Measure Information Form
**NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE**
Measure Information Form
Measure Set: Stroke(STK)
Set Measure ID: STK-5
Performance Measure Name: Antithrombotic Therapy By End of Hospital Day Two
Description: Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2.
Rationale: The effectiveness of antithrombotic agents in reducing stroke mortality, stroke-related morbidity and recurrence rates has been studied in several large clinical trials. While the use of these agents for patients with acute ischemic stroke and transient ischemic attacks continues to be the subject of study, substantial evidence is available from completed studies. Data at this time suggest that antithrombotic therapy should be administered within 2 days of symptom onset in acute ischemic stroke patients to reduce stroke mortality and morbidity as long as no contraindications exist.
Type of Measure: Process
Improvement Noted As: Increase in the rate
Risk Adjustment: No.
Data Collection Approach: Retrospective data sources for required data elements include administrative data and medical records. Some hospitals may prefer to gather data concurrently by identifying patients in the population of interest. This approach provides opportunities for improvement at the point of care/service. However, complete documentation includes the principal or other ICD-10 diagnosis and procedure codes, which require retrospective data entry.
Data Accuracy: Variation may exist in the assignment of ICD-10 codes; therefore, coding practices may require evaluation to ensure consistency.
Measure Analysis Suggestions: None
Sampling: Yes. Please refer to the measure set specific sampling requirements and for additional information see the Population and Sampling Specifications section.
Data Reported As: Aggregate rate generated from count data reported as a proportion.
Ischemic stroke patients who had antithrombotic therapy administered by end of hospital day 2.
Included Populations: Not applicable
Excluded Populations: None
Ischemic stroke patients.
Discharges with an ICD-10-CM Principal Diagnosis Code for ischemic stroke as defined in Appendix A, Table 8.1.
- Patients less than 18 years of age
- Patients who have a Duration of Stay less than 2 days
- Patients who have a Length of Stay greater than 120 days
- Patients with Comfort Measures Only documented on day of or day after arrival
- Patients enrolled in clinical trials
- Patients admitted for Elective Carotid Intervention
- Patients discharged prior to the end of hospital day 2
- Patients with IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival
- Patients with a documented Reason for Not Administering Antithrombotic Therapy by End of Hospital Day 2
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