Performance Measurement Network

Question: Reason For Not Administering Antithrombotic By End of Hospital Day 2

This is follow up to a prior question: "";.

A patient was hospitalized for new onset seizures. A diagnosis of stroke was confirmed on day 3 following brain MRI. The physician documented in the discharge summary that the stroke was not diagnosed until hospital day 3. Can the physician's documentation by used as a "Reason for Not Administering Antithrombotic By End of Hospital Day 2"? The principal diagnosis code assigned at discharge was 434.91.

Answer:

No. An ICD-9-CM Principal Diagnosis Code of 434.91, "Cerebral Artery Occlusion Unspecified with Cerebral Infarction", is used to identify the stroke measure population. For STK-5: Antithrombotic Therapy Administered By End of Hospital Day 2, it is not necessary to review documentation outside of the 2 day timeframe. Discharge summary is not a "Suggested Data Source" for this measure. Any documentation dated/timed prior to hospital arrival or after hospital day 2 is excluded. Select 'No' for *"Reason for Not Administering Antithrombotic Therapy By End of Hospital Day 2"*.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK, Antithrombotic Therapy Administered by End of Hospital Day Two, ,

Copyright © by the contributing authors. All material on this collaboration platform is the property of the contributing authors.
Ideas, requests, problems regarding Performance Measurement Network? Send feedback
This website is using cookies. More info. That's Fine