Specifications Manual for Joint Commission National Quality Measures (v2018B1)

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Release Notes:
Measure Information Form
Version 2018B1

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  

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  
Table of Contents  
Transmission Alpha Data Dictionary  
Transmission of Data  
Transmission Data Processing Flow: Clinical  
Transmission Data Processing Flow: Population and Sampling  
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 (v2018B1)
Discharges 01-01-19 (1Q19) through 06-30-19 (2Q19)