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Time to Intravenous Thrombolytic Therapy

CBE ID
1952
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2025
1.3 Measure Description

Percent of acute ischemic stroke patients receiving intravenous alteplase therapy during the hospital stay who have a time from hospital arrival to initiation of thrombolytic therapy (door-to-needle time) of 60 minutes or less

        • 1.5 Measure Type
          1.7 Electronic Clinical Quality Measure (eCQM)
          1.8 Level Of Analysis
        • 1.14 Numerator

          Patients who receive IV alteplase at my hospital within 60 minutes after arrival

        • 1.15 Denominator

          All patients with a final clinical diagnosis of ischemic stroke who received IV alteplase at my hospital

        • Exclusions

          Denominator exclusions:
          • Age < 18 years

          • Stroke occurred after hospital arrival (in ED/Obs/inpatient)

          • Patients whose date/time of ED arrival and/or date/time of IV alteplase administration is blank, unknown, or MM/DD/YYYY only.

          • Patients with a negative calculated time difference

          • Patients with a Date Last Known Well, but no time Last Known Well

          • Patients that receive IV alteplase greater than 4.5 hours after Last Known Well

          • Patients who received IV alteplase at an outside hospital or by EMS/Mobile Stroke Unit

          • Clinical Trial

          Denominator exceptions:
          • Patients who received IV alteplase greater than 60 minutes after arrival and have a documented Eligibility or Medical Reason for delay in treatment

        • 1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Neurology Fall Cycle 2019
          Initial Endorsement
          Last Updated
        • Steward
          American Heart Association
          Steward Organization POC Email
          Steward Organization Copyright

          © 2019 American Heart Association/American Stroke Association. All Rights Reserved.

              • Risk adjustment approach
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                Risk adjustment approach
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                Conceptual model for risk adjustment
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                Conceptual model for risk adjustment
                Off