stroke core measures 2021what happened to mark reilly strong island
Learn about the "gold standard" in quality. 4 0 obj The two sub-populations must be sampled independently from each other. . An injection of TPA is usually given through a vein in the arm within the first three hours. >ob=AOtVt. Measures that include patient and/or caregiver engagement Adult Recommended Core Measures Controlling High Blood Pressure Use of High-Risk Medications in the Elderly Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Use of Imaging Studies for Low Back Pain There is a great demand today for accurate, useful information on health care quality that can inform the decisions of consumers, employers, physicians and other clinicians, and policymakers. Refine processes and protocols to ensure they are in line with the guidelines. An antithrombotic agent is a drug that reduces the formation of blood clots. Dude JA, Lohse KR, Cramer SC, Worrall BB; GPAS Collaboration Phenotyping Core. endstream endobj 647 0 obj <>/Metadata 18 0 R/Pages 644 0 R/StructTreeRoot 24 0 R/Type/Catalog/ViewerPreferences<>>> endobj 648 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 649 0 obj <>stream CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. We help troubleshoot technical and clinical issues to improve your measures. Pets and Your Health / Healthy Bond for Life, La Iniciativa Nacional de Control de la Hipertensin, Contact your local Get With The Guidelines, Get With The Guidelines Data Request Form. a set of re-specified measures in 2019, which were updated in 2021. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. The required sample size for the CSTK-01 measure is a minimum of 42 cases for the month (28 cases from Table 4 plus 14 cases from Table 5 equals 42). This means the patient passed every measure they qualified for. What is wrong with these people making it so complicated for us? Using the monthly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 28 cases for the month. endobj endobj A hospitals Ischemic sub-population is 316 during January. Major causes of HF are coronary artery disease, high blood pressure, and diabetes. Set the Initial Patient Population Reject Case Flag to equal Yes. A hospitals ischemic stroke patient population size is 495 cases during the second quarter. A hospital may choose to use a larger sample size than is required. Using the monthly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 20% of this subpopulation or 25 cases for the month (20% of 123 equals 24.6 rounded to the next highest whole number equals 25). The AMA is a third party beneficiary to this Agreement. https:// Learn how working with the Joint Commission benefits your organization and community. <> Measure Type: InpatientNumber of Measures Included: 8Certification Requirement: The Joint Commissions Primary Stroke Certification, Anticoagulation Therapy for Atrial Fibrillation/Flutter, Antithrombotic Therapy By End of Hospital Day Two. This may be achieved by administering the t-PA drug intravenously to eligible patients within three hours of stroke onset. CSTK-09b Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who present directly to your hospital and undergo endovascular treatment, Modified Rankin Score (mRS at 90 Days: Favorable Outcome), 1. ASR-OP-2c Ischemic Stroke; drip and ship4. Monday - Friday: 7 a.m. 7 p.m. CT Joint Commission Clinical Measures. Approximately 2-4% of patients with stroke have their event while hospitalized for another condition, with almost one half resulting from a vascular procedure. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. CSTK-11 Rate of Rapid Effective Reperfusion From Hospital Arrival10. This is increasingly important as the health care system moves towards value-based reimbursement models. Percent of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge. A hospitals hemorrhagic stroke patient population size is 295 cases during March. Stroke Core Stroke Measures As a Certified Stroke Center the stroke committee would like to provide physicians with updates on how we are performing on the stroke performance and quality measures. Research projects are hypothesis-driven studies that are developed into manuscripts suitable for peer-reviewed publication. CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 42 cases for the quarter. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. Studies at this time suggest that antithrombotic therapy should be administered within 2 days of symptom onset in acute ischemic stroke patients to reduce stroke mortality and morbidity. In regard to stroke, The Joint Commission has four different types of certification programs that go along with these stroke measure sets. