Specifications Manual for Joint Commission National Quality Measures (v2018A1)
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Release Notes:
Measure Information Form
Version 2018A1


Acute Stroke Ready Outpatient (ASR-OP)

Set Measures

Set Measure ID Measure Short Name
ASR-OP-1 Thrombolytic Therapy: Drip and Ship
ASR-OP-2 Door to Transfer to Another Hospital

General Data Elements

Element Name Collected For
Birthdate All Records,
Hispanic Ethnicity All Records,
ICD-10-CM Principal Diagnosis Code All Records, Optional for HBIPS-2, HBIPS-3
Payment Source All Records, Optional for HBIPS-2 and HBIPS-3
Race All Records,
Sex All Records,

Measure Set Specific Data Elements

Element Name Collected For
Arrival Time ASR-OP-1, ASR-OP-2,
Comfort Measures Only ASR-OP-2,
Date Last Known Well ASR-OP-1,
Discharge Code ASR-OP-2,
E/M Code ASR-OP-1, ASR-OP-2,
ED Departure Date ASR-OP-2,
ED Departure Time ASR-OP-2,
IV Thrombolytic Initiation ASR-OP-1, ASR-OP-2,
IV Thrombolytic Initiation Date ASR-OP-1,
IV Thrombolytic Initiation Time ASR-OP-1,
Last Known Well ASR-OP-1,
Outpatient Encounter Date ASR-OP-1, ASR-OP-2,
Reason for Extending the Initiation of IV Thrombolytic ASR-OP-1,
Reason for Not Initiating IV Thrombolytic ASR-OP-1,
Time Last Known Well ASR-OP-1,

ASR-OP Initial Patient Population

The population of the ASR-OP measure set is identified using 4 data elements:

  • EM Code
  • ICD-10-CM Principal Diagnosis Code
  • Outpatient Encounter Date
  • Birthdate

Patients admitted to the hospital for outpatient acute care with an EM Code as defined in Appendix A, Table 1.0, and an ICD-10-CM Principal Diagnosis Code for ischemic or hemorrhagic stroke as defined in Appendix A, Table 8.1 or Table 8.2, and a Patient Age (Outpatient Encounter Date minus Birthdate) greater than or equal to 18 years are included in the ASR-OP Initial Patient Population.

ASR-OP-InitialPop_pg1.jpg v2

Measure Information Form ASR-OP
Specifications Manual for Joint Commission National Quality Measures (v2018A1)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)

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