Specifications Manual for Joint Commission National Quality Measures (v2020A2)
Posted: 10/30/2019
Home » Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade

Release Notes:
Data Element
Version 2020A2

Name:Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade
Collected For: CSTK-08, CSTK-11, CSTK-12
Definition:Documentation that the Thrombolysis in Cerebral Infarction (TICI) reperfusion grade was 2B (i.e., partial perfusion greater than or equal to 50% of vascular distribution of occulded artery) or higher post-treatment. The TICI scale is a tool used to grade the degree of perfusion obtained following recanalization of an arterial occlusion. Recanalization of an arterial occlusion increases reperfusion into distal segments of the artery and restores blood flow to brain tissue. Scores may range from 0 (no perfusion) to 3 (full perfusion with filling of all distal branches).
Question:Is there a documented TICI reperfusion gradepost-treatment?
Allowable Values:

1  A TICI reperfusion grade greater than or equal to (≥) 2B was documented post-treatment.

2  A TICI reperfusion grade less than (<) 2B was documented post-treatment.

3  A TICI reperfusion grade was not done post-treatment, OR Unable to determine (UTD) from the medical record documentation.
Notes for Abstraction:
  • The TICI grade may be documented by the physician/APN/PA, or a nurse (RN),circulating nurse, operating room technician, radiology technician or other individual designated to scribe during the procedure.
  • When multiple TICIs are documented because more than one vessel or branches of an artery are occluded, select the TICI grade associated with the site of primary vessel occlusion.
  • When multiple TICIs are documented for the primary vessel occlusion, select the highest grade documented.
  • If unable to determine whether the TICI refelcts reperfusion of the primary vessel, then select "UTD".
Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Progress notes
  • Discharge summary
  • Diagnostic test reports
  • Operative notes
  • Procedure notes
  • Admitting notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • TIBI
  • TIMI
  • Scoring methodologies other than TICI/mTICI

Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade
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Specifications Manual for Joint Commission National Quality Measures (v2020A2)
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)


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