stroke patients receiving IV t-PA at your hospital who are treated within 45 minutes after triage (ED arrival). Refine processes and protocols to ensure they are in line with the guidelines. hbspt.cta._relativeUrls=true;hbspt.cta.load(491484, '41fd9d46-8610-4a5f-a135-c143fe55a31f', {"useNewLoader":"true","region":"na1"}); By JoAnne Marino April 30, 2021 Regulatory Updates: Hospital. A hospitals hemorrhagic stroke patient population size is 295 cases during March. Twenty (20) ischemic stroke patients had a procedure for thrombolysis or mechanical clot removal. Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size required is 20% of this subpopulation or 78 cases for the quarter (20% of 392 equals 78.4 rounded to the next highest whole number equals 78). Here is a diagram that outlines the submission differences. If the ICD-10-CM Principal Diagnosis Code is on Table 8.1, the patient is in the first Ischemic Stroke sub-population and is eligible to be sampled for the first STK sub-population. The primary goal of rehabilitation is to prevent complications, minimize impairments, and maximize function. Hospitals will receive a score for their performance on 10 Claims-Based measures in four categories: patient safety, mortality, coordination of care and payment. }J %PDF-1.5 10960 Grantchester Way, Suite 520Columbia, MD 21044. Appointments at Mayo Clinic Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. The required quarterly sample is 45 cases. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-of-one support. At the beginning of 2020, The Joint Commission switched over to the Direct Data Submission Platform (DDSP). Arrhythmia means that the heart's normal beating rhythm is interrupted. 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 QualityResearch@heart.org. Below are the list of Stroke measures by Certification Program. Much like we saw how cases fall into their respective sub-populations with CSTK, cases for STK use the same criteria when determining which sub-population a case will qualify for. Core Measure Data as of 3/2/2022. 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). CSTK-05b: Hemorrhagic Transformation Patients Treated with Intra-Arterial (IA) Thrombolytic (t-PA) Therapy or Mechanical Endovascular Reperfusion Therapy, 4. The measure set contains two independent sub-populations: Ischemic STK patients and Hemorrhagic STK patients. Percent of acute ischemic stroke patients who arrive at this hospital within 2 hours of time last known well and for whom IV t-PA was initiated at this hospital within 3 hours of time last known well. 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). The required monthly sample is 60 cases. A hospitals ischemic stroke patient population size is 129 cases during March. 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. The administration of anticoagulation therapy is an effective strategy in preventing recurrent stroke in high stroke risk-atrial fibrillation patients. Using the quarterly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 75 cases for the quarter. 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. View them by specific areas by clicking here. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. Due to exclusions, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. The Ischemic sub-population has 392 patients per quarter, which requires a 20% sample size, or 79 cases (twenty percent of 392 equals 78.4 rounded to the next highest whole number equals 79). I hope this high-level overview was helpful and can be a reference for you. Heart Attack), Pneumonia, and Surgical Site Infection prevention. CPT is a registered trademark of the American Medical Association. U.S. Government Rights *All health/medical information on this website has been reviewed and approved by the American Heart Association, based on scientific research and American Heart Association guidelines. STK-1 Venous Thromboembolism (VTE Prophylaxis)7. Calculate Patient Age. Create your baseline by entering 30 records into the Patient Management Tool. This measure set is applicable to patients with diagnoses of ischemic stroke and hemorrhagic stroke, and TIA. CSTK-10a Functional Status Prior to Stroke-Independent: IV Alteplase Only2. Stroke is a leading cause of serious, long-term disability in the United States. January 1, 2021: Actual Primary Completion Date : June 30, 2021: Estimated Study Completion Date : December 31, 2021: Groups and Cohorts. 671 0 obj <>/Filter/FlateDecode/ID[<8968A4F338E55446928FCF4A155C4BC8>]/Index[646 45]/Info 645 0 R/Length 114/Prev 86415/Root 647 0 R/Size 691/Type/XRef/W[1 2 1]>>stream CSTK-03 Severity Measurement Performed for SAH and ICH Patients (Overall Rate)3. . A hospitals Ischemic sub-population is 100 during the first quarter. In addition, the public may compare specific healthcare organizations' results on Core Measures at the CSTK-05 Hemorrhagic Transformation, 1. *** 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. Information in this course pertains to 01/1/13 - 12/31/13, version 4.2 of the Specifications Manual. In the Hospital Inpatient VBP Program Final Rule, CMS adopted the 30-day mortality measures for acute myocardial infarction (AMI), heart failure (HF), and pneumonia* under the Outcome domain. CSTK-10d Functional Status Prior to Stroke-Dependent: MER Therapy, Rate of Rapid Effective Reperfusion From Hospital Arrival. Chart-abstracted measures specificationsScreen Reader Text. All Records, Optional for HBIPS-2 and HBIPS-3, No sampling; 100% Patient Population required, ICD-10-PCS Principal or Other Procedure Codes. Assemble your multidisciplinary team to determine roles and processes for entering patient data. A hospitals Ischemic sub-population is 5 patients during the first quarter. decreased providers collection burden and cost. