eCQM Title | Discharged on Antithrombotic Therapy |
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eCQM Identifier (Measure Authoring Tool) | 104 | eCQM Version number | 8.1.000 |
NQF Number | Not Applicable | GUID | 42bf391f-38a3-4c0f-9ece-dcd47e9609d9 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | The Joint Commission | ||
Measure Developer | The Joint Commission | ||
Endorsed By | None | ||
Description | |||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Definition | |||
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Supplemental Data Elements |
TJC."Encounter with Principal Diagnosis and Age"
TJC."Ischemic Stroke Encounter"
TJC."Ischemic Stroke Encounters with Discharge Disposition" union TJC."Comfort Measures during Hospitalization"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Antithrombotic Therapy at Discharge" DischargeAntithrombotic such that DischargeAntithrombotic.authorDatetime during IschemicStrokeEncounter.relevantPeriod
"Encounter With No Antithrombotic At Discharge" union "Encounter With Ticagrelor During Hospitalization"
["Medication, Not Discharged": "Antithrombotic Therapy"] NoAntithromboticDischarge where NoAntithromboticDischarge.negationRationale in "Medical Reason" or NoAntithromboticDischarge.negationRationale in "Patient Refusal"
["Medication, Discharge": "Antithrombotic Therapy"]
TJC."Ischemic Stroke Encounter"
"Encounter With No Antithrombotic At Discharge" union "Encounter With Ticagrelor During Hospitalization"
TJC."Ischemic Stroke Encounters with Discharge Disposition" union TJC."Comfort Measures during Hospitalization"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Antithrombotic Not Given at Discharge" NoDischargeAntithrombotic such that NoDischargeAntithrombotic.authorDatetime during IschemicStrokeEncounter.relevantPeriod
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with ["Medication, Administered": TJC."Ticagrelor Therapy"] Ticagrelor such that Ticagrelor.relevantPeriod starts during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)
TJC."Encounter with Principal Diagnosis and Age"
TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter with "Antithrombotic Therapy at Discharge" DischargeAntithrombotic such that DischargeAntithrombotic.authorDatetime during IschemicStrokeEncounter.relevantPeriod
["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"
"Ischemic Stroke Encounter" IschemicStrokeEncounter with "Intervention Comfort Measures" ComfortMeasure such that Coalesce(start of ComfortMeasure.relevantPeriod, ComfortMeasure.authorDatetime)during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)
"All Stroke Encounter" AllStrokeEncounter with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of AllStrokeEncounter.relevantPeriod)>= 18
["Intervention, Order": "Comfort Measures"] union ["Intervention, Performed": "Comfort Measures"]
"Encounter with Principal Diagnosis and Age" EncounterWithAge where EncounterWithAge.principalDiagnosis in "Ischemic Stroke"
( ( "Ischemic Stroke Encounter" IschemicStrokeEncounter where IschemicStrokeEncounter.dischargeDisposition in "Discharge To Acute Care Facility" or IschemicStrokeEncounter.dischargeDisposition in "Left Against Medical Advice" or IschemicStrokeEncounter.dischargeDisposition in "Patient Expired" or IschemicStrokeEncounter.dischargeDisposition in "Discharged to Home for Hospice Care" or IschemicStrokeEncounter.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care" ) )
["Encounter, Performed": "Non-Elective Inpatient Encounter"] NonElectiveEncounter where Global."LengthInDays"(NonElectiveEncounter.relevantPeriod)<= 120 and NonElectiveEncounter.relevantPeriod ends during "Measurement Period"
years between ToDate(BirthDateTime)and ToDate(AsOf)
Encounter Visit let ObsVisit: Last(["Encounter, Performed": "Observation Services"] LastObs where LastObs.relevantPeriod ends 1 hour or less on or before start of Visit.relevantPeriod sort by end of relevantPeriod ), VisitStart: Coalesce(start of ObsVisit.relevantPeriod, start of Visit.relevantPeriod), EDVisit: Last(["Encounter, Performed": "Emergency Department Visit"] LastED where LastED.relevantPeriod ends 1 hour or less on or before VisitStart sort by end of relevantPeriod ) return Interval[Coalesce(start of EDVisit.relevantPeriod, VisitStart), end of Visit.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 |