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. STK-5 Antithrombotic Therapy By End of Hospital Day Two8. We can make a difference on your journey to provide consistently excellent care for each and every patient. Stroke patients are at increased risk of developing venous thromboembolism (deep vein blood clots). The next measure set we review is abbreviated ASR-IP/OP. Designed to be meaningful to patients, consumers, and physicians, the alignment of these core measure sets will aid in: CMS believes that by reducing burden on providers and focusing quality improvement on key areas across payers, quality of care can be improved for patients more effectively and efficiently. The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measure Maintenance Technical Advisory Panel (TAP). Clinical practice guidelines for the prevention of VTE recommend the use of preventive therapies in at-risk patients. The following are Stroke eCQMs used by The Joint Commission. Oh, also, I included a ton of resources and links throughout this article and a specific list of resources at the end. In the specifications manual, Version 2021B, it is in Section 7: Joint Commission National Quality Measures Data Processing, Joint Commission Stroke Measures table: https://manual.jointcommission.org/releases/TJC2021B/TransmissionChapterTJC.html. Chart-abstracted measures specificationsScreen Reader Text. A hospitals ischemic stroke patient population size is 295 cases during March. Official websites use .govA The coalition was convened in 2015 by Americas Health Insurance Providers (AHIP) and the Centers for Medicare & Medicaid Services (CMS) and is housed at the National Quality Forum (NQF). % The reduction of LDL cholesterol, through lifestyle modification and drug therapy when appropriate, is recommended for the prevention of recurrent ischemic stroke, heart attack, and other major vascular events. 4 0 obj endobj All Records, Optional for HBIPS-2 and HBIPS-3, No sampling; 100% of the Initial Patient Population is required, Patient level data must be processed in order to submit your aggregate data. In addition, stroke rehabilitation incorporates prevention and treatment of medical and mental health complications such as aspiration pneumonia, soft-tissue contractures, decubitus ulcers, infection, deep vein thrombosis (DVT), malnourishment, and depression. CMS and TJC update Core Measures and retire some Core Measures on an ongoing basis. Written by American Heart Association editorial staff and reviewed by science and medicine advisers. A hospitals Ischemic sub-population is 5 patients during February. Start STK Initial Patient Population logic sub-routine. A hospital may choose to use a larger sample size than is required. Two-hundred and twenty-three (223) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. An antithrombotic is a medication that prevents blood clots. TARGET: STROKE MEASURE Door to IV rt-PA in 60 minutes (Historic-Quality): Percent of ischemic stroke patients receiving IV t-PA at your hospital who are treated within 60 minutes after triage (ED arrival). Nonvalvular atrial fibrillation is a common arrhythmia and an important risk factor for stroke. *{o7@FNhR/ Gain an understanding of the development of electronic clinical quality measures to improve quality of care. To develop the core measure sets the Collaborative split into workgroups and reviewed measures currently in use by CMS and health plans as well as measures endorsed by NQF for the individual measure sets. Length of Stay, in days, is equal to the Discharge Date minus the Admission Date. 2021 94.5% (307/325) 2020 91.7% (275/300) STK-2 2022 100.0% (117/117) . 1 0 obj Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size is less than the minimum required quarterly sample size, so 100% of the subpopulation or all 37 cases are sampled. The guiding principles used by the Collaborative in developing the core measure sets are that they be meaningful to patients, consumers, and physicians, while reducing variability in measure selection, collection burden, and cost. m/P]H(ZVk[/ "+TPy9|9J1C0.ZOK_i@"$B'r~-("tNZmO}cv!eB In this post we are either referencing CMS or The Joint Commission as the Measure Stewards. This consensus core set was further discussed by all Collaborative members before being finalized. ** The Adult Core Set includes the NCQA version of the measure, whichis adapted from the CMS measure (NQF #1879). Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nations health care system moves from one that pays based on volume of services to one that pays for value. Drive performance improvement using our new business intelligence tools. %PDF-1.7 2023 Medisolv, Inc. All Rights Reserved. <>/Metadata 285 0 R/ViewerPreferences 286 0 R>> STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter9. