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List of All Questions in the FAQ Database

Clinical Specification Questions

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

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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