Discharged on Antithrombotic Therapy

Last updated: July 12, 2017

CMS Measure ID: CMS104v3
Version: 3
NQF Number: 0435
Measure Description:

Ischemic stroke patients prescribed antithrombotic 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 or equal to 120 days.

Denominator Statement:

Patients with a principal diagnosis of Ischemic stroke.

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 antithrombotic therapy at hospital discharge.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

Patients with a documented reason for not prescribing antithrombotic therapy at discharge.

Measure Steward: The Joint Commission
Domain: Effective Clinical Care
Short Name: Stroke2
Next Version: Discharged on Antithrombotic Therapy
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