New Joint Commission stroke measures for hospitals

Stroke performance measures currently used by Joint Commission certified Primary Stroke Centers will be expanded for use by all hospitals. The measures have been modified to meet national core measure specifications and will be published in the Specifications Manual for National Hospital Quality Measures, Version 3.0 in April 2009 for implementation with discharges on and after October 1, 2009.


Ten standardized stroke performance measures have been used in The Joint Commission’s Disease-Specific Care Certification Program since January 2008. Those are listed below. Of the original set, eight were endorsed by the National Quality Forum in July 2008 for use in the hospital core measure program. CMS has stated its intent to include stroke measures in the Reporting of Hospital Quality Data for Annual Payment Update program in the future. The revised specifications are available on The Joint Commission Web site. (Joint Commission Contact: Karen Kolbusz,


Stroke-1, Deep Vein Thrombosis (DVT) Prophylaxis

Stroke-2, Discharged on Antithrombotic Therapy

Stroke-3, Patients with Atrial Fibrillation Receiving Anticoagulation Therapy

Stroke-4, Thrombolytic Therapy Administered

Stroke-5, Antithrombotic Therapy By End of Hospital Day Two

Stroke-6, Discharged on Statin Medication

Stroke-7, Dysphagia Screening

Stroke-8, Stroke Education

Stroke-9, Smoking Cessation / Advice / Counseling

Stroke-10, Assessed for Rehabilitation


(Source: The Joint Commission Online,, April 2, 2009)