eCQM Title | Antithrombotic Therapy By End of Hospital Day 2 |
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eCQM Identifier (Measure Authoring Tool) | 72 | eCQM Version number | 8.1.000 |
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 | |||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Definition | |||
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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" union "Encounter With An INR Greater Than 3.5" union "Encounter With Thrombolytic Therapy Prior to Arrival" union "Encounter With Thrombolytic Therapy Documented As Already Given"
"Encounter with Antithrombotic Therapy"
"No Antithrombotic Ordered Day Of or Day After Hospital Arrival" union "Encounter With Ticagrelor Therapy Given Day Of or Day After Hospital Arrival"
TJC."Ischemic Stroke Encounter"
"No Antithrombotic Ordered Day Of or Day After Hospital Arrival" union "Encounter With Ticagrelor Therapy Given Day Of or Day After Hospital Arrival"
"Encounter Less Than Two Days" union "Encounter with Thrombolytic Therapy Medication or Procedures" union "Encounter with Thrombolytic Medication" union "Encounter with Comfort Measures" union "Encounter With An INR Greater Than 3.5" union "Encounter With Thrombolytic Therapy Prior to Arrival" union "Encounter With Thrombolytic Therapy Documented As Already Given"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter where TJC."HospitalizationWithObservationLengthofStay"(IschemicStrokeEncounter)< 2
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with ["Laboratory Test, Performed": "INR"] INR such that INR.resultDatetime during TJC."CalendarDayOfOrDayAfter"(start of Global."HospitalizationWithObservation"(IschemicStrokeEncounter)) and INR.result > 3.5
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with ["Medication, Administered": "Antithrombotic Therapy"] Antithrombotic such that Antithrombotic.relevantPeriod starts during TJC."CalendarDayOfOrDayAfter"(start of Global."HospitalizationWithObservation"(IschemicStrokeEncounter))
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with TJC."Intervention Comfort Measures" ComfortMeasures such that Coalesce(start of ComfortMeasures.relevantPeriod, ComfortMeasures.authorDatetime)during TJC."CalendarDayOfOrDayAfter"(start of Global."HospitalizationWithObservation"(IschemicStrokeEncounter))
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Thrombolytic Medication" Thrombolytic such that Thrombolytic.relevantPeriod starts during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with [Diagnosis: "Intravenous or Intra arterial Thrombolytic (tPA) Therapy Prior to Arrival"] PriorTPA such that PriorTPA.authorDatetime during Global."HospitalizationWithObservation"(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."HospitalizationWithObservation"(IschemicStrokeEncounter)
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter where exists IschemicStrokeEncounter.diagnoses Diagnosis where Diagnosis in "Intravenous or Intra arterial Thrombolytic (tPA) Therapy Prior to Arrival"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with ["Medication, Administered": "Ticagrelor Therapy"] Ticagrelor such that Ticagrelor.relevantPeriod starts during TJC."CalendarDayOfOrDayAfter"(start of Global."HospitalizationWithObservation"(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 during TJC."CalendarDayOfOrDayAfter"(start of Global."HospitalizationWithObservation"(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": "Birth date"] 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)
Encounter Visit let ObsVisit: Last(["Encounter, Performed": "Observation Services"] LastObs where LastObs.relevantPeriod ends 1 hour or less on or before start of Visit.relevantPeriod sort by end of relevantPeriod ), VisitStart: Coalesce(start of ObsVisit.relevantPeriod, start of Visit.relevantPeriod), EDVisit: Last(["Encounter, Performed": "Emergency Department Visit"] LastED where LastED.relevantPeriod ends 1 hour or less on or before VisitStart sort by end of relevantPeriod ) return Interval[Coalesce(start of EDVisit.relevantPeriod, VisitStart), end of Visit.relevantPeriod]
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)
Interval[Global."ToDate"(StartValue), Global."ToDate"(StartValue + 2 days))
Global."LengthInDays"(Global."HospitalizationWithObservation"(Encounter))
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |