Antithrombotic Therapy By End of Hospital Day 2

Last updated: May 4, 2017

CMS Measure ID: CMS72v3
Version: 3
NQF Number: 0438
Measure Description:

Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2.

Initial Patient Population:

Patients age 18 and older discharged from inpatient care (non-elective admissions) with a principal diagnosis of ischemic or hemorrhagic stroke and a length of stay less or equal to 120 days.

Denominator Statement:

Patients with a principal diagnosis of Ischemic stroke.

Denominator Exclusions:
  • Patients who have a duration of stay less than 2 days
  • Patients with comfort measures documented on day or the day after arrival
  • Patients with intra-venous or intra-arterial Thrombolytic (t-PA) Therapy administered within 24 hours prior to arrival or anytime during hospitalization.
Numerator Statement:

Patients who had antithrombotic therapy administered the day of or day after hospital arrival.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

Patients with a documented reason for not administering antithrombotic therapy the day of or day after hospital arrival.

Measure Steward: The Joint Commission
Domain: Effective Clinical Care
Short Name: Stroke5
Next Version: Antithrombotic Therapy By End of Hospital Day 2
Measure Score: Proportion
Score Type: Process
Improvement Notation:

An increase in rate

Guidance:

The unit of measurement for this measure is an inpatient episode of care. Each distinct hospitalization should be reported, regardless of whether the same patient is admitted for inpatient care more than once during the measurement period. In addition, the eMeasure logic intends to represent events within or surrounding a single occurrence of an inpatient hospitalization.

The Non-elective admissions value set intends to capture all non-scheduled hospitalizations. This value set is a subset of the Inpatient encounter value set, excluding concepts that specifically refer to elective hospital admissions. Non-elective admissions include emergency, urgent and unplanned admissions, including patients admitted for observation.

Specifications

External Resources