Performance Measurement Network

Question: Reason for Not Prescribing Anticoagulation Therapy at Discharge

Discharge summary documents, "She has a long history of atrial fibrillation and at one time had been on chronic coumadin therapy but developed a left sided intracerebral hemorrhage so her warfarin was stopped. She basically is on aspirin at this time." The DC summary goes on to say, "There is a nasty issue of her atrial fibrillation and embolic disease but I do not feel comfortable adding warfarin due to her fresh stroke and history of bleeding. Therefore I will continue her only on aspirin. I will continue her po diltiazem and digoxin for the atrial fibrillation". Would this abstract as a reason for not prescribing anticoagulation therapy at discharge?

Answer:

Select 'Yes' for Reason for Not Prescribing Anticoagulation. Reasons are explicitly described and linked with warfarin / anticoagulation therapy.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical, Related Manual - Data Quality Manual
Related documents: STK-03,
File:

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