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. Clinical practice guidelines for the prevention of VTE recommend the use of preventive therapies in at-risk patients. Hospital OQR Quality Measures and Timelines for the CY 2021 Payment Determination . 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. STK-10 Assessed for Rehabilitation, Measures for TJC Comprehensive Stroke Center Certification, 1. We help you select and set up measures that make sense based on your hospitals situation. We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes. STK-10 Assessed for Rehabilitation. The goal is to establish broadly agreed upon core measure sets that could be harmonized across both commercial and government payers. The two sub-populations must be sampled independently from each other. We keep you on track for your submission deadlines and ensure you dont miss critical dates. Along with award-winning software you receive a consultant that helps you with all of your technical and clinical needs. 3= recommended; the outcome measure has good psychometric . A hospitals Ischemic sub-population is 316 during January. This content does not have an Arabic version. %PDF-1.7 Core measures are based on the most common condition's hospitals see, such as acute myocardial infarction (AMI), heart failure (HF), pneumonia, surgical care, children's asthma care, venous thromboembolism (VTE), stroke, and more. These updated core sets are a result of months of consensus-based review and deliberation among the groups 75+ multi-stakeholder member organizations, evaluating hundreds of existing quality measures against the CQMCs rigorous criteria. endobj This section reviews The Joint Commission certifications and clarifies the CMS accreditation requirement. The following table identifies the population . /'6sh]l{;VSCe}>j}1#R/E5SzOOl%5-Ybh_+/y}V4jru*nvJ_VRF|8w^5 @/K6jPw*sfoqW}"3v}qCmqytT_.NnwT*_kL?hokU^dU2h=>tLi 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. What is wrong with these people making it so complicated for us? Using the monthly sampling table for the hemorrhagic stroke subpopulation, the sample size required is 50 cases for the month. The AMA does not directly or indirectly practice medicine or dispense medical services. Return to Clinical Data Processing Flow in the Data Processing section. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. See how our expertise and rigorous standards can help organizations like yours. *7.`"}K3t;qBEN]1F"9V>7[?)] Written by American Heart Association editorial staff and reviewed by science and medicine advisers. *Red Dress DHHS, Go Red AHA ; National Wear Red Day is a registered trademark. 4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility. <> Joint Commission Clinical Measures. Calculate the Length of Stay. You, your employees and agents are authorized to use CPT only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. 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. STK-8 Stroke Education10. CSTK-08 Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)5. 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. Neurology. CSTK-06 Nimodipine Treatment Administered6. Using the monthy sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 14 cases for the month. Specifications Manual for Joint Commission National Quality Measures (v2021A1), Comprehensive Stroke (CSTK) Initial Patient Population, First Pass of a Mechanical Reperfusion Device, Highest NIHSS Score Documented Within 36 Hours Following IA Alteplase or MER Initiation, Highest NIHSS Score Documented Within 36 Hours Following IV Alteplase Initiation, IV Alteplase Prior to IA or Mechanical Reperfusion Therapy, Initial Blood Glucose Value at Hospital Arrival, Initial Blood Pressure at Hospital Arrival, Initial Platelet Count at Hospital Arrival, NIHSS Score Documented Closest to IA Alteplase or MER Initiation, NIHSS Score Documented Closest to IV Alteplase Initiation, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Date, Post-Treatment Thrombolysis in Cerebral Infarction (TICI) Reperfusion Grade Time, Reason for Not Administering Nimodipine Treatment, Reason for Not Administering a Procoagulant Reversal Agent, 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, National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients), Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH ), Hemorrhagic Transformation (Overall Rate), Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade), Modified Rankin Score (mRS at 90 Days: Favorable Outcome), Rate of Rapid Effective Reperfusion From Hospital Arrival, Rate of Rapid Effective Reperfusion From Skin Puncture, 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. The Core Quality Measures Project currently includes 6 of 11 National EMS Quality Measures. Measure requirements are often not aligned among payers, which has resulted in confusion and complexity for reporting providers. