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STK 04: Thrombolytic Therapy

CBE ID
0437
1.4 Project
Neurology
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
E&M 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 Email
      [email protected]
      Steward Organization Copyright

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