Performance Measurement Network

List of All Questions in the FAQ Database

Clinical Specification Questions

Question Related to
Last Known Well Y/N? STK-4
What dose of enoxaparin is acceptable for use as antithrombotic therapy. STK-2, STK-5
Code 433.10 and Transient Ischemic Attack STK
Rehabilitation Assessment STK
Significance of baseline mRS in calculation of CSTK-10 CSTK-10
If the admitting diagnosis is not stroke, can the case be excluded from STK-4? STK-04
Mother's choice not to breast feed PC-05
Arrival time for transferred patients CSTK-07
Use of Sweet-Ease速 and PC-05 (Exclusive Breast Milk Feeding) PC-05
Number of cases needed for submission BM
Multiple EMRs HBIPS
Reason for Not Initiating IV Thrombolytic STK
Time Last Know Well -Stroke STK
Does all medical record documentation need to be dated and timed? STK
Will Evidence of Atherosclerosis remain a data element? STK-06
Is heparin 5000U SQ acceptable for antithrombitic administered by end day 2 STK
What are the benchmarks for the new Outpatient Stroke Core Measures? STK-OP
How is Length of Stay (LOS calculated for STK-1?) STK-01
Proof that next level of care provider contact information was transmitted with the Transition of Care Record ACHF
DVT Prophylaxis and Ambulation STK, STK-01
Documentation for Rehabilitation Assessment STK-10
How should we abstract thrombolytic administration in the 3 to 4.5 hr timeframe when a reason for not administering existed within 3 hrs? STK, STK-04
What constitutes a failed thrombectomy CSTK-11
Birth Weight suggested Sources PC-06
Are patients that stroke while an inpatient included in the measure population? STK
Is there benchmark data available for HBIPS Data? HBIPS, HBIPS-1, HBIPS-1b, HBIPS-1c, HBIPS-1d, HBIPS-1e
Dietary Advice "consistent amount" of foods with Vitamin K rather than avoidance should be advised. VTE-05
Reason for No VTE Prophylaxis STK, STK-01
Evidence of Atherosclerosis STK
When both SCDs and TEDS are applied on the same day , how are they abstracted? STK
Must the patient refuse both pharmacological and mechanical VTE prophylaxis to count as a reason for no prophylaxis? STK-01
How to abstact Last Known Well when there is too much information? STK
Multiple Procedure Times CSTK, CSTK-01
Reason for not prescribing antithrombotic therapy at hospital discharge STK
Psychiatic Care Setting -Patient Inclusion HBIPS
Time of the teleneurology NIHSS CSTK-01
Statin prescibed the day after discharge STK-06, STK-08
Procedure Time Inclusion Terms CSTK-03
Stroke core measure data for PSC hospitals STK
Earliest Aneurysm Repair or Surgical Interv Procedure Time CSTK
PSC Certified Hospitals: Sampling Methodology to Use for CSTK 1 for 2019 STK
Which version of the specifications should be used for stroke data collection? STK
Abstraction for Clinical Trial (STK ) STK
Comprehensive Stroke (CSTK Sub-Populations) CSTK
Date/Time of First Pass for CSTK-7 CSTK
Does the reason for not presciribing anticoagulation therapy have to be documented on the dau of discharge? STK-03
Initial Blood Pressure at Hospital Arrival Field Format CSTK-03
Transfer between the Psychiatric Unit and Acute Care Unit HBIPS
Stroke Education Documentation Examples STK-08
When mutiple ejection fractions (EF are documented in the medical record, which value should we use?) ACHF
Will Evidence of Atherosclerosis remain a STK-6 data element? STK
Does CSTK - 03 include directly admitted transfers (that bypass ED?) CSTK-03
Data Abstraction for "Last Known Well" STK
What would I document as Last Known Well? STK, STK-4
CSTK-01 Procedures and Timing 1 calculation CSTK-01
Stroke Diagnosed Mid-Hospital Stay STK-5
Hunt & Hess/ ICH score documentation required by tele neuro radiology prior to transfer STK
Written discharge instructions for warfarin therapy VTE-05
Documentation for Stroke Education HF-1
WIll the new medication Pradaxa be acceptable as an anticoagulant at discharge? STK, STK-03
