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Assessed for Rehabilitation

Last updated: May 3, 2018

CMS Measure ID: CMS102v6
Version: 6
NQF Number: None
Measure Description:

Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services

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 that ends during the measurement period

Denominator Statement:

Initial Populationinfo-icon

Denominator Exclusions:

Patients with comfort measures documented

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

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

Numerator Statement:

Ischemic or hemorrhagic stroke patients assessed for or who received rehabilitation services

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: The Joint Commission
Short Name: Stroke10
Next Version:
Previous Version:
Improvement Notation:

Improvement noted as an increase in rate

Guidance:

The Non-elective Inpatient Encounter value setinfo-icon 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.

Specifications

Release Notes

Header

  • Incremented eMeasure Version number.

    Measure Section: eMeasure Version number

    Source of Change: Measure Lead

  • Replaced NQFinfo-icon Number '0441' with 'Not Applicable' as the measure is no longer endorsed.

    Measure Section: NQF Number

    Source of Change: Measure Lead

  • Replaced 'National Quality Forum' with 'None' as the measure is no longer endorsed.

    Measure Section: Endorsed By

    Source of Change: Measure Lead

  • Updated Copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Added 'ends during the measurement period' to the Initial Populationinfo-icon narrative statement to better align with the logic.

    Measure Section: Initial Population

    Source of Change: JIRAinfo-icon (CQMinfo-icon-2520)

Value Setinfo-icon

The VSACinfo-icon is the source of truth for the value set content, please visit the VSAC for downloads of current value setsinfo-icon.

  • Value set Patient Refusal (2.16.840.1.113883.3.117.1.7.1.93): Added 3 SNOMEDCT codes (183946001, 183956002, 609589008).

    Measure Section: QDMinfo-icon Data Elements

    Source of Change: Annual Update

  • Value set Hemorrhagic Stroke (2.16.840.1.113883.3.117.1.7.1.212): Deleted 2 ICD9CM codes (430, 431).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Ischemic Stroke (2.16.840.1.113883.3.117.1.7.1.247): Deleted 12 ICD9CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Replaced Emergency Department Visit value set (2.16.840.1.113883.3.117.1.7.1.293) with Emergency Department Visit value set (2.16.840.1.113883.3.117.1.7.1.292) ​to harmonize with other measures.

    Measure Section: QDM Data Elements

    Source of Change: JIRA (CQM-2128)

External Resources