Specifications Manual for Joint Commission National Quality Measures (v2018A)
Home » IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival

Release Notes:
Data Element
Version 2018A

Data Element Name: IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival
Collected For: ASR-IP-2, STK-5
Definition:There is documentation in the record that the patient received intravenous (IV) or intra-arterial (IA) thrombolytic therapy (t-PA) at this hospital or within 24 hours prior to arrival. Antithrombotic administration within 24 hours of thrombolytic therapy (t-PA) is contraindicated.
Suggested Data Collection Question:Did the patient receive IV or IA thrombolytic (t-PA) therapy at this hospital or within 24 hours prior to arrival?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes)     Patient received IV or IA thrombolytic (t-PA) therapy at this hospital or within 24 hours prior to arrival.

N (No)     Patient did not receive IV or IA (t-PA) thrombolytic therapy at this hospital or within 24 hours prior to arrival, OR unable to determine from medical record documentation.
Notes for Abstraction:
  • Documentation in the medical record must reflect that the patient received IV or IA thrombolytic (t-PA) therapy at this hospital or within 24 hours prior to arrival (i.e., drip and ship).
  • If there is documentation that the patient received IV or IA thrombolytic (t-PA) therapy and mechanical thrombectomy at this hospital or within 24 hours prior to arrival, select “Yes”.
  • If there is documentation that the patient received mechanical thrombectomy only with no IV or IA thrombolytic (t-PA) given, select “No”.
Suggested Data Sources:

  • Emergency department record
  • Progress notes
  • Transfer sheet
  • Medication records
  • Medical transport records

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Only Acceptable Thrombolytic Therapy for Stroke:
  • Activase
  • Alteplase
  • Intra-arterial (IA) t-PA
  • IV t-PA
  • Recombinant t-PA Tissue plasminogen activator

  • Heparin Flush
  • Heparin Lock
  • Thrombolytic administration to flush, open, or maintain patency of a central line, e.g., PICC line.

IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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