Specifications Manual for Joint Commission National Quality Measures (v2018A)
Home » First Pass of a Mechanical Reperfusion Device

Release Notes:
Data Element
Version 2018A

Data Element Name: First Pass of a Mechanical Reperfusion Device
Collected For: CSTK-07
Definition:First pass (i.e., deployment) of a mechanical reperfusion device to remove a clot occluding a cerebral artery at this hospital. A mechanical reperfusion device is also known as a clot retrieval device. Clot retrieval devices are designed to treat ischemic stroke by removal of the clot from the cerebral artery. Several brand names are used to identify clot retrieval devices which include, Merci, Penumbra, Trevo, and Solataire. For purposes of this data element, “pass” means mechanical deployment of a clot retrieval device.
Suggested Data Collection Question:Is there documentation in the medical record of the first pass of a mechanical reperfusion device to remove a clot occluding a cerebral artery at this hospital?

Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation of the first pass of a mechanical reperfusion device to remove a clot occluding a cerebral artery at this hospital.

N (No) There is no documentation of the first pass of a mechanical reperfusion device to remove a clot occluding a cerebral artery at this hospital, OR unable to determine from medical record documentation.
Notes for Abstraction:
  • If the first pass of the mechanical reperfusion device at this hospital is unable to be determined from medical record documentation, select “No”.
  • If a diagnostic test report conflicts with other sources documenting the first pass of a mechanical reperfusion device to remove a clot occluding a cerebral artery, use the documentation found in the diagnostic test report.
Suggested Data Sources:

  • Consultation notes
  • Diagnostic test reports
  • Operative notes
  • Procedure reports
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Access
  • Advance
  • Aspiration
  • Attempt
  • Deployment
  • Pass
  • Run
None

First Pass of a Mechanical Reperfusion Device
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
^