stroke core measures 2021stroke core measures 2021

The following are Stroke chart abstracted measures used by The Joint Commission. {8Dm.;JHTBXEXh^^^.Y)oH 6K;ANf!;*#.\1\c"1cKE. 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 1 0 obj 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. Disclaimer of Warranties and Liabilities. 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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. Hospitals now have one place to submit both chart-abstracted and eCQM data. 2021; 96:e1812-e1822 . STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter14. Find the exact resources you need to succeed in your accreditation journey. This consensus core set was further discussed by all Collaborative members before being finalized. Saturday: 9 a.m. - 5 p.m. CT Percent of ischemic stroke patients with atrial fibrillation or atrial flutter who are prescribed anticoagulation therapy at hospital discharge. In light of these points, a blueprint is proposed for using domain-specific outcome measures in stroke recovery trials. Of FSRMC patients treated with tPA, a clot-dissolver, or who underwent a procedure to retrieve a blood clot, 2.4% experienced complications, compared to the national average complication rate of 6.8%. 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). Length of Stay, in days, is equal to the Discharge Date minus the Admission Date. Researchers also have the opportunity to conduct investigator-led research projects using data from the Get With The Guidelines- Stroke program. 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. All rights reserved. Secure .gov websites use HTTPSA Set the Initial Patient Population Reject Case Flag to equal Yes. 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#. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. >ob=AOtVt. Time from symptom onset to stroke alert is delayed in in-hospital stroke. Data Source: American Heart Association Get With The Guidelines stroke database. 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. 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. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. 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. At the beginning of 2020, The Joint Commission switched over to the Direct Data Submission Platform (DDSP). A hospitals Ischemic sub-population is 5 patients during the first quarter. 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. All rights reserved. >0SPJ*@6W/rq+ERY_X&14>k( endobj A hospitals hemorrhagic stroke patient population size is 60 cases during March. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. Quarterly sampling for the two combined populations for Joint Commission certification purposes. Understanding Stroke Measure Sets - f.hubspotusercontent30.net Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. STK-2 Discharged on Antithrombotic Therapy13. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. 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. 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. STK-OP-1 Door to Transfer to Another Hospital, 1. /'6sh]l{;VSCe}>j}1#R/E5SzOOl%5-Ybh_+/y}V4jru*nvJ_VRF|8w^5 @/K6jPw*sfoqW}"3v}qCmqytT_.NnwT*_kL?hokU^dU2h=>tLi Monthly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 228 during March. Honestly though Stroke Outpatient versus Outpatient Stroke. Medisolv Can HelpThis is a big year for Quality. The two Measure Stewards (CMS and TJC) require hospitals to submit their chart-abstracted data in two different ways. In the final section, I review the way this information is submitted to The Joint Commission and CMS. The required quarterly sample sizes for each sub-population would be 79 and 5. CSTK-10a Functional Status Prior to Stroke-Independent: IV Alteplase Only, 2. The DDS platform is where hospitals submit performance measurement data to The Joint Commissions to meet ORYX reporting requirements. Request Appointment Quality and Mayo Clinic Arizona Florida Minnesota Event reporting Quality measures Quality rankings Stroke Core Measure Loading chart. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. Part 1: A review of the different stroke measure sets. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. The following are the list of required chart-abstracted stroke measures for each certification program. The AMA does not directly or indirectly practice medicine or dispense medical services. ASR-IP-3: Discharged on Antithrombotic Therapy4. 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. I also included the complete list of measures required for each certification. A hospitals ischemic stroke patient population size is 129 cases during March. Using the quarterly 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 quarterly sample size, so 100% of the subpopulation or all 19 cases are sampled. Numerous published studies demonstrate the program's success in improving patient outcomes. See how our expertise and rigorous standards can help organizations like yours. Set the Initial Patient Population Reject Case Flag to equal No. By not making a selection you will be agreeing to the use of our cookies. The listed denominator criteria are used to identify the intended patient population. Much like we saw how cases fall into their respective sub-populations with CSTK, cases for STK use the same criteria when determining which sub-population a case will qualify for. STK-4 Thrombolytic Therapy7. STK-OP-1i Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, 3. CPT only copyright 2019 American Medical Association. Return to Clinical Data Processing Flow in the Data Processing section. Sixty (60) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. stream 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. Each measure includes patients from one or more categories. You receive one consultant that you can call anytime with questions or concerns. STK-8 Stroke Education13. 