Anticoagulation Therapy for Atrial Fibrillation/Flutter

Last updated: July 12, 2017

CMS Measure ID: CMS71v4
Version: 4
NQF Number: 0436
Measure Description:

Ischemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge.

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 than or equal to 120 days.

Denominator Statement:

Patients with a principal diagnosis of ischemic stroke and current or history of atrial fibrillation/flutter.

Denominator Exclusions:
  • Patients with comfort measures documented.
  • Patients admitted for elective carotid intervention. This exclusion is implicitly modeled by only including non-elective hospitalizations.
  • Patients discharged to another hospital.
  • Patients who left against medical advice.
  • Patients who expired.
  • Patients discharged to home for hospice care.
  • Patients discharged to a health care facility for hospice care.
Numerator Statement:

Patients prescribed anticoagulation therapy at hospital discharge.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

Patients with a documented reason for not prescribing anticoagulation therapy

Measure Steward: The Joint Commission
Domain: Effective Clinical Care
Short Name: Stroke3
Next Version: Anticoagulation Therapy for Atrial Fibrillation/Flutter
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 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 admissions include emergency, urgent and unplanned admissions, including patients admitted for observation.

Specifications

External Resources