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STK 04: Thrombolytic Therapy

CBE ID
0437
1.4 Project
Neurology
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2015
Is Under Review
No
1.3 Measure Description

This measure captures the proportion of acute ischemic stroke patients who arrive at this hospital within 2 hours of time last known well for whom IV t-PA was initiated at this hospital within 3 hours of time last known well.

This measure is a part of a set of eight nationally implemented measures that address stroke care (STK-1: Venous Thromboembolism (VTE) Prophylaxis, STK-2: Discharged on Antithrombotic Therapy, STK-3: Anticoagulation Therapy for Atrial Fibrillation/Flutter, STK-5: Antithrombotic Therapy By End of Hospital Day 2, STK-6 Discharged on Statin Medication, STK-8: Stroke Education, and STK-10: Assessed for Rehabilitation) that are used in The Joint Commission’s Disease-Specific Care stroke certification programs.

    • 1.14 Numerator

      Acute ischemic stroke patients for whom IV thrombolytic therapy was initiated at this hospital within 3 hours (less than or equal to 180 minutes) of time last known well.

    • 1.15 Denominator

      Acute ischemic stroke patients whose time of arrival is within 2 hours (less than or equal to 120 minutes) of time last known well.

    • Exclusions

      • Less than 18 years of age
      • Length of Stay > 120 days
      • Enrolled in clinical trials related to stroke
      • Admitted for elective carotid intervention
      • Time last known well to arrival in the emergency department greater than 2 hours
      • Documented reason for extending the initiation of IV thrombolytic
      • Documented reason for not initiating IV thrombolytic

    • Most Recent Endorsement Activity
      Endorsed Neurology Project 2015-2016
      Initial Endorsement
      Last Updated
    • Steward
      The Joint Commission
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

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