Reason for Oral Factor Xa Inhibitor (v2020A2)

Specifications Manual for Joint Commission National Quality Measures (v2020A2)

Posted: 10/30/2019

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Release Notes:
Data Element
Version 2020A2

Name:

Reason for Oral Factor Xa Inhibitor

Collected For:

STK-1

Definition:

Documentation why Oral Factor Xa Inhibitor was administered for VTE prophylaxis.

Question:

Is there physician/APN/PA or pharmacist documentation why Oral Factor Xa Inhibitor was administered for VTE prophylaxis?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Y (Yes) There is physician/APN/PA or pharmacist documentation why Oral Factor Xa Inhibitor was administered for VTE Prophylaxis.

N (No) There is no physician/APN/PA or pharmacist documentation why Oral Factor Xa Inhibitor was administered for VTE Prophylaxis, OR unable to determine from the medical record documentation.

Notes for Abstraction:

The only acceptable reasons are identified in the list of inclusions. No other reasons will be accepted.
History of atrial fibrillation/flutter or current finding of atrial fibrillation/flutter, select “Yes.”
If the patient has a history of previous strokes and/or taking an Oral Factor Xa Inhibitor prior to hospital arrival, select "Yes".
History of hip or knee replacement surgery, select “Yes.”
When conflicting information is documented in the medical record, select “Yes.”
History of treatment for venous thromboembolism or current treatment for venous thromboembolism, select “Yes.”

Suggested Data Sources:

PHYSICIAN/APN/PA or PHARMACIST DOCUMENTATION ONLY IN THE FOLLOWING ONLY ACCEPTABLE SOURCES:

Anesthesia record
Consultation notes
Emergency Department record
History and physical
Operative Note
Physician orders
Progress notes
Risk assessment form
Transfer sheet

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

This list is all inclusive

AF
A-fib
Atrial fibrillation
Atrial flutter
History of any remote episode of documented atrial fibrillation or flutter except within 8 weeks following CABG
PAF
Paroxysmal atrial fibrillation
Partial hip arthroplasty
Partial hip replacement
Persistent atrial fibrillation
Stroke prevention / history of stroke
THR
TKR
Total hip arthroplasty
Total hip replacement
Total knee arthroplasty
Total knee replacement
Treatment of venous thromboembolism

Hip fracture
History of atrial fibrillation or flutter that terminated within 8 weeks following CABG
History of transient and entirely reversible episode of documented atrial fibrillation or flutter due to thyrotoxicosis
PAC
Paroxysmal atrial tachycardia
Paroxysmal supraventricular tachycardia
PAT
Premature atrial contraction
PST

Specifications Manual for Joint Commission National Quality Measures (v2020A2)
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)

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