Include the patient in the Initial Patient Population for the appropriate measures. }J Percent of ischemic stroke patients with atrial fibrillation or atrial flutter who are prescribed anticoagulation therapy at hospital discharge. A modified sampling procedure is required for hospitals performing quarterly sampling for STK. PDF Hospital OQR Quality Measures and Timelines for CY 2021 Payment 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 Especially if you use an EHR vendor right now, youll notice a huge difference. Stroke Corner - Education - neuropt.org Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Rate of Rapid Effective Reperfusion From Skin Puncture. Once a patient is qualified, he/she moves to the second part of the algorithm which tells you which sub-population he/she falls into. a set of re-specified measures in 2019, which were updated in 2021. The American Medical Association reserves all rights to approve any license with any Federal agency. TJC Comprehensive Stroke Performance Measures HOS-Sanford Medical Center Fargo Annual summaries for 2020 through 2022 Updated: 2/2023 3. A hospitals hemorrhagic stroke patient population size is 392 cases during the second quarter. View them by specific areas by clicking here. Get more information about cookies and how you can refuse them by clicking on the learn more button below. 3 0 obj <> 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). 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. All rights reserved. sI 1 0 obj 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. CQMC will release four additional updated core measure sets and two new core measure sets over the coming months. Clinical Performance Measures for Stroke Rehabilitation: Performance A hospital may choose to use a larger sample size than is required. 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. 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. 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. Hospitals report on these measures quarterly or monthly, and compliance can affect TJC accreditation and CMS . This section reviews The Joint Commission certifications and clarifies the CMS accreditation requirement.

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