Back to top
Top
U.S. flag

An official website of the United States government

Anticoagulation Therapy for Atrial Fibrillation/Flutter

Compare Versions of: "Anticoagulation Therapy for Atrial Fibrillation/Flutter"

The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.

Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.

Compare 2026 version to

Table Options
Measure Information 2026 Reporting Period
Title Anticoagulation Therapy for Atrial Fibrillation/Flutter
CMS eCQM ID CMS71v15
Short Name

STK-3

CBE ID* Not Applicable
Measure Steward The Joint Commission
Description

Ischemic stroke patients with atrial fibrillation/flutter who are prescribed or continuing to take anticoagulation therapy at hospital discharge

Measure Scoring Proportion measure
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

Nonvalvular atrial fibrillation (NVAF) is a common arrhythmia and an important risk factor for stroke. It is one of several conditions and lifestyle factors that have been identified as risk factors for stroke. It has been estimated that over 2 million adults in the United States have...

Show more >
Clinical Recommendation Statement

The administration of anticoagulation therapy, unless there are contraindications, is an established effective strategy in preventing recurrent stroke in high stroke risk atrial fibrillation patients with TIA or prior stroke

Improvement Notation

Increased score indicates improvement

Definition

None

Guidance

The "Nonelective Inpatient Encounter" 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 Inpatient Encounters include...

Show more >
Initial Population

Inpatient hospitalizations (non-elective admissions) for patients age 18 and older, discharged from inpatient care with a principal diagnosis of ischemic stroke, ending during the measurement period

Denominator

Inpatient hospitalizations for patients with a principal diagnosis of ischemic stroke, and a history of atrial ablation, or current or history of atrial fibrillation/flutter

Denominator Exclusions

- Inpatient hospitalizations for patients admitted for elective carotid intervention. This exclusion is implicitly modeled by only including non-elective hospitalizations.

- Inpatient hospitalizations for patients discharged to another hospital

- Inpatient hospitalizations for patients who...

Show more >
Numerator

Inpatient hospitalizations for patients prescribed or continuing to take anticoagulation therapy at hospital discharge

Numerator Exclusions

None

Denominator Exceptions

Inpatient hospitalizations for patients with a documented reason for not prescribing anticoagulation therapy at discharge

Next Version No Version Available
Previous Version

Header

TRN

Measure Section

Source of Change

Updated 'eCQM Identifier (Measure Authoring Tool)' field to 'CMS ID' based on tooling update.

CMS ID

Standards/Technical Update

Updated the eCQM version number.

eCQM Version Number

Annual Update

Updated measurement period to reflect exact dates of reporting.

Measurement Period

Standards/Technical Update

Updated copyright.

Copyright

Annual Update

Updated disclaimer.

Disclaimer

Annual Update

Updated Improvement Notation field to read 'Increased score indicates improvement' based on tooling update to promote alignment across measures.

Improvement Notation

Standards/Technical Update

Updated Numerator Exclusions field to read 'None' instead of 'Not Applicable' when no exclusions present to promote alignment across header fields.

Numerator Exclusions

Standards/Technical Update

Updated references and measure header to reflect current evidence and new or updated literature.

Multiple Sections

Measure Lead

Logic

TRN

Measure Section

Source of Change

Updated the version number of the TJC Overall Library to v9.0.000.

Definitions

Annual Update

Updated the version number of the Global Shared Library to v9.0.000 and the library name from 'MATGlobalCommonFunctionsQDM' to 'CQMCommonQDM'.

Definitions

Annual Update

Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

Definitions

Standards/Technical Update

Updated the CQL library name from 'CMS71-v14-0-000-QDM-5-6.cql' to 'CMS71STKAnticoagAFFlutter-15.1.000.cql' based on recommendation by technical experts.

Definitions

Standards/Technical Update

Updated the version number of the Global Shared Library to v9.0.000 and the library name from 'MATGlobalCommonFunctionsQDM' to 'CQMCommonQDM'.

Functions

Annual Update

Updated the version number of the TJC Overall Library to v9.0.000.

Functions

Annual Update

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

TRN

Measure Section

Source of Change

Replaced value set used for Sex Supplemental Data Element (SDE) ONC Administrative Sex (2.16.840.1.113762.1.4.1) with value set Federal Administrative Sex (2.16.840.1.113762.1.4.1021.121) based on updated standards.

Terminology

Standards/Technical Update

Value set Anticoagulant Therapy (2.16.840.1.113883.3.117.1.7.1.200): Deleted 1 RxNorm code (1361615) based on review by technical experts, SMEs, and/or public feedback.

Terminology

Measure Lead

Value set Atrial Ablation (2.16.840.1.113883.3.117.1.7.1.203): Added 1 SNOMED CT code (1332525002) based on terminology update. Added 1 ICD-10-PCS code (02583ZF) based on terminology update.

Terminology

Annual Update

Value set Atrial Fibrillation or Flutter (2.16.840.1.113883.3.117.1.7.1.202): Deleted 1 SNOMED CT code (195080001) based on terminology update.

Terminology

Annual Update

Value set Nonelective Inpatient Encounter (2.16.840.1.113883.3.117.1.7.1.424): Added 1 SNOMED CT code (442281000124108) based on terminology update.

Terminology

Annual Update

Value set Patient Refusal (2.16.840.1.113883.3.117.1.7.1.93): Added 1 SNOMED CT code (1296859006) based on terminology update. Deleted 1 SNOMED CT code (105480006) based on terminology update.

Terminology

Annual Update

Last Updated: May 06, 2025