Stroke/TIA Quality Measures

Initial Response

Document:

  1. Date/time of last known well

  2. Date/time of symptom onset

  3. Date/time of initial assessment

  4. Date/time of CT read

  5. Initial NIHSS

  6. tPA and thrombectomy decision

    • Reason for not administering tPA, if applicable

    • Reason for delay if goal time not met, if applicable

    • Post-intervention NIHSS, if applicable

Hospital Day 2

HD 2 begins at first midnight (e.g. HD 1 starts on arrival, HD 2 starts at midnight, regardless of arrival time)

  • By the end of HD2

    1. Document NIHSS

    2. Initiate pharmacologic VTE prophylaxis or document contraindication

    3. Initiate antithrombotic (e.g. ASA) or document contraindication

Prior to Discharge

  1. Assess for post-acute rehab (consult PT/OT/SLP) or document contraindication (e.g. returned to baseline, patient/family refused, transitioned to comfort care, etc.)

  2. Depression/cognitive screen

At Discharge

  1. Document NIHSS and mRS

  2. Prescribe antithrombotic (ASA 81 vs DAPT vs anticoagulant) or document contraindication

  3. Prescribe statin or document contraindication