Release Notes:
Data Element
Version 2018A
| Data Element Name: |
Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Time |
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| Collected For: |
CSTK-11, CSTK-12 |
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| Definition: | The time (military time) 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 time that a TICI 2B/3 was first documented during the mechanical thrombectomy procedure? |
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| Format: |
| Length: | 5 - HH-MM (with or without colon) or UTD |
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| Type: | Time |
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| Occurs: | 1 |
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| Allowable Values: |
HH = Hour (00-23)
MM = Minutes (00-59)
UTD = Unable to Determine
Time must be recorded in military time format.
With the exception of Midnight and Noon:
- If the time is in the a.m., conversion is not required
- If the time is in the p.m., add 12 to the clock time hour
Examples:
Midnight = 00:00
Noon = 12:00
5:31 am = 05:31
5:31 pm = 17:31
11:59 am = 11:59
11:59 pm = 23:59
Note:
00:00 = midnight. If the time is documented as 00:00 11-24-20xx, review supporting documentation to determine if the Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date should remain 11-24-20xx or if it should be converted to 11-25-20xx.
When converting Midnight or 24:00 to 00:00, do not forget to change the Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date.
Example:
Midnight or 24:00 on 11-24-20xx = 0000 on 11-25-20xx |
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| Notes for Abstraction: |
- Use the time a TICI 2B/3 was first documented. If a discrepancy exists in time documentation from different sources, choose the earliest time. If multiple times are documented during the procedure, use the earliest time.
- The procedure end time may be used if an earlier time is not documented during the procedure.
- For times that include “seconds”, remove the seconds and record the time as is. Example: 15:00:35 would be recorded as 15:00.
- If the time 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 time documented is obviously in error (not a valid time) 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 Time was 3300. No other documentation in the medical record provides a valid time. Since the Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Time is outside of the range listed in the Allowable Values for “Hour,” it is not a valid time and the abstractor should select “UTD.
Note:
Transmission of a case with an invalid time 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 Time allows the case to be accepted into the warehouse. |
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| Suggested Data Sources: |
- Consultation notes
- Progress notes
- Operative notes
- Procedure notes
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| Additional Notes: |
|
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
- Reperfusion time
- Stroke reperfusion time
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None |
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Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Time
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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