Last updated: June 9, 2017
| CMS Measure ID: | CMS107v6 |
|---|---|
| Version: | 6 |
| NQF Number: | None |
| Measure Description: |
Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke |
| 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: |
Ischemic stroke or hemorrhagic stroke patients discharged to home, home care, or court/law enforcement |
| Denominator Exclusions: |
Patients with comfort measures documented |
| Numerator Statement: |
Ischemic or hemorrhagic stroke patients with written documentation that they or their caregivers were given educational material addressing all of the following: 1. Activation of emergency medical system 2. Follow-up after discharge 3. Medications prescribed at discharge 4. Risk factors for stroke 5. Warning signs and symptoms of stroke |
| Numerator Exclusions: |
Not Applicable |
| Denominator Exceptions: |
None |
| Measure Steward: | The Joint Commission |
| Short Name: | Stroke8 |
| Previous Version: | Stroke Education |
| Improvement Notation: |
Improvement noted as an increase in rate |
| Guidance: |
Written information given to the patient is required to address each and every one of the educational components. These components are modeled in the population criteria and data criteria as communication from provider to patient :activation of emergency medical system, follow-up after discharge, medications prescribed at discharge, risk factors and signs and symptoms, and are intended to be specific to stroke. The Non-elective admissions 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. |
Specifications
CMS107v6.html
CMS107v6.xml
CMS107v6_SimpleXML.xml
EH_CAH_CMS107v6_NQFXXXX_Stroke8.zip
CMS107v6_TRN_05.05.17.xlsx
Release Notes
Header
Incremented eMeasure Version number.
Section: eMeasure Version number
Source: Measure Lead
Updated Copyright.
Section: Copyright
Source: Annual Update
Added 'ends during the measurement period' to the Initial Population narrative statement to better align with measure logic.
Section: Initial Population
Source: JIRA (CQM-2520)
Value Set
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Patient Refusal (2.16.840.1.113883.3.117.1.7.1.93): Added 3 SNOMEDCT codes (183946001, 183956002, 609589008).
Section: None
Source: None
Value set Hemorrhagic Stroke (2.16.840.1.113883.3.117.1.7.1.212): Deleted 2 ICD9CM codes (430, 431).
Section: None
Source: None
Value set Ischemic Stroke (2.16.840.1.113883.3.117.1.7.1.247): Deleted 12 ICD9CM codes.
Section: None
Source: None