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. I hope this high-level overview was helpful and can be a reference for you. See how our expertise and rigorous standards can help organizations like yours. A modified sampling procedure is required for hospitals performing quarterly sampling for STK. One-hundred and forty-eight (148) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. STK-4 Thrombolytic Therapy7. By not making a selection you will be agreeing to the use of our cookies. This content does not have an Arabic version. Submission of aggregate data is still required. The Perfect Care Report identifies patients that received perfect care. I also included the complete list of measures required for each certification. There are currently at least 5 major US-based stroke quality improvement programs implementing stroke measures. The goal is to quickly get rid of any blood clot(s) to restore function to the area that is impacted by a stroke, such as the brain. The Differences Between The 5 Major Stroke Measure Sets, Thrombolytic Therapy: Inpatient Admission, Antithrombotic Therapy By End of Hospital Day 2, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and NOT MER Eligible, Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO, National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients), Ischemic Stroke; IV Alteplase Prior to Transfer (Drip and Ship), CSTK-05a: Hemorrhagic Transformation for Patients Treated with Intravenous (IV) Thrombolytic (t-PA) Therapy Only, CSTK-05b: Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade), 1. Saturday: 9 a.m. - 5 p.m. CT Secure .gov websites use HTTPSA Quarterly sampling for the two combined populations for Joint Commission certification purposes. They also could require other measures. This content does not have an English version. CSTK-09 Arrival Time to Skin Puncture, 8. 4 0 obj STK-1 Venous Thromboembolism (VTE Prophylaxis)12. Appointments at Mayo Clinic Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. There are no Stroke eCQMs applicable or available for Certification purposes. The STK Initial Patient Population sizes for a hospital are 1 and 3 patients respectively per the sub-populations for the quarter. ASR-IP-1: Thrombolytic Therapy (IV alteplase initiated in the ED followed by inpatient admission to the ASRH)2. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). Its a nightmare trying to keep straight this wide range of acronym-filled information. % .gov Stroke Core Performance Measures HOS-Sanford Medical Center Fargo Annual summaries for 2020 through 2022 Updated: 2/2023 . {8Dm.;JHTBXEXh^^^.Y)oH 6K;ANf!;*#.\1\c"1cKE. This section reviews The Joint Commission certifications and clarifies the CMS accreditation requirement. CSTK-09 Arrival Time to Skin Puncture, 1. In the final section, I review the way this information is submitted to The Joint Commission and CMS. But hospitals see benefits as well. STK-8 Stroke Education13. Ongoing monitoring by the Collaborative of the use of these measures will enable modifications of measure sets, as needed and based on lessons learned, including minimizing unintended consequences and selection of new measures as better measures become available. Through the use of a multi-stakeholder process, the Collaborative promotes alignment and harmonization of measure use and collection across payers in both the public and private sectors. CSTK-09a Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who are transferred from another hospital and undergo endovascular treatment, CSTK-09b Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who present directly to your hospital and undergo endovascular treatment, Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH ), 2. endobj The most common signs and symptoms of HF are shortness of breath on exertion; orthopnea; weight gain with edema in the feet, legs, or lower back; fatigue; and weakness. A hospitals hemorrhagic stroke patient population size is 392 cases during the second quarter. CSTK-09b Time (in minutes) from hospital arrival to skin puncture in patients with acute ischemic stroke who present directly to your hospital and undergo endovascular treatment, 6. STK-1 Venous Thromboembolism (VTE Prophylaxis)4. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. U.S. Government Rights Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the (AMA is not recommending their use. Data Source: American Heart Association Get With The Guidelines stroke database. STK-10 Assessed for Rehabilitation, Measures for TJC Comprehensive Stroke Center Certification, 1. For an overview of data housed in the Stroke Patient Management Tool, please refer to the Stroke Case Record Form (PDF). You can use the words "AND" and "OR" along . The numerator options included in this Once a patient is qualified, he/she moves to the second part of the algorithm which tells you which sub-population he/she falls into. Stroke Performance Measure 1: VTE Prophylaxis (ischemic and hemorrhagic stroke patients who received The Core Quality Measure Collaborative, led by the Americas Health Insurance Plans (AHIP) and its member plans Chief Medical Officers, leaders from CMS and the National Quality Forum (NQF), as well as national physician organizations, employers and consumers, worked hard to reach consensus on core performance measures. