Performance Measurement Network

Question: What would I document as Last Known Well?

If a patient presents to the hospital for other unrelated complaints and with no neurological deficits, but later has an in-house stroke, what do I answer as Last known well?


Rebecca, If there is no documentation that Last Known Well or stroke signs/symptoms occurred prior to hospital arrival but there is documentation that Last Known Well first occurred after Arrival Time (e.g., in-house stroke), select “No.”

Thank you for your inquiry.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK, STK-4, Last Known Well,
Manual: Current Manual (current data collection period; prior to data transmission)

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