Specifications Manual for Joint Commission National Quality Measures (v2018A)
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Release Notes:
Data Element
Version 2018A

Data Element Name: IV Thrombolytic Therapy Prior to IA or Mechanical Reperfusion Therapy
Collected For: CSTK-05, CSTK-08, CSTK-10
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 (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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