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

Data Element Name: Failed Attempt at Thrombectomy
Collected For: CSTK-11, CSTK-12,
Definition:Documentation demonstrates that a mechanical thrombectomy procedure was attempted to remove a large vessel cerebral occlusion (LVO) but was unsuccessful and/or aborted.
Suggested Data Collection Question:Was a mechanical thrombectomy procedure attempted but unsuccessful or aborted before removal of the LVO?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (YES) There is documentation that a mechanical thrombectomy procedure was attempted but unsuccessful or aborted before removal of the LVO.

N (No) There is no documentation that a mechanical thrombectomy procedure was attempted but unsuccessful or aborted before removal of the LVO, OR unable to determine from medical record documentation.
Notes for Abstraction:
  • When documentation clearly indicates that a mechanical thrombectomy procedure was attempted but unsuccessful or aborted before removal of the LVO, select “Yes.”
  • If a mechanical thrombectomy procedure was attempted and down coded to the root ICD-10-PCS Principal or Other Procedure Code due to extirpation procedure failure, select “Yes”.
  • If unable to be determined from medical record documentation that the procedure attempted was a mechanical thrombectomy for removal of a LVO, select “UTD”.
Suggested Data Sources:

  • Consultation notes
  • Diagnostic test reports
  • Operative notes
  • Procedure notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Patients with ICD-10-PCS procedure codes on Table 8.1c Thrombectomy Root Procedures, if medical record documentation states that the mechanical thrombectomy procedure was attempted but unsuccessful or aborted before removal of the LVO. Refer to Appendix A, Table 8.1c Thrombectomy Root Procedures for examples of acceptable ICD-10-PCS procedure codes. Patients with ICD-10-PCS procedure codes on Table 8.1c Thrombectomy Root Procedures, if medical record documentation does not indicate that the procedure attempted was a mechanical thrombectomy for removal of a LVO. Refer to Appendix A, Table 8.1c Thrombectomy Root Procedures for examples of acceptable ICD-10-PCS procedure codes.

Failed Attempt at Thrombectomy
Specifications Manual for Joint Commission National Quality Measures (v2017B2)
Discharges 01-01-18 (1Q18) through 06-30-18 (2Q18)
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