Steward no longer pursuing endorsement.
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.
Measure Specs
General Information
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.
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
Measure Record
Point of Contact
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