Release Notes:
Data Element
Version 2018A
| Data Element Name: |
Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date |
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| Collected For: |
CSTK-11, CSTK-12 |
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| Definition: | The month, date, and year that a Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade of 2B/3 was first documented during the mechanical thrombectomy procedure. |
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| Suggested Data Collection Question: | What was the date that a TICI 2B/3 was first documented during the mechanical thrombectomy procedure? |
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| Format: |
| Length: | 10 - MM-DD-YYYY (includes dashes) or UTD |
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| Type: | Date |
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| Occurs: | 1 |
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|
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| Allowable Values: |
MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2001-Current Year)
UTD = Unable to Determine |
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| Notes for Abstraction: |
- Use the date a TICI 2B/3 was first documented. If a discrepancy exists in date documentation from different sources, choose the earliest date. If multiple dates are documented during the procedure, use the earliest date.
- The procedure end date may be used if an earlier date is not documented during the procedure.
- If the date a TICI 2B/3 was first documented is unable to be determined from medical record documentation, select “UTD”.
- The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format) and no other documentation is found that provides this information, the abstractor should select “UTD”.
Example:Documentation indicates the Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date was 03-*42*-20xx. No other documentation in the medical record provides a valid date. Since the Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD”.
Note:Transmission of a case with an invalid date as described above will be rejected from the Joint Commission’s Data Warehouse. Use of “UTD” for Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date allows the case to be accepted into the warehouse. |
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| Suggested Data Sources: |
- Consultation notes
- Progress notes
- Operative report
- Procedure notes
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| Additional Notes: |
|
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
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None
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None |
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Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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