Elective Carotid Intervention

Specifications Manual for Joint Commission National Quality Measures (v2016B1)

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Release Notes:
Data Element
Version 2016B1

Data Element Name:

Elective Carotid Intervention

Collected For:

CSTK-01, CSTK-02, CSTK-05, CSTK-07, CSTK-08, CSTK-09, STK,

Definition:

Documentation demonstrates that the current admission is solely for the performance of an elective carotid intervention (e.g., elective carotid endarterectomy, angioplasty, carotid stenting).

Suggested Data Collection Question:

Was this admission for the sole purpose of performance of an elective carotid intervention?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Y (Yes) There is documentation that this admission was solely for the performance of elective carotid intervention.

N (No) There is no documentation that this admission was solely for the performance of elective carotid intervention, OR unable to determine from medical record documentation.

Notes for Abstraction:

When documentation clearly indicates that the carotid intervention is elective (e.g., admitting orders to obtain informed consent for a carotid procedure; pre-operative testing completed prior to admission; surgical orders for carotid endarterectomy dated prior to arrival; physician office visit documentation prior to arrival stating, “CEA with Dr. X planned in the near future”), select “Yes.”
Patients who are sent to the hospital by their physician and admitted for performance of a carotid intervention, select “Yes.”
Patients admitted to the hospital for purposes of performance of a carotid intervention and the intervention cancelled/postponed during the hospital stay, select “Yes.”
Patients who request admission to the hospital for performance of a carotid intervention, select “Yes.”
Patients transferred to the hospital for purposes of surgical evaluation for performance of a carotid intervention, select “Yes.”
When the patient is directly admitted to the hospital post-procedure following an elective carotid intervention performed as an outpatient, select “Yes.”
Example:
Patient scheduled for elective carotid endarterectomy right side on 05/17/20xx at 08:30. Patient checks into outpatient surgery at 06:13 and proceeds to the O.R., then to PACU. Patient status is changed to inpatient at 11:35 on 05/17/20xx. Patient discharged home on 05/18/20xx.
EXCEPTION:
Patients with documentation of an elective carotid intervention performed and discharged from the outpatient setting prior to hospital admission for stroke.
Example:
Pt. scheduled for outpatient placement of an elective right carotid stent on 05/17/20xx. Patient discharged home on 05/17/20xx following the procedure. Patient arrives in the ED two days later with complaints of syncope and left-sided numbness, and is admitted to the hospital on 05/19/20xx.
Patients who are symptomatic and come to the ED for treatment of stroke signs and symptoms and then admitted to the hospital are not considered elective admissions, even if a carotid intervention was performed after admission, select “No.”
When documentation of the procedure is not linked with “elective,” select “No.”

Suggested Data Sources:

History and physical
Progress notes
Physician orders
OR report

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

Patients with ICD-10-PCS procedure codes on Table 8.3 Carotid Intervention Procedures, if medical record documentation states that the patient was admitted for the elective performance of the procedure. Refer to Appendix A, Table 8.3 Carotid Intervention Procedures for examples of acceptable ICD-10-PCS procedure codes.

Elective
- Anticipated
- Asymptomatic
- Evaluation
- Non-emergent
- Planned
- Pre-admission
- Pre-arranged
- Pre-planned
- Pre-scheduled
- Preventive
- Previously arranged
- Prophylactic
- Scheduled
- Work-up

Patients with ICD-10-PCS procedure codes on Table 8.3 Carotid Intervention Procedures, if medical record documentation indicates that the patient is also being treated for an acute stroke during this hospitalization. Refer to Appendix A, Table 8.3 Carotid Intervention Procedures.

Elective Carotid Intervention

Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)