, the patient is in the first Ischemic Stroke sub-population and is eligible to be sampled for the first STK sub-population. website belongs to an official government organization in the United States. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size is less than the minimum required monthly sample size, so 100% of the subpopulation or all 7 cases are sampled. <>>> A hospitals hemorrhagic stroke patient population size is 392 cases during the second quarter. 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. 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. Hospital OQR Quality Measures and Timelines for the CY 2021 Payment Determination . Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. STK-8 Stroke Education10. a set of re-specified measures in 2019, which were updated in 2021. STK-OP-1b Hemorrhagic Strok3. Family/caregivers will also need guidance in planning effective and realistic care strategies appropriate to the patient's prognosis and potential for rehabilitation. View them by specific areas by clicking here. This is a big year for Quality. <> Gain an understanding of the development of electronic clinical quality measures to improve quality of care. CSTK-10a Functional Status Prior to Stroke-Independent: IV Alteplase Only, 2. or The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. A hospital may choose to use a larger sample size than is required. At the beginning of 2020, The Joint Commission switched over to the Direct Data Submission Platform (DDSP). An injection of TPA is usually given through a vein in the arm within the first three hours. The core measurescan be found at: http://www.qualityforum.org/cqmc/. 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. STK-OP-1i Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, 3. 1 0 obj To address this problem, the Centers for Medicare & Medicaid Services (CMS), commercial plans, Medicare and Medicaid managed care plans, purchasers, physician and other care provider organizations, and consumers worked together through the Core Quality Measures Collaborative to identify core sets of quality measures that payers have committed to using for reporting as soon as feasible. Learn more about the communities and organizations we serve. stream An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. %%EOF 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. ASR-IP-1: Thrombolytic Therapy (IV alteplase initiated in the ED followed by inpatient admission to the ASRH)2. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. A hospitals ischemic stroke patient population size is 7 cases during March. Return to Clinical Data Processing Flow in the Data Processing section. 10960 Grantchester Way, Suite 520Columbia, MD 21044. The AMA does not directly or indirectly practice medicine or dispense medical services. Monthly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 228 during March. Find more information on our content editorial process. Stroke is a leading cause of serious, long-term disability in the United States. Set expectations for your organization's performance that are reasonable, achievable and survey-able. CSTK-09 Arrival Time to Skin Puncture, 8. Share sensitive information only on official, secure websites. *{o7@FNhR/ Based on this review and discussion the workgroups identified a consensus core set for the selected clinical areas. sI Quarterly sampling for the two combined populations for Joint Commission certification purposes. CSTK-09 Arrival Time to Skin Puncture, 1. 3 0 obj CSM 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 Its a nightmare trying to keep straight this wide range of acronym-filled information. 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. A hospitals hemorrhagic stroke patient population size is 795 cases during the second quarter. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 28 cases for the month. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Measure Type: InpatientNumber of Measures Included: 8Certification Requirement: The Joint Commissions Primary Stroke Certification, Anticoagulation Therapy for Atrial Fibrillation/Flutter, Antithrombotic Therapy By End of Hospital Day Two. OP Stroke General Data Element List General Data Element Name Collected For: Arrival Time Hospitals report on these measures quarterly or monthly, and compliance can affect TJC accreditation and CMS . These measures include intravenous thrombolysis, deep vein thrombosis prophylaxis, dysphagia screening, stroke education, and discharge-related medications and assessments. Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Rate of Rapid Effective Reperfusion From Skin Puncture. Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 42 cases for the 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. This Agreement will terminate upon notice if you violate its terms. 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. CSTK-10d Functional Status Prior to Stroke-Dependent: MER Therapy, Rate of Rapid Effective Reperfusion From Hospital Arrival. The listed denominator criteria are used to identify the intended patient population. Quarterly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 392 during the first quarter. 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, 6. Especially if you use an EHR vendor right now, youll notice a huge difference. 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. }J Please see link below for more information. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. 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. 1-800-AHA-USA-1 *Note: There are additional measures needed to fulfill this certification. The AMA is a third party beneficiary to this Agreement. 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. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Program details are found in Part 2. The following are Stroke eCQMs used by The Joint Commission. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)5. If the Patient Age is greater than or equal to 18 years, continue processing and proceed to Length of Stay Calculation. STK-OP-1d Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and MER Eligible5. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 150 cases for the quarter. Hospitals now have one place to submit both chart-abstracted and eCQM data. Visit: . stroke patients receiving IV t-PA at your hospital who are treated within 45 minutes after triage (ED arrival). 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). STK-4 Thrombolytic Therapy10. STK-10 Assessed for Rehabilitation. There are five major stroke measure sets. A hospitals Hemorrhagic sub-population is 316 during February. <> Get With The Guidelines- Stroke has been funded in the past through support from Janssen Pharmaceuticals, Boeringher-Ingelheim, and Merck. 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. 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 Set the Initial Patient Population Reject Case Flag to equal No. 1 0 obj 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. I hope this high-level overview was helpful and can be a reference for you. 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). Official websites use .govA A hospitals ischemic stroke patient population size is 295 cases during March. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT.