Specifications Manual for Joint Commission National Quality Measures (v2018B1)

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Release Notes:
Measure Information Form
Version 2018B1


Acute Stroke Ready Inpatient (ASR-IP)

Set Measures

Set Measure ID Measure Short Name
ASR-IP-1 Thrombolytic Therapy: Inpatient Admission
ASR-IP-2 Antithrombotic Therapy By End of Hospital Day 2
ASR-IP-3 Discharged on Antithrombotic Therapy

General Data Elements

Element Name Collected For
Admission Date All Records,
Birthdate All Records,
Discharge Date All Records, Not collected for HBIPS-2 and HBIPS-3
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
Antithrombotic Therapy Administered by End of Hospital Day 2 ASR-IP-2
Antithrombotic Therapy Prescribed at Discharge ASR-IP-3
Arrival Date ASR-IP-1, ASR-IP-2
Arrival Time ASR-IP-1
Comfort Measures Only ASR-IP-2, ASR-IP-3
Date Last Known Well ASR-IP-1
Discharge Disposition ASR-IP-3
ED Patient ASR-IP-1
IV Alteplase Initiation ASR-IP-1
IV Alteplase Initiation Date ASR-IP-1
IV Alteplase Initiation Time ASR-IP-1
IV OR IA Alteplase Administered at This Hospital or Within 24 Hours Prior to Arrival ASR-IP-2
Last Known Well ASR-IP-1
Reason for Extending the Initiation of IV Alteplase ASR-IP-1
Reason for Not Administering Antithrombotic Therapy by End of Hospital Day 2 ASR-IP-2
Reason for Not Initiating IV Alteplase ASR-IP-1
Reason for Not Prescribing Antithrombotic Therapy at Discharge ASR-IP-3
Time Last Known Well ASR-IP-1

ASR-IP Initial Patient Population

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

  • ICD-10-CM Principal Diagnosis Code
  • Admission Date
  • Birthdate
  • Discharge Date

Patients admitted to the hospital for inpatient acute care with an ICD-10-CM Principal Diagnosis Code for ischemic stroke as defined in Appendix A, Table 8.1, a Patient Age (Admission Date minus Birthdate) greater than or equal to 18 years and a Length of Stay (Discharge Date minus Admission Date) less than or equal to 120 days are included in the ASR-IP Initial Patient Population.

Measure Information Form ASR-IP
Specifications Manual for Joint Commission National Quality Measures (v2018B1)
Discharges 01-01-19 (1Q19) through 06-30-19 (2Q19)

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