NQMC Update Service: February 4, 2013

NQMC Update Service: February 4, 2013

February 4, 2013

NQMC Update Service: February 4, 2013

Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 02/04/2013 12:00 PM EST

February 4, 2013

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New This Week

Measure Summaries

Institute for Clinical Systems Improvement

• Diagnosis and treatment of ischemic stroke: percentage of eligible patients receiving tPA according to guideline.

• Diagnosis and treatment of ischemic stroke: percentage of eligible patients with ischemic stroke treated with tPA.

• Diagnosis and treatment of ischemic stroke: percentage of ischemic stroke patients who are assessed with a swallow screening test before receiving food, fluids or medications by mouth.

• Diagnosis and treatment of ischemic stroke: percentage of patients admitted to a hospital unit with ischemic stroke for whom patient/family education is documented in the medical record.

• Diagnosis and treatment of ischemic stroke: percentage of patients admitted to the hospital, observation unit or expedited outpatient TIA clinic with documentation of clinical TIA symptoms within the last 24 hours.

• Diagnosis and treatment of ischemic stroke: percentage of patients initially presenting with acute symptoms of ischemic stroke within three hours, or up to 4.5 hours for patients meeting selected criteria, of stroke onset who are evaluated by a clinician within 10 minutes of arriving in the emergency department.

• Diagnosis and treatment of ischemic stroke: percentage of patients mobilized from bed within 24 hours of admission.

• Diagnosis and treatment of ischemic stroke: percentage of patients presenting in the emergency department with ischemic stroke for whom patient/family education is documented in the medical record.

• Diagnosis and treatment of ischemic stroke: percentage of patients who are not candidates for tPA treatment who receive aspirin within 24 hours of hospitalization, after a negative head CT, unless contraindicated.

• Diagnosis and treatment of ischemic stroke: percentage of patients who receive appropriate intervention for hyperthermia.

• Diagnosis and treatment of ischemic stroke: percentage of patients who receive appropriate intervention for hypoglycemia and hyperglycemia.

• Diagnosis and treatment of ischemic stroke: percentage of patients with dehydration who receive IV fluids.

• Diagnosis and treatment of ischemic stroke: percentage of patients with ischemic stroke with paralysis or other reason for immobility receiving appropriate prevention for VTE (subcutaneous heparin or pneumatic compression device).

• Diagnosis and treatment of ischemic stroke: percentage of patients with stroke symptoms who are candidates for tPA with a "door to drug" time (time of arrival to time of drug administration) of less than 60 minutes.

• Diagnosis and treatment of ischemic stroke: percentage of patients with stroke symptoms who undergo a CT scan within 25 minutes of arrival in the emergency department.

• Diagnosis and treatment of ischemic stroke: percentage of tPA non-recipients who have hypertension appropriately managed in the first 48 hours of hospitalization or until neurologically stable.

• Lipid management in adults: percentage of patients on lipid-lowering medication who have a fasting lipid panel within 24 months.

• Lipid management in adults: percentage of patients with (a) CHD, (b) CHD risk equivalent or (c) whose 10-year risk is greater than 20%, who are on a statin OR have LDL less than 70 mg/dL.

• Lipid management in adults: percentage of patients with (a) diabetes and age greater than or equal to 40 years, or (b) who have 10-year Framingham CVD whose 10-year risk is greater than 20%, who are on a statin OR who have LDL less than 100 mg/dL.

• Lipid management in adults: percentage of patients with LDL greater than 100 mg/dL who are on a maximal dose of a potent statin (such as simvastatin, pitavastatin, rosuvastatin, or atorvastatin).