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Comprehensive Stroke Arrival Time to Skin Puncture, Comprehensive Stroke Post Thrombolysis Revascularization Rate, Comprehensive Stroke Timeliness of IV Thrombolytic Therapy, Advertising and sponsorship opportunities, Percent of ischemic and hemorrhagic stroke patients who received venous thromboembolism (VTE) prophylaxis the day of or the day after hospital admission. Include the patient in the Initial Patient Population for the appropriate measures. Learn more about the communities and organizations we serve. Using the notice and public comment rule-making process, CMS also intends to implement new core measures across applicable Medicare quality programs as appropriate, while eliminating redundant measures that are not part of the core set. <>>> *** AHRQ is the measure steward for the survey instrument in the Adult Core Set (NQF #0006) and NCQA is the developer of the survey administration protocol. Share sensitive information only on official, secure websites. Sometimes it works best to start small and build on success. A hospitals hemorrhagic stroke patient population size is 200 cases during the second quarter. This product includes CPT which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. . Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this Agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Find more information on our content editorial process. The Core Quality Measures Project currently includes 6 of 11 National EMS Quality Measures. Using the monthly sampling table for the Ischemic sub-population, the sample size is less than the minimum required monthly sample size, so 100% of this sub-population is sampled. We help you select and set up measures that make sense based on your hospitals situation. Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 20% of this subpopulation or 26 cases for the month (20% of 129 equals 25.8 rounded to the next highest whole number equals 26). ASR OP-2 Door to Transfer to Another Hospital **RETIRED Effective July 1, 2021**, 1. Below are the list of Stroke measures by Certification Program. The administration of anticoagulation therapy is an effective strategy in preventing recurrent stroke in high stroke risk-atrial fibrillation patients. CSTK-10b Functional Status Prior to Stroke-Dependent: IV Alteplase Only3. Suspected stroke symptoms can be confounded by medications, metabolic encephalopathy, and comorbid conditions. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. CSTK-01 National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)2. Measure Set Stroke Measure ID # STR-1 Measure Name Prehospital Screening for Suspected Stroke Patients Hospitals now have one place to submit both chart-abstracted and eCQM data. To submit a research proposal for the Get With The Guidelines- Stroke program, email a completed Get With The Guidelines Data Request Form (download) to [emailprotected]. Process all cases that have successfully reached the point in the Clinical Data Processing Flow which calls this Initial Patient Population Algorithm. Hospitals will receive a score for their performance on 10 Claims-Based measures in four categories: patient safety, mortality, coordination of care and payment. % Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 20% of this subpopulation or 26 cases for the month (20% of 129 equals 25.8 rounded to the next highest whole number equals 26). Sign up to get the latest information about your choice of CMS topics. Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 20% of this subpopulation or 45 cases for the quarter (20% of 223 equals 44.6 rounded to the next highest whole number equals 45). endobj The required quarterly sample is 60 cases. National Center A hospitals Ischemic sub-population is 5 patients during the first quarter. Core Measures are evidence-based standards of care established by The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). STK-6 Discharged on Statin Medication9. These measures include aggressive use of medications, such as antithrombotics, anticoagulation therapy, deep vein thrombosis prophylaxis, cholesterol-reducing drugs and smoking cessation, all aimed at reducing death and disability and improving the lives of stroke patients. with acute ischemic stroke in the hospital setting will submit this measure. Using the monthly sampling table for the Hemorrhagic sub-population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population is sampled. This item requires a Core Return or Core Charge. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. %%EOF Part 2: A review of the different stroke certifications. endobj STK-4 Thrombolytic Therapy10. