Performance Measurement Network

Question: Why are patients that receive t-PA in the ED and then transferred to another hospital excluded from STK-4?

We use the TJC version Stroke PMT with Outcomes Database. It's excluding a patient that came into the ED, received tPA, was never admitted and then transferred to another acute care facility from the STK-4 measure. Why is this patient excluded from the STK-4 measure?


The stroke measure set is for inpatients (Refer to the Stroke_List pdf in specifications manual).

Specifications Manual for National Hospital Inpatient Quality Measures

Stroke (STK) Initial Patient Population The population of the STK measure set is identified using 4 data elements: • ICD-9-CM Principal Diagnosis Code • Admission Date • Birthdate • Discharge Date

*Patients admitted to the hospital for inpatient acute care* with an ICD-9-CM Principal Diagnosis Code for ischemic or hemorrhagic stroke as defined in Appendix A, Table 8.1 or Table 8.2, a Patient Age (Admission Date – Birthdate) >= 18 years and a Length of Stay (Discharge Date - Admission Date) <= 120 days are included in the STK Initial Patient Population and are eligible to be sampled.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-04,

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