eCQM Title | Antithrombotic Therapy By End of Hospital Day 2 |
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eCQM Identifier (Measure Authoring Tool) | 72 | eCQM Version number | 7.2.000 |
NQF Number | Not Applicable | GUID | 93f3479f-75d8-4731-9a3f-b7749d8bcd37 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | The Joint Commission | ||
Measure Developer | The Joint Commission | ||
Endorsed By | None | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
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Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
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Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
TJC."Encounter with Principal Diagnosis and Age"
TJC."Ischemic Stroke Encounter"
"Encounter Less Than Two Days" union "Encounter with Thrombolytic Therapy Medication or Procedures" union "Encounter with Thrombolytic Medication" union "Encounter with Comfort Measures"
"Encounter with Antithrombotic Therapy"
"No Antithrombotic Ordered During Hospitalization"
TJC."Ischemic Stroke Encounter"
"No Antithrombotic Ordered During Hospitalization"
"Encounter Less Than Two Days" union "Encounter with Thrombolytic Therapy Medication or Procedures" union "Encounter with Thrombolytic Medication" union "Encounter with Comfort Measures"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter where Global."Hospitalization Length of Stay"(IschemicStrokeEncounter)< 2
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with ["Medication, Administered": "Antithrombotic Therapy"] Antithrombotic such that Antithrombotic.relevantPeriod starts 1 day or less on or after day of start of Global."Hospitalization"(IschemicStrokeEncounter)
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with TJC."Intervention Comfort Measures" ComfortMeasures such that Coalesce(start of ComfortMeasures.relevantPeriod, ComfortMeasures.authorDatetime)1 day or less on or after day of start of Global."Hospitalization"(IschemicStrokeEncounter)
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Thrombolytic Medication" Thrombolytic such that Thrombolytic.relevantPeriod starts during Global."Hospitalization"(IschemicStrokeEncounter)
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Thrombolytic Therapy Medication or Procedures" ThrombolyticTherapy such that ThrombolyticTherapy.relevantPeriod starts 24 hours or less before start of Global."Hospitalization"(IschemicStrokeEncounter)
TJC."Encounter with Principal Diagnosis and Age"
["Medication, Not Administered": "Antithrombotic Therapy"] NoAntithromboticGiven where NoAntithromboticGiven.negationRationale in "Medical Reason" or NoAntithromboticGiven.negationRationale in "Patient Refusal"
"No Antithrombotic Ordered for Medical Reason or Patient Refusal" union "No Antithrombotic Administered"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "No Antithrombotic Ordered" NoAntithrombotic such that NoAntithrombotic.authorDatetime 1 day or less on or after day of start of Global."Hospitalization"(IschemicStrokeEncounter)
["Medication, Not Ordered": "Antithrombotic Therapy"] NoAntithromboticOrder where NoAntithromboticOrder.negationRationale in "Medical Reason" or NoAntithromboticOrder.negationRationale in "Patient Refusal"
"Encounter with Antithrombotic Therapy"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
["Medication, Administered": "Thrombolytic (t-PA) Therapy"]
"Thrombolytic Medication" union ["Procedure, Performed": "Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy"]
"Non Elective Inpatient Encounter" NonElectiveEncounter where NonElectiveEncounter.principalDiagnosis in "Hemorrhagic Stroke" or NonElectiveEncounter.principalDiagnosis in "Ischemic Stroke"
"All Stroke Encounter" AllStrokeEncounter with ["Patient Characteristic Birthdate"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of AllStrokeEncounter.relevantPeriod)>= 18
["Intervention, Order": "Comfort Measures"] union ["Intervention, Performed": "Comfort Measures"]
"Encounter with Principal Diagnosis and Age" EncounterWithAge where EncounterWithAge.principalDiagnosis in "Ischemic Stroke"
["Encounter, Performed": "Non-Elective Inpatient Encounter"] NonElectiveEncounter where Global."LengthInDays"(NonElectiveEncounter.relevantPeriod)<= 120 and NonElectiveEncounter.relevantPeriod ends during "Measurement Period"
years between ToDate(BirthDateTime)and ToDate(AsOf)
( singleton from ( ["Encounter, Performed": "Emergency Department Visit"] EDVisit where EDVisit.relevantPeriod ends 1 hour or less on or before start of Encounter.relevantPeriod ) ) X return if X is null then Encounter.relevantPeriod else Interval[start of X.relevantPeriod, end of Encounter.relevantPeriod]
LengthInDays("Hospitalization"(Encounter))
difference in days between start of Value and end of Value
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |