Performance Measurement Network

Question: Stroke Measure Requirements

My facility currently submits ORYX core measure data for Pneumonia, CHF, AMI and SCIP patients. We are not a certified primary stroke center. Are we required to submit data for the new stroke and VTE measures, or are these measure sets voluntary for us?

Answer:

Stroke and VTE are new ORYX core measure set options for accredited hospitals. Accredited hospitals may choose to use these core measure sets to fulfill their performance measurement requirements for accreditation. ORYX core stroke and VTE measure data submission is not mandatory. Organizations planning to make changes to their core measure selections should contact their Joint Commission account representative at (630)792-3007.

Joint Commission certified Primary Stroke Centers must collect and submit stroke data via the Certification Measure Information Process (CMIP)to maintain their certification.

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