Release Notes:
Data Element
Version 2018A
| Data Element Name: |
IA Thrombolytic Initiation |
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| Collected For: |
CSTK-07 |
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| Definition: | Intra-arterial (IA) thrombolytic therapy was initiated at this hospital. IA thrombolytics convert plasminogen to plasmin, which in turn breaks down fibrin and fibrinogen, thereby dissolving thrombus. |
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| Suggested Data Collection Question: | Is there documentation that IA thrombolytic therapy was initiated at this hospital? |
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| Format: |
| Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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|
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| Allowable Values: |
Y (Yes) IA thrombolytic was initiated at this hospital.
N (No) IA thrombolytic was not initiated at this hospital, OR unable to determine from medical record documentation.
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| Notes for Abstraction: |
- When a “start time” or “infusion time” for IA thrombolytic is documented in the medical record, select “Yes”.
- If the data element "IA Route of t-PA Administration" is "Yes", select "Yes" for this data element.
- If IA thrombolytic initiation is unable to be determined from medical record documentation, select “No”.
- If IA thrombolytic was administered at another hospital and the patient subsequently transferred to this hospital, select “No”.
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| Suggested Data Sources: |
- Consultation notes
- Diagnostic test reports
- Operative notes
- Procedure notes
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
Only Acceptable Thrombolytic Therapy for Stroke:
- Activase
- Alteplase
- IA t-PA
- Recombinant Tissue Plasminogen Activator (rt-PA)
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- Intravenous (IV) t-PA
- IA administration of thrombolytic agents not listed as inclusions
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IA Thrombolytic Initiation
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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