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Acute Stroke Mortality Rate (IQI 17)

CBE ID
0467
1.5 Project
Neurology
Endorsement Status
Endorsement Removed
1.0 New or Maintenance
Maintenance
1.1 Measure Structure
Single Measure
Previous Endorsement Cycle
Fall 2017
Is Under Review
No
1.6 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 Specs
General Information
1.7 Measure Type
Outcome
1.3 Electronic Clinical Quality Measure (eCQM)
No
1.8 Level of Analysis
Facility
1.9 Care Setting
Inpatient/Hospital
1.20 Types of Data Sources
Claims Data
1.14 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.

1.15 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)

Most Recent Endorsement Activity
Measure Retired and Endorsement Removed Neurology Fall Cycle 2017
Initial Endorsement
Last Updated
Removal Date
Steward Organization
Agency for Healthcare Research and Quality
Steward POC email
Pam.Owens@ahrq.hhs.gov
Steward Organization Copyright

Not applicable

Risk Adjustment
Statistical risk model
Use
Planned Use
Public Reporting
Quality Improvement (Internal to the specific organization)
6.1.2 Current or Planned Use(s)
Public Reporting
Quality Improvement (Internal to the specific organization)
Public Comments