Specifications Manual for Joint Commission National Quality Measures (v2018B)

Release Notes:
Measure Information Form
Version 2018B


Stroke Outpatient (STK-OP)

Set Measures

Set Measure ID Measure Short Name
STK-OP-1 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 STK-OP-1
Comfort Measures Only STK-OP-1
Discharge Code STK-OP-1
E/M Code STK-OP-1
ED Departure Date STK-OP-1
ED Departure Time STK-OP-1
IV Alteplase Initiation STK-OP-1
Large Vessel Occlusion (LVO) STK-OP-1
MER Eligibility STK-OP-1
Outpatient Encounter Date STK-OP-1


  Document Name  
Acknowledgment and Conditions of Use  
Appendix A - ICD-10 Code Tables  
Appendix D - Glossary of Terms  
Appendix E - Overview of Measure Information Form and Flowchart Formats  
Appendix G - Resources  
Cover Page for the Joint Commission Manual  
Data Dictionary  
Introduction to the Manual  
Missing and Invalid Data  
Sampling  
Table of Contents  
Transmission Alpha Data Dictionary  
Transmission Data Processing Flow: Clinical  
Transmission Data Processing Flow: Population and Sampling  
Transmission of Data  
Using the The Joint Commission's National Measure Specifications Manual  

STK-OP Initial Patient Population

The population of the STK-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 STK-OP Initial Patient Population.

STK Outpatient Initial Patient Population

Measure Information Form STK-OP
Specifications Manual for Joint Commission National Quality Measures (v2018B)
Discharges 01-01-19 (1Q19) through 06-30-19 (2Q19)

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