Specifications Manual for Joint Commission National Quality Measures (v2018B1)

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Release Notes:
Measure Information Form
Version 2018B1


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 Alteplase Initiation ASR-OP-1, ASR-OP-2
IV Alteplase Initiation Date ASR-OP-1
IV Alteplase 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 Alteplase ASR-OP-1
Reason for Not Initiating IV Alteplase 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.

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

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