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. CSTK-05b:Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 2. <> Specifications Manual for Joint Commission National Quality Measures (v2021B), Stroke (STK) Initial Patient Population Algorithm Narrative, Anticoagulation Therapy Prescribed at Discharge, Antithrombotic Therapy Administered by End of Hospital Day 2, Antithrombotic Therapy Prescribed at Discharge, Education Addresses Activation of Emergency Medical System, Education Addresses Follow-up After Discharge, Education Addresses Medication Prescribed at Discharge, Education Addresses Risk Factors for Stroke, Education Addresses Warning Signs and Symptoms of Stroke, IV OR IA Alteplase Administered at This Hospital or Within 24 Hours Prior to Arrival, Reason for Extending the Initiation of IV Alteplase, Reason for No VTE Prophylaxis Hospital Admission, Reason for Not Administering Antithrombotic Therapy by End of Hospital Day 2, Reason for Not Prescribing Statin Medication at Discharge, Statin Medication Prescribed at Discharge, Appendix E - Overview of Measure Information Form and Flowchart Formats, Cover Page for the Joint Commission Manual, Joint Commission Clinical Data Processing Flow, Joint Commission National Quality Measures Data Processing, Using the The Joint Commission's National Measure Specifications Manual, Anticoagulation Therapy for Atrial Fibrillation/Flutter, Antithrombotic Therapy By End of Hospital Day Two, All Records, Not collected for HBIPS-2 and HBIPS-3, All Records, Optional for HBIPS-2, HBIPS-3, All Records, Optional for All HBIPS Records. *7.`"}K3t;qBEN]1F"9V>7[?)] The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. 2021; 97: . Monthly sampling for the Ischemic sub-population: A hospitals Ischemic sub-population is 228 during March. Ready to get started with CMIT 2.0? 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Reports, http://www.qualityforum.org/CQMC_Core_Sets.aspx. Hospital Outpatient Quality Measure Stroke. Data collection for STK-OP-1 will replace ASR-OP-2. Percent of ischemic stroke patients who received antithrombotic therapy by the end of hospital day two. STK-6 Discharged on Statin Medication12. View them by specific areas by clicking here. Twenty (20) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. Of FSRMC patients treated with tPA, a clot-dissolver, or who underwent a procedure to retrieve a blood clot, 2.4% experienced complications, compared to the national average complication rate of 6.8%. Arrhythmia means that the heart's normal beating rhythm is interrupted. Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. The measure set contains two independent sub-populations: Ischemic STK patients and Hemorrhagic STK patients. ASR-OP-2b Hemorrhagic Stroke3. STK-8 Stroke Education18. uz'*\08 DLli_{5:G}M=}nS`M6C'{AREuw%~NM5Ydam\[\_#$ s8S@ AE"4u0qwCmWN N`h,bp``+bv\~B9M Percent of ischemic stroke patients with atrial fibrillation or atrial flutter who are prescribed anticoagulation therapy at hospital discharge. To search the historic measure inventory, enter one or more terms in the search box and hit enter or click the search button. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 28 cases for the month. One-hundred and twenty-three (123) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. Q2 (April 1-June 30); Q3 (July 1-September 30); Q4 (October 1-December 31); Q1 . 2023 American Heart Association, Inc. All rights reserved. Fifty (50) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. Stroke Core Measure - About Us - Mayo Clinic , . A hospitals Hemorrhagic sub-population is 3 patients during the first quarter. 690 0 obj <>stream Using the quarterly sampling table for the Ischemic sub-population, the sample size required is 20% of this sub-population, or 79 cases for the quarter (twenty percent of 392 equals 78.4 rounded up to the next whole number equals 79). In addition, 36 states reported more Adult Core Set measures for FFY 2019 than for FFY 2018. CSTK-05b: Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 4. February 2021 intimacy and sex after stroke February 2021 Post-stroke outcome, falls and fatigue February 2021 improving stroke care. STK-1 Venous Thromboembolism (VTE Prophylaxis)7. *Note: Significant changes to this measure set begin July 1, 2021. decreased providers collection burden and cost. Quarterly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 392 during the first quarter. CMS will use these mortality measures, which it reports under the Clinical Care domain, in the FY 2019 program. endstream endobj startxref The final clinical diagnosis is used to identify the measure population. You can download it or email it to yourself to help you remember. The Duke Health system tracks and measures the care we provide to our patients based on these quality measures. You receive one consultant that you can call anytime with questions or concerns. There are five major stroke measure sets. It is important to always refer to the latest edition. Learn about the priorities that drive us and how we are helping propel health care forward. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision.
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