NQMC Update Service: September 14, 2015

Measure Summaries

The Joint Commission

• Stroke: percent of acute ischemic stroke patients for whom IV t-PA was initiated at the hospital within 3 hours (less than or equal to 180 minutes) of time last known well. This updates a previously published measure summary.

• Stroke: percent of ischemic and hemorrhagic stroke patients who received VTE prophylaxis or who have documentation why no VTE prophylaxis was given the day of or the day after hospital admission. This updates a previously published measure summary.

• Stroke: percent of ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all five specified education categories. This updates a previously published measure summary.

• Stroke: percent of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services. This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2. This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge. This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge. This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients with LDL greater than or equal to 100 mg/dL, or LDL not measured, or who were on a lipid-lowering medication prior to hospital arrival, who are prescribed a statin medication at hospital discharge. This updates a previously published measure summary.

• Substance use: percent of hospitalized patients who are screened within the first three days of admission using a validated screening questionnaire for unhealthy alcohol use. This updates a previously published measure summary.

• Substance use: percent of patients who are identified with alcohol or drug disorder who received a prescription for FDA-approved medication for alcohol or drug use disorder or a referral for addictions treatment. This updates a previously published measure summary.

• Substance use: percent of patients who are identified with alcohol or drug use disorder who received or refused at discharge a prescription for FDA-approved medication for alcohol or drug disorder or who received or refused a referral for addictions treatment. This updates a previously published measure summary.

• Substance use: percent of patients who screened positive for unhealthy alcohol use who received or refused a brief intervention during the hospital stay. This updates a previously published measure summary.

• Substance use: percent of patients who screened positive for unhealthy alcohol use who received the brief intervention during the hospital stay. This updates a previously published measure summary.

Withdrawn Summaries

The summary listed below has been withdrawn from the NQMC Web site because it is no longer in current use and therefore, does not meet the NQMC Inclusion Criteria. Please see the Measure Archive for a complete list of measures that have been withdrawn from the NQMC Web site.

Centers for Medicare & Medicaid Services

• Surgical care improvement project: percent of surgery patients with appropriate surgical site hair removal.