Specifications Manual for Joint Commission National Quality Measures (v2019A)
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Release Notes:
Data Element
Version 2019A

Name:MER Eligibility
Collected For: STK-OP-1
Definition:Documentation in the medical record that the ischemic stroke patient is eligible for mechanical endovascular reperfusion (MER) therapy.

MER therapy or mechanical thrombectomy is an advanced neurological procedure for removal of a cerebral occlusion using a mechanical device, also known as a clot retrieval device or stent retriever, and/or aspiration technique.
Question:Is there documentation in the medical record that the patient is eligible for MER therapy or a mechanical thrombectomy procedure?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation that the patient is eligible for MER therapy or a mechanical thrombectomy procedure.

N (No) There is no documentation that the patient is eligible for MER therapy or a mechanical thrombectomy procedure, OR unable to determine from the medical record documentation.
Notes for Abstraction:
  • Documentation by a physician/APN/PA that the patient is a candidate or eligible for MER therapy.
  • Documentation by a physician/APN/PA that the patient is being transferred to a higher level stroke center for the purpose of having a mechanical thrombectomy procedure or further evaluation for possible MER therapy.
Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Progress notes
  • Discharge summary
  • Diagnostic test reports
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Endovascular Therapy (EVT)
  • Mechanical Endovascular Reperfusion (MER) Therapy
  • Mechanical Thrombectomy

None

MER Eligibility
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Specifications Manual for Joint Commission National Quality Measures (v2019A)
Discharges 07-01-19 (3Q19) through 12-31-19 (4Q19)

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