Correct Stroke Diagnosis Documentation Ensures Quality Measure Compliance

To ensure quality measure compliance, make sure you are correctly documenting your patient’s stroke diagnosis.

For Stroke-3 quality measure compliance:

  • Document a stroke diagnosis in the Hospital Problem List.
  • Indicate current/history of A-fib/flutter as a Hospital Problem or Problem List Diagnosis.
  • Ensures BPA triggers, alerting you that the patient doesn’t have an anti-coagulation discharge order.

To meet Stroke-2 quality measure compliance:

  • Document the stroke diagnosis in the Hospital Problem Diagnosis.
  • Ensures BPA triggers, alerting you that the patient doesn’t have an antithrombotic therapy discharge order.

Note: If neither step applies, document an Acknowledge Reason.

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