STK-6 "Evidence of Atherosclerosis" STK
Appointment for Follow Up/ Release of Information HBIPS, HBIPS-7
Why does a patient treated with another lipid-lowering agent and with LDL < 100 fail the statin measure? STK-06
Time Last Known Well is after hospital arrival STK-04
Admitted for elective carotid intervention STK
Exclusive breast milk feeding definition PC
Sampling Requirements for CSTK CSTK
Is full medication reconciliation required by PSCs to meet the Medication Education measure component? STK-08
Clairfy time to recanalization CSTK, CSTK-07
STK-10 Assessed for Rehabilitation Services STK-10
If the patient enters the ED as a potential or actual TIA or hemorrhagic stroke patient, are the ED physicians required to document why the patient did not have IV thrombolytics initiated? STK
Stroke VTE Prophylaxis STK-01
Are retired Stroke Core Measures still required for comprehensive stroke centers? STK
NIHSS time STK
Is this considered a stroke clinical trial patient? STK
Data Element- Violence Risk to Self HBIPS
Abstraction for Last Known Well STK-04
Is refusal of all IV's a Reason for Not Initiating IV Throbolytic Therapy? STK-04
Should 'Yes' or 'No' be selected for IV Thrombolytic Initiation? STK
What value should be selected when VTE prophylaxis is administered several days after admission? STK
Functional Status at Discharge ACHF
Is the ambulatory patient considered low risk for VTE? STK
Reason for Not Prescribing Antithrombotic / Anticoagulation at Discharge STK-02
Is intensive dosing of statin required to meet STK-6? STK
ICD-9-CM Code 433.10 STK
For patients transfused in Operating Room, how do we respond if there is no "written" order for transfusion. BM-05
HBIPS Discharge Status HBIPS
Transmission of Continuing Care Plan (CCP) HBIPS, HBIPS-7
Data abstraction for VTE Prophylaxis when administered prior to admission STK
Is Xarelto (Rivaroxaban an acceptable anticoagulant for STK-3?) STK-03
Is it considered CMO if the palliative care consult was done and the patient refuses palliative care the next day? STK
COVID-19 CSTK
Documentation ofJustification for Multiple Antipsychotic Medications HBIPS
Will files be rejected if all procedure codes do not have a procedure time? CSTK, CSTK-01, CSTK-03
Reason for Extending the Initiation of IV Thrombolytic STK, STK-04
Stroke Module STK
Can we use E/M code 99211? ACHF
CSTK4 documentation time? CSTK-04
Pre-anemia screening BM
First Radiographic Image, CSTK 07 STK
Discharge Code and Transfers of Patients STK-OP
Assessed for Rehabilitation STK
Why is a Reason for No VTE Prophylaxis needed with graduated compression stockings (GCS/TEDs?) STK, STK-01
mRS CSTK
Last Known Well STK-04
Thrombolytic therapy administered at satellite ED prior to hospital arrival STK
First NIHSS performed days after admission CSTK-01
EF on admission 15%. Day of discahrge EF 50-55% per ECHO. Do we answer Y for LVSD<40 . ACHF
TEDS for VTE Prophylaxis STK, STK-01
Abstraction Tools ASR-OP-1
Recommended ways to obtain mRS CSTK, CSTK-02
Why has this indicator has changed to include the word "elective"? STK
Can documentation on a pre-printed stroke order form for VTE Prophylaixs be used as a sufficient reason for no prophylaxis? STK-01
Documentation added to D/C summary after discharge STK-6
Documentation for tPA exclusion STK, STK-04
Risk of Violence to Self HBIPS, HBIPS-1
ABstraction for Date Last Known Well STK
CSTK 02, 05, and 06 Measures CSTK-01, CSTK-02, CSTK-05, CSTK-06
If tPA is given at an outside hospital by our Critical Transport Team, should we take credit? STK, STK-04
For Q1 2013 fVTE and Oral Factor Xa inhibitor in Stroke patients. STK-01
Follow-up to UserQuestion102705 CSTK
Patients with subsequent admissions to the psychiatric unit HBIPS-1, HBIPS-6, HBIPS-7
Initial Date/time of NIHSS teleneurologist CSTK, CSTK-01
in 2016, will the vendors still be able to submit STK HCD for STK Certification for our hospitals? STK
