Specifications Manual for Joint Commission National Quality Measures (v2018B1)
Home » IV OR IA Alteplase Administered at This Hospital or Within 24 Hours Prior to Arrival

Release Notes:
Data Element
Version 2018B1

Name:IV OR IA Alteplase Administered at This Hospital or Within 24 Hours Prior to Arrival
Collected For: ASR-IP-2, STK-5
Definition:There is documentation in the record that the patient received intravenous (IV) or intra-arterial (IA) alteplase at this hospital or within 24 hours prior to arrival. Antithrombotic administration within 24 hours of IV alteplase may be contraindicated.
Question:Did the patient receive IV or IA alteplase at this hospital or within 24 hours prior to arrival?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes)     Patient received IV or IA alteplase at this hospital or within 24 hours prior to arrival.

N (No)     Patient did not receive IV or IA alteplase at this hospital or within 24 hours prior to arrival, OR unable to determine from medical record documentation.
Notes for Abstraction:
  • Documentation in the medical record must reflect that the patient received IV or IA alteplase at this hospital or within 24 hours prior to arrival (i.e., drip and ship).
  • If there is documentation that the patient received IV or IA alteplase and mechanical thrombectomy at this hospital or within 24 hours prior to arrival, select “Yes”.
  • If there is documentation that the patient received mechanical thrombectomy only with no IV or IA alteplase given, select “No”.
Suggested Data Sources:
  • Emergency department record
  • Progress notes
  • Transfer sheet
  • Medication records
  • Medical transport records

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Only Acceptable Thrombolytic Therapy for Stroke:
  • Activase
  • Alteplase
  • Intra-arterial (IA) t-PA
  • IV t-PA
  • Recombinant t-PA Tissue plasminogen activator
  • t-PA Tissue plasminogen activator

  • Heparin Flush
  • Heparin Lock
  • Thrombolytic administration to flush, open, or maintain patency of a central line, e.g., PICC line.

IV OR IA Alteplase Administered at This Hospital or Within 24 Hours Prior to Arrival
Specifications Manual for Joint Commission National Quality Measures (v2018B1)
Discharges 01-01-19 (1Q19) through 06-30-19 (2Q19)

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