Specifications Manual for Joint Commission National Quality Measures (v2018B1)

Release Notes:
Data Element
Version 2018B1

Name:IV Alteplase Prior to IA or Mechanical Reperfusion Therapy
Collected For: CSTK-05, CSTK-08, CSTK-10
Definition:There is documentation in the record that the patient received intravenous (IV) alteplase at this hospital or a transferring hospital prior to receiving intra-arterial (IA) alteplase or mechanical reperfusion therapy at this hospital.
Question:Did the patient receive intravenous (IV) alteplase at this hospital or a transferring hospital prior to receiving intra-arterial (IA) alteplase or mechanical reperfusion therapy at this hospital?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) Patient received IV alteplase prior to IA alteplase or mechanical reperfusion therapy.

N (No) Patient did not receive IV alteplase prior to IA alteplase or mechanical reperfusion therapy, OR unable to determine from medical record documentation.
Notes for Abstraction:Documentation in the medical record must reflect that the patient received IV alteplase at this hospital or a transferring hospital (i.e., drip and ship) prior to receiving IA alteplase or mechanical reperfusion therapy at this hospital.
Suggested Data Sources:
  • Emergency department record
  • Progress notes
  • Medication records
  • Transfer forms
  • Medical transport records
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Only Acceptable Thrombolytic Therapy for Stroke:
  • Activase
  • Altepase
  • IV t-PA
  • Recombinant Tissue plasminogen activator (rt-PA)
  • Tissue plasminogen activator (t-PA)
None

IV Alteplase Prior to IA or Mechanical Reperfusion Therapy
Specifications Manual for Joint Commission National Quality Measures (v2018B1)
Discharges 01-01-19 (1Q19) through 06-30-19 (2Q19)

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