What terms can be used for Comfort Measures Only? STK
Expired after discharge CSTK-02
HBIPS- Restraint and Seclusion in ED HBIPS-3
Can the following note be used as a Reason for Not Prescribing Anticoagulation Therapy? STK-03
Clarification of data elements needed CSTK-05b, CSTK-07
Last Known Well STK, STK-04
Discharge Medications and Indication for Use HBIPS-6, HBIPS-7
Can a patient undergoing Cardiac Surgery who received RBC's, FFP and Platelets be counted for more than one measure? BM
Stroke Measures STK-7 and STK-9 STK
Triglyceride >400mg/dL STK
VTE Prophlyaxis - Abstracting of Allowable Values STK-01
What is the Date and Time Last Known Well? STK-04
Last Known Well Version 5.2 STK-4
Patient Ambulatory At End of Hospital Day 2 STK
PSC CSTK 01 population CSTK, CSTK-01
Lovenox in reference to STK-2, STK-5, and STK-3 STK-2, STK-3, STK-5
Nimodipine within 24 hours for non-aneurysmal SAH CSTK, CSTK-06
In the Operating Room, is "Estimated Blood Loss" for PRBC'S considered transfusion criteria? BM-02
doucumentation of ich and hunt hess CSTK-03
Does the following documentation meet education regarding Risk factors for stroke? STK
Will Primary Stroke Certification continue? STK
Patients transferred after t-PA STK
What version of the Joint Commision manuel will be used starting with January 1, 2010? STK-01, STK-02, STK-03, STK-04, STK-05, STK-06, STK-07, STK-08, STK-09, STK-10, VTE
Time NIHSS performed CSTK-01
MER Attempted During this Encounter - Clot Dissolved CSTK-11
Reason for no VTE Prophylaxis - Elevated INR STK, STK-01
When there is a discharge summary and an addendum present in the medical record, which should be used? STK
MER code for combined billing for two hospitals-TSC CSTK, CSTK-08
How should Last Known Well be abastracted when there is conflicting documentation in the medical record? STK-04
CSTK 3 CSTK, CSTK-03
Reason for Not Administering Antithrombotic Therapy? STK
Need information about the required import file specifications BM
Retirement of STK-7 Dysphagia Screen STK-07
Why are patients that receive t-PA in the ED and then transferred to another hospital excluded from STK-4? STK-04
Why does a patient on another lipid-lowering medication qualify and fail statin prescribed at discharge? STK-06
Arrival Time for STK, CSTK and STK-OP Measures STK
Does Appendix H, Table 2.2 exclude ambulatory stroke patients from the VTE prophylaxis? STK
One Episode of Care and Thrombolytic Therapy Administration STK
Sampling when both STK and CSTK are collected by a HCO CSTK
Procedure codes for HF outpatients ACHF
Elective carotid intervention documentation STK
Why are there not more contraindications to vaginal deliveries? PC
Reason for Not Initiating IV Thrombolytic-conflicting GWTG instructions STK-04
Can an addendum be added to the medical record? STK-01
can we accept a Drs documentation that it is not a hemorragic transformation CSTK, CSTK-05
AMA and Number of Antipsychotic Meds Prescribed at Discharge HBIPS-4, HBIPS-5
Pradaxa (dabigatran prescribed at discharge) STK-02
Question regarding the new STK OP 1 Measure STK-OP
Documentation of Last Known well STK, STK-4
Stroke that occurs after admission CSTK
Is admission day counted as day 1 for STK-1? STK
Reason for Not Prescribing Anticoagulation Therapy at Discharge STK-03
Questions about sampling? ACHF
Appropriate Justification for Multiple Antipsychotic Meds at DC - Rationale for Allowable Value 4 HBIPS
CSTK 4 Denominator Population CSTK-04
Non Aneurysmal SAH Documentation CSTK-06
Continuing Care Plan-Discharge Medications Indications for Use HBIPS
What should we do when conflicting or multiple times of last known well are documented? STK-04
Comparative Data for Stroke Measures STK
Who should perform mRS? CSTK-02
NIHSS Score Clarification CSTK-01
Transfer in patients that are intubated CSTK-01
Reason for No VTE Prophylaxis - Hemorrhagic Stroke Patient STK-01
