Performance Measurement Network

List of All Questions in the FAQ Database

Clinical Specification Questions

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

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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