Specifications Manual for Joint Commission National Quality Measures (v2021B)
Posted: February 1, 2021
Home » IA Thrombolytic Initiation Date

Release Notes:
Data Element
Version 2021B

Name:IA Thrombolytic Initiation Date
Collected For: CSTK-07
Definition:The date associated with the time that Intra-arterial (IA) thrombolytic therapy was initiated to a patient with ischemic stroke at this hospital. IA thrombolytics convert plasminogen to plasmin, which in turn breaks down fibrin and fibrinogen, thereby dissolving thrombus.
Question:What is the date associated with the time that IA thrombolytic therapy was initiated for this patient at this hospital?
Format:
Length:10 - MM-DD-YYYY (includes dashes) or UTD
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2001-Current Year)
UTD = Unable to Determine
Notes for Abstraction:
  • If the date IA thrombolytic therapy was initiated is unable to be determined from medical record documentation, select “UTD”.
  • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format) and no other documentation is found that provides this information, the abstractor should select “UTD”.
    Example:
    Documentation indicates the IA thrombolytic initiation date was 03-*42*-20xx. No other documentation in the medical record provides a valid date. Since the IA thrombolytic initiation date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD”.

Suggested Data Sources:
  • Consultation notes
  • Diagnostic test reports
  • Operative notes
  • Procedure notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

IA Thrombolytic Initiation Date
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Specifications Manual for Joint Commission National Quality Measures (v2021B)
Discharges 07-01-21 (3Q21) through 12-31-21 (4Q21)

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