Consideration of PRADAXA as anticoagulation therapy for patients with atrial fibrillation STK-03
HBIPS Event Dates Prior to Admission HBIPS
Late Coded Stroke STK-4 and STK-5 STK, STK-4
How to Answer Questions on Advanced Stroke Tab Intent to Perform MER CSTK-08
PRE-stroke Modified Rankin Indicator question for Cstroke reporting CSTK-02
Follow-up to UserQuestionId03Stk100984 STK-04
STK 10 Assessed for rehabilitation STK-10
Do we need to collect 90 day mRS on pts undergoing CEA/CAS? CSTK
LDL Measured within first 48 hrs or 30 days prior to hospital arrival STK
Patient Population CSTK
Antithrombotic Administration after t-PA STK-05
Admission Date STK-01
Failed attempt at thrombectomy CSTK-08
Is Xarelto an antithromotic for use in Stroke? Can it be used for antithrombotic med at discharge? STK, STK-02
Small vessel disease as Evidence of Atherosclerosis STK, STK-06
Continuing Care Plan Document Questions HBIPS
HBIPS-1 Timeframe for Screening Questions HBIPS
Can an addendum be made to a pt's chart that has been d/c - Physician did not place the hunt & hess. CSTK
Referral to Next Level of Care HBIPS
Support System ACHF
Graduated Compression Stockings as VTE Prophylaxis for Stroke Patients (STK-1) VTE-01, STK-1
NIHSS versus mNIHSS CSTK-05
Definition of validated and non-validated screening tool for substance use SUB-01
Pre-transfusion platelet count allowable value BM-04b
What is the Admission Date? STK
Are MRI reports an acceptable data source for Evidence of Atherosclerosis? STK-06
Please submit all Emergency Department measure questions directly to QnetQuest.org ED, ED-1, ED-2
How should we abstract pharmacological VTE prophylaxis when the patient is NPO? STK
Will certified Primary Stroke Centers be required to report the stroke performance measures as core measures? STK
Why is ICD-9-CM Principal Diagnosis Code 436 used for ischemic stroke? STK
activity charting ACHF
The latest update indicates a favorable mRS as 0 1 or 2 post stroke with pre mRS 3 4 or 5 CSTK
Patient Referral to Next Level of Care Provider HBIPS
Please submit all outpatient questions to QnetQuest.org OP
Rationale for Code Stroke Form as the Priority Data Source STK-4
Will the new AHA recommendation of expasion of the time window for treatment wiht tPA be included in TJC measures/STK4? Other
Graduated Compression Stocking (GCS) STK
What is the purpose of the Missing Branch ('X' Category Assignment for VTE Prophylaxis Date?) STK-01
Are patients admitted for elective basilar stenting excluded from the stroke chart audits? STK
Reason for No Anticoagulation Therapy Prescribed at Discharge STK-03
Documentation of Stroke Education STK-08
Time Last Known Well - Conflicting Physician Documentation STK-04
Next Level of Care Provider Same as Hospital Provider HBIPS
Importance of exclusive breast milk feeding PC
STK-1: IV Heparin for VTE Prophylaxis STK, STK-01
Can I use VTE used during the Observation, given prior to hospital admission STK-1
Patient Receiving Continuing Care Plan Only HBIPS-6, HBIPS-7
STK-6 Data Entry in CMIP for Q1 2010 STK
Positive over negative findings STK-OP
SCIP questions related to the April 2010 manual SCIP
OBS: remains in the ED or transfer to another unit not in the ED STK-OP
Lovenox 40mg daily - Antithrombotic Therapy Administered by End of Hospital Day Two STK
Unable to Calculate LDL Value Due to High Triglycerides STK-06
Procedures Performed During Hospitalization ACHF
Multiple TICI reperfusion grades CSTK-08
SUB 2 SUB
Follow-up to UserQuestionId03Vte101043 VTE-05
what if Pradaxa (dabigatran is prescribed at discharge?) STK-02
Does a hold on anticoagulation count as a valid reason for not prescribing at discharge? STK-03
Statin therapy for patients 75yrs and older STK
Time Last Known Well STK
What are the recommendations for VTE prophylaxis for stroke patients? STK-01
Can post discharge documentation of a statin prescription be used in abstraction? STK-06
