Wiki Measure #10 - Stroke and stroke rehabilitation: CT or MRI reports.

[chembree]

Does anyone report this measure? How did you go about getting your doctors to include the time requirement of this measure? We have been attemping to report this measure for a while but can't seem to get a system for this. The radiologist say they do not all ways know the time and the techs are not giving it to them.

REPORTING DESCRIPTION:
This measure is to be reported each time a CT or MRI is performed in a hospital or outpatient setting during the reporting period for patients with a diagnosis of ischemic stroke, TIA, or intracranial hemorrhage.
DOCUMENTATION:
The radiologist must provide the following information on the final report in order for Advocate to properly identify and code the PQRI study:
The age of the patient.
The number of hours past from the time that the patient arrived at the hospital vs. the
exam.
The reason for the exam including symptoms. (EX: R/O stroke. Headache and
dizziness)
In the impression or findings: The absence or presence of all three of the following:
hemorrhage, mass lesion, and acute infarction.

 

[RADCODER]

According to an FAQ on the ACR's website...

http://www.acr.org/Quality-Safety/Q...ing/PQRS/Resources/Archive/2009-Archives/FAQs

5) On Measure #10, how do we verify that the procedure was done within 24 hours of arrival to the hospital, if it is done in an outpatient setting or the ER?

Report Measure #10 "to the best of your knowledge." If a patient is seen in a non-hospital setting (such as a physician's office) o and has a CT with positive findings for stroke (using the ICD-9 codes in the specifications), the expectation is that the patient would be sent or transported to the hospital within 24 hours. Admission does not need to be verified; the specifications state "within 24 hours of arrival" at the hospital.

Hope this helps!