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. .gov Commercial health plans are rolling out the core measures as part of their contract cycle. All rights reserved. Using the monthly sampling table for the ischemic stroke subpopulation, the sample size required is 14 cases for the month. Stroke (STK) (v2021B) Home Stroke (STK) Release Notes: Measure Information Form Version 2021B Stroke (STK) On this page: Set Measures General Data Elements Algorithm Output Data Elements Measure Set Specific Data Elements Related Materials Initial Patient Population Algorithm Stroke (STK) Initial Patient Population Algorithm Narrative CMS will go through a public notice and comment rule-making for implementation of these core sets and looks forward to public input on the measures included in these core measure sets. Eleven (11) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during March. STK-1 Venous Thromboembolism (VTE Prophylaxis)12. 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. We can make a difference on your journey to provide consistently excellent care for each and every patient. lock Using the quarterly sampling table for the ischemic stroke with IV t-PA, IA t-PA or MER subpopulation, the sample size required is 84 cases for the quarter. Patient Age, in years, is equal to the Admission Date minus the Birthdate. Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. February 2021 intimacy and sex after stroke February 2021 Post-stroke outcome, falls and fatigue February 2021 improving stroke care. A hospitals Hemorrhagic sub-population is 316 during February. Electronic Clinical Quality Measures (eCQMs) for Accreditation, Chart Abstracted Measures for Accreditation, Electronic Clinical Quality Measures (eCQMs) for Certification. ASR-OP-1 Thrombolytic Therapy (Drip and Ship)5. CPT only copyright 2019 American Medical Association. Quarterly sampling for the Ischemic sub-population: A hospitals Ischemic sub-population is 392 during the first quarter. 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. The STK Initial Patient Population sizes for a hospital are 1 and 3 patients respectively per the sub-populations for the quarter. STK-OP-1c Ischemic Stroke; IV Alteplase Prior to Transfer (Drip and Ship) **RETIRED 7/1/2021**4. 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 nation's health care system moves from one that pays based on volume of services to one that pays for value. <> To begin, I will clarify the two Measure Stewards we are reviewing today (there are many other Measure Stewards out there). Length of Stay, in days, is equal to the Discharge Date minus the Admission Date. Drive performance improvement using our new business intelligence tools. Severity Measurement Performed for SAH and ICH Patients (Overall Rate), Rate of Rapid Effective Reperfusion From Skin Puncture. REMINDER: Stroke is now a Core Measure for CMS!!! Remember that changes do not have to be large. But hospitals see benefits as well. Patients admitted to the hospital for inpatient acute care are included in the CSTK-2 Ischemic Stroke With IV t-PA, IA t-PA, or MER subpopulation sampling group if they have: ICD-10-CM Principal Diagnosis Code as defined in Appendix A, Table 8.1 AND ICD-10-PCS Principal or Other Procedure Codes as defined in Appendix A, Table 8.1a OR Table 8.1b, a Patient Age (Admission Date Birthdate) 18 years and a Length of Stay (Discharge Date - Admission Date) 120 days. This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. x\_s6fE4f+[Itd2)Q" 2tIB.|Qe{r?);|_gb-rv>XS?m>`_\WNO>(b\@~f'4( L`yXS7?b!0@qp) A hospitals Hemorrhagic sub-population is 3 patients during January. 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 treatment2. Monthly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 228 during March. 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. You can use the words "AND" and "OR" along . There are no Stroke eCQMs applicable or available for Certification purposes. If the Length of Stay is less than or equal to 120 days, continue processing and proceed to ICD-10-CM Principal Diagnosis Code Check. You can decide how often to receive updates. %PDF-1.5 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. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. A single copy of these materials may be reprinted for noncommercial personal use only. In light of these points, a blueprint is proposed for using domain-specific outcome measures in stroke recovery trials. stream A hospitals ischemic stroke patient population size is 7 cases during March. In addition, TJC established the Certification Measure Information Process (CMIP) tool where hospitals must manually enter their certification data for the program certifications we reviewed above (ASR, PSC, TSC and CSC). CSTK-10c Functional Status Prior to Stroke-Independent: MER Therapy4. ASR-OP-2b Hemorrhagic Stroke3. Learn how working with the Joint Commission benefits your organization and community. Using the quarterly sampling table for the ischemic stroke subpopulation, the sample size required is 42 cases for the quarter. ASR-OP-2c Ischemic Stroke; drip and ship4. Initial Population: Inpatient hospitalizations for patients age 18 and older . stream The American Medical Association reserves all rights to approve any license with any Federal agency. STK-10 Assessed for Rehabilitation, Measures for TJC Thrombectomy Capable Stroke Center Certification, 1. A hospitals hemorrhagic stroke patient population size is 795 cases during the second quarter. % Measure Submission Type: Measure data may be submitted by individual MIPS eligible clinicians, groups, or third party intermediaries. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. >ob=AOtVt. Stroke Performance Measure 1: VTE Prophylaxis (ischemic and hemorrhagic stroke patients who received TJC Comprehensive Stroke Performance Measures HOS-Sanford Medical Center Fargo Annual summaries for 2020 through 2022 Updated: 2/2023 3. Two-hundred and twenty-three (223) ischemic stroke cases had IV or IA thrombolysis or a mechanical clot removal procedure during the second quarter. STK-OP-1e Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and NOT MER Eligible6. STK-5 Antithrombotic Therapy By End of Hospital Day Two8. <> This may be achieved by administering the t-PA drug intravenously to eligible patients within three hours of stroke onset. This Agreement will terminate upon notice if you violate its terms. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. Data Source: American Heart Association Get With The Guidelines stroke database. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Dude JA, Lohse KR, Cramer SC, Worrall BB; GPAS Collaboration Phenotyping Core. An IV injection of recombinant tissue plasminogen activator (TPA) also called alteplase (Activase) or tenecteplase (TNKase) is the gold standard treatment for ischemic stroke. STK-OP-1b Hemorrhagic Strok3. 1 0 obj Quarterly sampling for the two combined populations for Joint Commission certification purposes. 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 LqV)%0w#lP.s9XsG58gX'5L S AP*=;%)e0J9_T-NXC4*~bTdsSFnde#;nOOyOqsi]qQV/Fb3KtK. 2018 - 2021. The annual Acute Care Hospital Quality Improvement Program Measures reference guide provides a comparison of measures for five Centers for Medicare & Medicaid Services (CMS) acute care hospital quality improvement programs, including the: Hospital IQR Program Hospital Value-Based Purchasing (VBP) Program Promoting Interoperability Program 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). Approximately 2-4% of patients with stroke have their event while hospitalized for another condition, with almost one half resulting from a vascular procedure. sI They also could require other measures. CSTK-02 Modified Rankin Score (mRS at 90 Days)3. Quarterly sampling for the Hemorrhagic sub-population for Joint Commission certification purposes: A hospitals Hemorrhagic sub-population is 392 during the first quarter. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC). STK-OP-1d Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and MER Eligible5. Learn about the priorities that drive us and how we are helping propel health care forward. endobj Set expectations for your organization's performance that are reasonable, achievable and survey-able. 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. The following are Stroke eCQMs used by The Joint Commission. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. <> Its a nightmare trying to keep straight this wide range of acronym-filled information. The listed denominator criteria are used to identify the intended patient population. Measure Type: InpatientNumber of Measures Included: 3 process measuresCertification Requirement: The Joint Commissions Disease-Specific Care Certification, Measure Type: OutpatientNumber of Measures Included: 2 process measuresCertification Requirement: The Joint Commissions Disease-Specific Care Certification, Door to Transfer to Another Hospital**RETIRED Effective July 1, 2021**, Note: All Joint Commission certified acute stroke ready hospitals, as well as those seeking initial certification, will be required to collect the STK-OP-1 Door to Transfer to Another Hospital measure for discharges on and after July 1, 2021. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. The primary source is the Disease-Specific Care Certification Manual, ASRH addendum. The following are the list of required chart-abstracted stroke measures for each certification program. 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. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. TJC is adding three additional measures beginning with July 1, 2021 discharges.Certification Requirement: The Joint Commissions Primary Stroke Certification, Ischemic Stroke; IV Alteplase Prior to Transfer (Drip and Ship) **RETIRED 7/1/2021**, Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and MER Eligible, Ischemic Stroke; No IV Alteplase Prior to Transfer, LVO and NOT MER Eligible, Ischemic Stroke; No IV Alteplase Prior to Transfer, No LVO, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and MER Eligible**ADDED as of 7/1/2021**, Ischemic Stroke; IV Alteplase Prior to Transfer, LVO and NOT MER Eligible **ADDED as of 7/1/2021**, Ischemic Stroke; IV Alteplase Prior to Transfer, No LVO**ADDED as of 7/1/2021**, Measure Type: OutpatientNumber of Measures Included: 1 process measureAccreditation Requirement: CMS Outpatient Quality Reporting program.