1 0 obj We help troubleshoot technical and clinical issues to improve your measures. Contact Us, Hours Get With The Guidelines- Stroke has been funded in the past through support from Janssen Pharmaceuticals, Boeringher-Ingelheim, and Merck. 3 0 obj STK-6 Discharged on Statin Medication9. 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. CSTK-05b: Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 4. 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. %PDF-1.5 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. Joint Commission Clinical Measures. The next measure set we review is abbreviated ASR-IP/OP. By improving stroke care, our Get With The Guidelines- Stroke program benefits patients as well as hospitals. The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The six measures are: . A hospitals Ischemic sub-population is 5 patients during February. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 2. 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. Measure ID # Measure Short Name OP-23 . 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. We can make a difference on your journey to provide consistently excellent care for each and every patient. LqV)%0w#lP.s9XsG58gX'5L S AP*=;%)e0J9_T-NXC4*~bTdsSFnde#;nOOyOqsi]qQV/Fb3KtK. A hospitals ischemic stroke patient population size is 392 cases during the second quarter. Research projects are hypothesis-driven studies that are developed into manuscripts suitable for peer-reviewed publication. CPT only copyright 2019 American Medical Association. Finally, I have listed a few more resources for you. CMS will use these mortality measures, which it reports under the Clinical Care domain, in the FY 2019 program. Stroke patients are at increased risk of developing venous thromboembolism (deep vein blood clots). A hospitals Ischemic sub-population is 100 during the first quarter. 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. An official website of the United States government Use the month and day portion of admission date and birthdate to yield the most accurate age. January 1, 2021: Actual Primary Completion Date : June 30, 2021: Estimated Study Completion Date : December 31, 2021: Groups and Cohorts. 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. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. decreased providers collection burden and cost. *7.`"}K3t;qBEN]1F"9V>7[?)] Appointments at Mayo Clinic Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter for the measure set cannot sample. <> Using the quarterly sampling table for the ischemic 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). Do not process cases that have been rejected before this point in the Clinical Data Processing Flow. 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. 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). But hospitals see benefits as well. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. 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 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 Using the monthly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 28 cases for the month. The goal is to quickly get rid of any blood clot(s) to restore function to the area that is impacted by a stroke, such as the brain. Due to exclusions, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. Process all cases that have successfully reached the point in the Clinical Data Processing Flow which calls this Initial Patient Population Algorithm. endobj 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. Core Measure Data as of 3/2/2022. Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. 7272 Greenville Ave. 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. TARGET: STROKE MEASURE STK-1 Venous Thromboembolism (VTE Prophylaxis)7. ASR-OP-2b Hemorrhagic Stroke3. % 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. There are no Stroke eCQMs applicable or available for Certification purposes. In addition, the public may compare specific healthcare organizations' results on Core Measures at the Initial Population: Inpatient hospitalizations for patients age 18 and older . CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy, 4. A hospital may choose to use a larger sample size than is required. STK-10 Assessed for Rehabilitation. CSTK-11 Rate of Rapid Effective Reperfusion From Hospital Arrival10. We develop and implement measures for accountability and quality improvement. The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measure Maintenance Technical Advisory Panel (TAP). endobj An injection of TPA is usually given through a vein in the arm within the first three hours. 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 . A hospitals Hemorrhagic sub-population is 316 during February. 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). Commercial health plans are rolling out the core measures as part of their contract cycle. A hospitals hemorrhagic stroke patient population size is 295 cases during March. 7.gbu>/u?3>kW?^n-'\\o.T(A2Y/-.>+ STK-OP-1a Overall Rate (Not Reported2. . 0 Refine processes and protocols to ensure they are in line with the guidelines. