eCQM Title | Stroke Education |
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eCQM Identifier (Measure Authoring Tool) | 107 | eCQM Version number | 7.1.000 |
NQF Number | Not Applicable | GUID | 217fdf0d-3d64-4720-9116-d5e5afa27f2c |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | The Joint Commission | ||
Measure Developer | The Joint Commission | ||
Endorsed By | None | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
TJC."Encounter with Principal Diagnosis and Age"
"Encounter With Discharge To Home Or Police Custody"
"Discharge Status With Comfort Measures During Hospitalization"
( "Encounter With Discharge To Home Or Police Custody" HomeOrPoliceDischarge with ["Communication: From Provider To Patient": "Activation of Emergency Medical System Education"] EMSEducation such that EMSEducation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Instructions for Follow Up After Discharge"] FollowUpInstructions such that FollowUpInstructions.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Prescribed Medications Education"] MedicationEducation such that MedicationEducation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Risk Factors Education"] RiskEducation such that RiskEducation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Warning Signs and Symptoms Education"] WarningSigns such that WarningSigns.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Written Information Given"] WrittenInformation such that WrittenInformation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod ) union "Encounter Without Written Discharge Information"
"Encounter With Discharge To Home Or Police Custody"
"Discharge Status With Comfort Measures During Hospitalization"
"Encounter With Discharge To Home Or Police Custody" HomeOrPoliceDischarge with TJC."Intervention Comfort Measures" ComfortMeasures such that Coalesce(start of ComfortMeasures.relevantPeriod, ComfortMeasures.authorDatetime)during Global."Hospitalization"(HomeOrPoliceDischarge)
TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge where EncounterWithAge.dischargeDisposition in "Discharge To Home Or Police Custody"
"Encounter With Discharge To Home Or Police Custody" EncounterDischarge with "Written Information Not Given" NoWrittenInformation such that NoWrittenInformation.authorDatetime during EncounterDischarge.relevantPeriod
TJC."Encounter with Principal Diagnosis and Age"
( "Encounter With Discharge To Home Or Police Custody" HomeOrPoliceDischarge with ["Communication: From Provider To Patient": "Activation of Emergency Medical System Education"] EMSEducation such that EMSEducation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Instructions for Follow Up After Discharge"] FollowUpInstructions such that FollowUpInstructions.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Prescribed Medications Education"] MedicationEducation such that MedicationEducation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Risk Factors Education"] RiskEducation such that RiskEducation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Warning Signs and Symptoms Education"] WarningSigns such that WarningSigns.authorDatetime during HomeOrPoliceDischarge.relevantPeriod with ["Communication: From Provider To Patient": "Written Information Given"] WrittenInformation such that WrittenInformation.authorDatetime during HomeOrPoliceDischarge.relevantPeriod ) union "Encounter Without Written Discharge Information"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
"Non Elective Inpatient Encounter" NonElectiveEncounter where NonElectiveEncounter.principalDiagnosis in "Hemorrhagic Stroke" or NonElectiveEncounter.principalDiagnosis in "Ischemic Stroke"
"All Stroke Encounter" AllStrokeEncounter with ["Patient Characteristic Birthdate"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of AllStrokeEncounter.relevantPeriod)>= 18
["Intervention, Order": "Comfort Measures"] union ["Intervention, Performed": "Comfort Measures"]
["Encounter, Performed": "Non-Elective Inpatient Encounter"] NonElectiveEncounter where Global."LengthInDays"(NonElectiveEncounter.relevantPeriod)<= 120 and NonElectiveEncounter.relevantPeriod ends during "Measurement Period"
["Communication: From Provider To Patient, Not Done": "Written Information Given"] NoWrittenInformation where NoWrittenInformation.negationRationale in "Patient Refusal"
years between ToDate(BirthDateTime)and ToDate(AsOf)
( singleton from ( ["Encounter, Performed": "Emergency Department Visit"] EDVisit where EDVisit.relevantPeriod ends 1 hour or less on or before start of Encounter.relevantPeriod ) ) X return if X is null then Encounter.relevantPeriod else Interval[start of X.relevantPeriod, end of Encounter.relevantPeriod]
difference in days between start of Value and end of Value
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |