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Acute Stroke Mortality Rate (IQI 17)

CBE ID
0467
Project
Neurology
Endorsed
New or Maintenance
Maintenance
Endorsement and Maintenance (E&M) Cycle
Fall 2017
Is Under Review
No
Measure Description

In-hospital deaths per 1,000 hospital discharges with acute stroke as a principal diagnosis for patients ages 18 years and older. Includes metrics for discharges grouped by type of stroke. Excludes obstetric discharges and transfers to another hospital.

[NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital discharges.]

  • Measure Type
    Outcome
    Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Facility
    Care Setting
    Inpatient/Hospital
    Numerator

    Overall:
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Stratum A (Subarachnoid hemorrhage):
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Stratum B (Intracerebral hemorrhage) :
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Stratum C (Ischemic stroke):
    Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    Denominator

    Overall:
    Discharges, for patients ages 18 years and older, with a principal ICD-9-CM diagnosis code for subarachnoid hemorrhage or a principal ICD-9-CM diagnosis code for intracerebral hemorrhage or a principal ICD-9-CM diagnosis code for ischemic stroke.

    Exclusions

    Overall:
    Exclude cases:
    • transferring to another short-term hospital (DISP=2)
    • MDC 14 (pregnancy, childbirth, and puerperium)
    • with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)

    Stratum A (Subarachnoid hemorrhage):
    Exclude cases:
    • transferring to another short-term hospital (DISP=2)
    • MDC 14 (pregnancy, childbirth, and puerperium)
    • with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)

    Stratum B (Intracerebral hemorrhage) :
    Exclude cases:
    • transferring to another short-term hospital (DISP=2)
    • MDC 14 (pregnancy, childbirth, and puerperium)
    • with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)

    Stratum C (Ischemic stroke):
    Exclude cases:
    • transferring to another short-term hospital (DISP=2)
    • MDC 14 (pregnancy, childbirth, and puerperium)
    • with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)

    Testing Data Sources
    Claims Data
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Neurology Fall Cycle 2017
    Initial Endorsement
    Endorsement Status
    Endorsement Removed
    Last Updated
    Removal Date