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)5. sI A hospitals Ischemic sub-population is 316 during January. *{o7@FNhR/ TJC Comprehensive Stroke Performance Measures HOS-Sanford Medical Center Fargo Annual summaries for 2020 through 2022 Updated: 2/2023 3. *** AHRQ is the measure steward for the survey instrument in the Adult Core Set (NQF #0006) and NCQA is the developer of the survey administration protocol. Oh, also, I included a ton of resources and links throughout this article and a specific list of resources at the end. ASR-OP-2c Ischemic Stroke; drip and ship4. There are currently at least 5 major US-based stroke quality improvement programs implementing stroke measures. Especially if you use an EHR vendor right now, youll notice a huge difference. x[o ?;8o b+cIC[jN_:u!s@>:H?O>/?w`}?gheqMU lock lock 3= recommended; the outcome measure has good psychometric . %PDF-1.7 The STK Initial Patient Population sizes for a hospital are 392 and 5 patients respectively per the sub-populations for the quarter. STK-6 Discharged on Statin Medication12. If the Length of Stay is greater than 120 days, the patient is not in the STK Initial Patient Population and is not eligible to be sampled for the STK measure set. An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 20% of this subpopulation or 26 cases for the month (20% of 129 equals 25.8 rounded to the next highest whole number equals 26). Since the program's start in 2003, over 2,000hospitals have entered more than 5million patient records into the Get With The Guidelines- Stroke database. 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 In regard to stroke, The Joint Commission has four different types of certification programs that go along with these stroke measure sets. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 75 cases for the quarter. 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. Learn about the "gold standard" in quality. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. The coalition was convened in 2015 by Americas Health Insurance Providers (AHIP) and the Centers for Medicare & Medicaid Services (CMS) and is housed at the National Quality Forum (NQF). Calculate the Length of Stay. This means the patient passed every measure they qualified for. An antithrombotic agent is a drug that reduces the formation of blood clots. Domain-specific outcomes for stroke clinical trials: what the modified Rankin isn't ranking. STK-8 Stroke Education18. 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. Major causes of HF are coronary artery disease, high blood pressure, and diabetes. The required quarterly sample is 60 cases. Through the use of a multi-stakeholder process, the Collaborative promotes alignment and harmonization of measure use and collection across payers in both the public and private sectors. 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. STK-OP-1b Hemorrhagic Strok3. This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. 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. Nonvalvular atrial fibrillation is a common arrhythmia and an important risk factor for stroke. Please see http://www.qualityforum.org/CQMC_Core_Sets.aspx for more information. Official websites use .govA The AMA is a third party beneficiary to this Agreement. STK-5 Antithrombotic Therapy By End of Hospital Day Two8. 4 0 obj Heres how you know. Closed on Sundays. 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. % https:// Each certification may require your hospital to submit one or more of the five measure sets we reviewed above. STK-OP-1d Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and MER Eligible5. Approximately 2-4% of patients with stroke have their event while hospitalized for another condition, with almost one half resulting from a vascular procedure. 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. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. *All health/medical information on this website has been reviewed and approved by the American Heart Association, based on scientific research and American Heart Association guidelines. Q2 (April 1-June 30); Q3 (July 1-September 30); Q4 (October 1-December 31); Q1 . Specifications Manual for Joint Commission National Quality Measures (v2021A1), Comprehensive Stroke (CSTK) Initial Patient Population, First Pass of a Mechanical Reperfusion Device, Highest NIHSS Score Documented Within 36 Hours Following IA Alteplase or MER Initiation, Highest NIHSS Score Documented Within 36 Hours Following IV Alteplase Initiation, IV Alteplase Prior to IA or Mechanical Reperfusion Therapy, Initial Blood Glucose Value at Hospital Arrival, Initial Blood Pressure at Hospital Arrival, Initial Platelet Count at Hospital Arrival, NIHSS Score Documented Closest to IA Alteplase or MER Initiation, NIHSS Score Documented Closest to IV Alteplase Initiation, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Time, Reason for Not Administering Nimodipine Treatment, Reason for Not Administering a Procoagulant Reversal Agent, Appendix E - Overview of Measure Information Form and Flowchart Formats, Cover Page for the Joint Commission Manual, Joint Commission Clinical Data Processing Flow, Joint Commission National Quality Measures Data Processing, Using the The Joint Commission's National Measure Specifications Manual, National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients), Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH ), Hemorrhagic Transformation (Overall Rate), Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade), Modified Rankin Score (mRS at 90 Days: Favorable Outcome), Rate of Rapid Effective Reperfusion From Hospital Arrival, Rate of Rapid Effective Reperfusion From Skin Puncture, All Records, Not collected for HBIPS-2 and HBIPS-3, All Records, Optional for HBIPS-2, HBIPS-3, All Records, Optional for All HBIPS Records.
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