Specifications Manual for Joint Commission National Quality Measures (v2017B2)
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Release Notes:
Data Element
Version 2017B2

Data Element Name: Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date
Collected For: CSTK-11, CSTK-12,
Definition:The month, date, and year that a Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade of 2B/3 was first documented during the mechanical thrombectomy procedure.
Suggested Data Collection Question:What was the date that a TICI 2B/3 was first documented during the mechanical thrombectomy procedure?
Format:
Length:10 - MM-DD-YYYY (includes dashes) or UTD
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2001-Current Year)
UTD = Unable to Determine
Notes for Abstraction:
  • Use the date a TICI 2B/3 was first documented. If a discrepancy exists in date documentation from different sources, choose the earliest date. If multiple dates are documented during the procedure, use the earliest date.
  • The procedure end date may be used if an earlier date is not documented during the procedure.
  • If the date a TICI 2B/3 was first documented is unable to be determined from medical record documentation, select “UTD”.
  • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format) and no other documentation is found that provides this information, the abstractor should select “UTD”.
    Example:
    Documentation indicates the Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date was 03-*42*-20xx. No other documentation in the medical record provides a valid date. Since the Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD”.
    Note:
    Transmission of a case with an invalid date as described above will be rejected from the Joint Commission’s Data Warehouse. Use of “UTD” for Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date allows the case to be accepted into the warehouse.
Suggested Data Sources:

  • Consultation notes
  • Progress notes
  • Operative report
  • Procedure notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date
Specifications Manual for Joint Commission National Quality Measures (v2017B2)
Discharges 01-01-18 (1Q18) through 06-30-18 (2Q18)
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