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Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation at Discharge

Percentage of patients aged 18 years and older with a diagnosis of ischemic stroke or transient ischemic attack (TIA) with documented permanent, persistent, or paroxysmal atrial fibrillation who were prescribed an anticoagulant at discharge

Date Reviewed: April 7, 2014

Measure Info

NQF 0241CMS 033NQF Endorsement Removed
Measure Type: 
Process
Measure Steward: 
American Academy of Neurology
Clinical Topic Area: 
Stroke

Care Setting: 
Inpatient
Data Source: 
Claims
Electronic Health Records
Registry

Atrial fibrillation is a significant modifiable risk factor for stroke. Preventive treatment lessens the chance of subsequent events and their attendant costs, morbidity, and mortality. The measure aligns clinicians’ practice with the goals of high value care by its focus on low-cost prevention of potentially expensive sequelae. We note that the measure would be improved by a clear enumeration of the medical reasons for withholding treatment. Reasons related to risk (for example, risk of fall) should require documentation of evaluation.

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