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STK-06: Discharged on Statin Medication

CBE ID
0439e
Endorsement Status
Not 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 ischemic stroke patients who are prescribed a statin medication at hospital discharge.

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-4: Thrombolytic Therapy, STK-5: Antithrombotic Therapy By End of Hospital Day 2, STK-8: Stroke Education, and STK-10: Assessed for Rehabilitation) that are used in The Joint Commission’s hospital accreditation and Disease-Specific Care certification programs. STK-6, Discharged on Statin Medication, is one of six of the measures in this set that have been reengineered as eCQMs and are included in the EHR Incentive Program and Hospital Inpatient Quality Reporting Program.

    • 1.14 Numerator

      Patients prescribed statin medication at hospital discharge.

    • 1.15 Denominator

      Patients with a principal diagnosis of ischemic stroke.

    • Exclusions

      Denominator Exclusions:
      Patients admitted for elective carotid intervention. This exclusion is implicitly modeled by only including non-elective hospitalizations.
      Patients with comfort measures documented.
      Patients discharged to another hospital
      Patients who left against medical advice
      Patients who expired
      Patients discharged to home for hospice care
      Patients discharged to a health care facility for hospice care
      Patients with an LDL-c of less than 70 mg/dL <30 days prior to arrival or any time during the hospital stay

      Denominator Exceptions:
      Patients with a reason for not prescribing statin medication at discharge.

    • 1.13a Data dictionary not attached
      No
    • Most Recent Endorsement Activity
      Not Endorsed Neurology Project 2015-2016
    • Steward
      The Joint Commission
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

      Measure specifications are in the Public Domain

      LOINC(R) is a registered trademark of the Regenstrief Institute.

      This material contains SNOMED Clinical Terms (R) (SNOMED CT(c)) copyright 2004-2014 International Health Terminology Standards Development Organization. All rights reserved.

    • Risk Adjustment
      No risk adjustment or risk stratification
      Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off