Performance Measurement Network

Question: COVID-19

During the COVID 19 response, only essential visits are being done and patients may not be contacted during the 75 -90 day period for Post Stroke mRS. Nurses may have been furloughed as well, Will that negatively impact his performance measure?

Answer:

The Joint Commission has modified performance measure data reporting and data submission timelines for ORYX® and Certification Programs with standardized measure requirements. Performance measure reporting for 4Q2019, 1Q2020 and 2Q2020 chart-abstracted measures are optional. This change applies to certified stroke centers.

If certified stroke centers choose to submit data, we expect to see considerable variation from previously reported data. HCOs should evaluate this variation when analyzing data during this period and be prepared to discuss any gaps in data collection and/or special cause variation noted with the stroke reviewer at the time of the next ICM call or recertification visit.

Hope this clarifies for you. More details are available on our website regarding the modifications to performance measure requirements. Thank you for your inquiry.

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