Does The Joint Commission define Acute Stroke in terms of hours or timeframe of onset of symptoms?
The Joint Commission does not specifically define Acute Stroke in terms of hours; however, the population for the purpose of performance measure is defined by the ICD-9-CM principal diagnosis coded. Tables 1-3 in the Appendix of the Stroke Performance Measure Implementation Guide list the applicable ICD-9-CM codes. -Top- • If a patient enters Emergency Department with symptoms of stroke with onset more than three hours, or even three or four days prior to ED visit, does the CT and labs need to be performed in 45 minute timeframe required in the standard? The Joint Commission expectation is as follows: “80% of acute stroke patients have a diagnostic brain image (head CT) completed (and results reported to or reviewed by a member of the stroke team) within 45 minutes of it being ordered, when clinically indicated, (in acute hemorrhagic or ischemic stroke resuscitation candidates).” Once a patient is determined not to be a TPA candidate, then the expedited CT and labs are not required. Th
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- Does The Joint Commission define Acute Stroke in terms of hours or timeframe of onset of symptoms?
