IV Thrombolytic Therapy Prior to IA or Mechanical Reperfusion Therapy

Specifications Manual for Joint Commission National Quality Measures (v2016B1)

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Release Notes:
Data Element
Version 2016B1

Data Element Name:

IV Thrombolytic Therapy Prior to IA or Mechanical Reperfusion Therapy

Collected For:

CSTK-05, CSTK-08,

Definition:

There is documentation in the record that the patient received intravenous (IV) thrombolytic (t-PA) therapy at this hospital or a transferring hospital prior to receiving intra-arterial (IA) thrombolytic therapy or mechanical reperfusion therapy at this hospital.

Suggested Data Collection Question:

Did the patient receive intravenous (IV) thrombolytic (t-PA) therapy at this hospital or a transferring hospital prior to receiving intra-arterial (IA) thrombolytic therapy or mechanical reperfusion therapy at this hospital?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Y (Yes) Patient received IV thrombolytic (t-PA) therapy prior to IA thrombolytic therapy or mechanical reperfusion therapy .

N (No) Patient did not receive IV thrombolytic (t-PA) therapy prior to IA thrombolytic therapy or mechanical reperfusion therapy, OR unable to determine from medical record documentation.

Notes for Abstraction:

Documentation in the medical record must reflect that the patient received IV thrombolytic (t-PA) therapy at this hospital or a transferring hospital (i.e., drip and ship) prior to receiving IA thrombolytic therapy or mechanical reperfusion therapy at this hospital.

Suggested Data Sources:

Emergency department record
Progress notes
Medication records
Transfer forms
Medical transport records

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

Only Acceptable Thrombolytic Therapy for Stroke:

Activase
Altepase
IV t-PA
Recombinant Tissue plasminogen activator (rt-PA)

None

IV Thrombolytic Therapy Prior to IA or Mechanical Reperfusion Therapy

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