Primary Stroke Centers
October 23, 2008

Stroke Performance Measurement Implementation Guide 2nd Edition, Version 2.a

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Effective January 1, 2008, all organizations seeking Joint Commission Disease- Specific Care (DSC) Certification for stroke must utilize a set of 10 standardized performance measures in order to meet the performance measurement requirements for certification.  Detailed information on the Joint Commission’s DSC stroke measure set is available in the Disease-Specific Care Certification Program Stroke Performance Measurement Implementation Guide, 2nd Edition, Version 2.a. - updated October 2008.

Joint Commission’s stroke measures were pilot tested by 30 certified organizations from October 1, 2004 through September 30, 2005.  Following recommendations from the DSC Stroke Advisory Panel, efforts to harmonize data elements common to the stroke measure set, the American Stroke Association’s Get WithThe GuidelinesSM program, and the Paul Coverdell National Acute Stroke Registry sponsored by the Division of Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention were initiated in May 2006.  The end result is the ten harmonized stroke measures contained in this revised implementation guide.

Organizations seeking further information on the harmonized stroke measure set or the performance measurement requirements for DSC certification should
e-mail DSC_Stroke@jointcommission.org.

Guide Sections  (Requires Adobe Reader)

Preface  

Contents

Section 1
Introduction and Background

Section 2
Stroke Framework

Section 3
Stroke Guidelines

Section 4
Measure Information

  • Disease-Specific Care Stroke Performance Measures
  • General Population Identification
  • Measure Information Forms and Flowcharts

Section 5 
Data Element Dictionary

Section 6 
Data Collection and Data Reporting

Section 7
Data Collection Tool

Section 8
Data Reporting Tool 

Section 9
Sampling

Section 10
Data Utilization

Section 11 
Glossary

Section 12
References

Appendices

Release Notes 1.1