Why aren't there more newborn conditions listed for not exclusively feeding breast milk? PC-05
Arrival time Abstraction. CSTK-11
Last known well when symptoms resolve then reoccur STK
Primary Stroke Certification and Transition to Stroke Core Measures STK
Documentation Compliance for IV t-PA STK, STK-04
Hunt and Hess & ICH Score Documentation CSTK-03
Are the following examples acceptable Reasons for Not Prescribing Anticoagulation and Antithrombotic Therapy at Discahrge? STK, STK-02
Positive Brain Image CSTK
CSTK Procedure Times CSTK
IV Alteplase STK-OP
What is the Date and Time of Last Well Known? STK-04
Pneumonia diagnosis: ED/Direct Admint PN
History of low vertical incision documented BUT no documentation of classical incision. PC-01
Can estimated blood loss (EBL be used for the data element pre-transfusion hemoglobin/hematocrit.) BM-02
STK-6 Reason for Not Prescribing a Statin Medication at Discharge STK
First Pass of a Mechanical Reperfusion Device / First Pass Time CSTK, CSTK-05
If a physician writes an order for SCDs, is this sufficient to select 'Yes' for VTE Prophylaxis? STK-01, VTE-01
SCIP- Neuraxial Anesthesia- Epidural for pain control placed post-op SCIP
SCIP Inf-9 Urinary catheter removed on Postoperative Day 1 (POD 1 or Postoperative Day 2 (POD 2) with day of surgery being day zero ) SCIP, SCIP Inf-9
STK-4 IV Thrombolytic Therapy STK
Optimal Medication Management ACHF
Please submit all CMS mortality measure questions directly to QnetQuest.org MORT
Jan 2012 Follow-up monitoring VTE-05
Define who is considered a stroke team for STK 4. STK
Reason for not giving Nimodipine within 24 hours CSTK
Earliest Reperfusion Procedure Date/Time for transferred patients CSTK-01
Footling breech code 652.81 as an exclusion for PC-02 PC-02a
Why aren't more exclusions to elective delivery considered? PC
Activity specifics ACHF
STK-5 Antithrombotic - LOVENOX SQ STK
Statins at Discharge STK-06
Inter-rater Reliability and Chart Re-asbstraction STK
Failed Attempt at Thrombectomy CSTK-08, CSTK-11, CSTK-12
Sampling Methodology for Stroke STK
Continuing Care Plan - Reason for Hospitalization HBIPS
thyroid CA PC-01
Stroke Measure Requirements STK
NIHSS Timed After Discharge CSTK-01
Version 4.4 - Time Last Known Well and Reason Extending IV Thrombolytic STK-04
Sampling Requirements for CSTK CSTK
Denominator exclusion population ICD-9 CM diagnosis codes CSTK, CSTK-03
Reason For Not Administering Antithrombotic By End of Hospital Day 2 STK
Discharge Instructions for Activation of Emergency Medical System (EMS (911)) STK-08
Earliest principal procedure time/first pass time CSTK
MER Eligibility CSTK
Elective Carotid Intervention STK
Referral to Next Level of Care Provider-Trasmittal Question HBIPS-6
Refusal of SCD's STK, STK-01
Data Element Bisoprolol, Carvedilol, or Sustained-Release Metoprolol Prescribed for LVSD at Discharge has an incomplete sentence ACHF-01
Stroke after admission-arrival to skin puncture CSTK -09 CSTK
ICH score documentation CSTK-03b
Dabigatran (PRADAXA use in Stroke Patients) STK
Discharged on Anticoagulation Therapy STK
Reason for extending IV tPA STK-4
Assessed for Rehabaliitation Services STK-10
Documention of Stroke education at discharge, STK-08
Clarification of CSTK-1 Measure Population Requirements CSTK-01
Are patients who have ischemic stroke occured after hospital arrival included in CSTK-01 population CSTK-01
Follow-up to UserQuestionId03Stk100628 STK
What dosage of Lovenox is suffiecient to meet antithrombotic therapy administered by end of hospital day 2 STK-05
Date Last Known Well STK

Clinical Algorithm Questions

Data Quality Questions

Measure Verification Questions

Measure Verification Questions

Technical Questions

Performance Measurement System Vendor - General Questions

Statistical Questions

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---++ Statistical Questions
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