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Question: VTE Prophlyaxis - Abstracting of Allowable Values


This question has follow-up question(s): What are the recommendations for VTE prophylaxis for stroke patients?

If a patient has another or multiple forms of VTE Prophylaxis administered (i.e, 1,2,3,5,6, or 7) along with value '4' Graduated Compression Stockings/TED Hose, will the case pass the measure? Should only the acceptable values be abstracted and not '4'?

Answer:

Value '4' Graduated Compression Stockings (GCS) should only be selected when no other form of prophylaxis is administered the day of or day after hospital admission. When value '4' is selected, a documented reason for not administering pharmacologic or another acceptable form of mechanical prophylaxis is needed to include the case in the numerator.

See data element definition, *VTE Prophylaxis* Stroke Notes for Abstraction.

STK Stroke VTE Prophylaxis must be administered the day of or the day after hospital admission. • Select the initial prophylaxis that was administered. • Selection of allowable values 1-7 includes any prophylaxis that was initially administered on the same date. Example: o If a patient was admitted on 12/8/20XX and had bilateral GCS applied at 13:00 on 12/08/20XX and LMWH was administered at 22:00 on 12/8/20XX, select only value “2”. o If a patient was admitted on 12/8/20XX and had bilateral IPC applied at 13:00 on 12/8/20XX and LMWH was administered at 22:00 on 12/8/20XX, select “2” and “3”. • If GCS was the only prophylaxis administered the day of and/or the day after hospital admission, select “4”. *If a value of “4” is selected, no other selections should be recorded.* • If bilateral GCS are administered on the day of admission and another form of prophylaxis was administered the day after admission, select the value of the prophylaxis other than GCS. Examples: o If bilateral GCS are administered at 1300 on 12/08/20XX and LMWH at 0200 on 12/09/20XX, select “2”. o If bilateral GSC are administered on the day of admission and IPC is administered the day after admission, select “3”. • No value should be selected more than once. If a value of “A” is selected, no other selections should be recorded

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-01, VTE Prophylaxis,
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