Running Head: CORE MEASURES 1

Core Measures

Student’s Name

Professor’s Name

Institution’s Name

Course

Date
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There is an established system of volunteering within the Patient Safety and Quality act

of 2005, that promotes the availability of data. Also, patients' safety and quality issues in health

are checked. Besides, the Patient Safety and Quality act of 2005 gives direction on the penalties

to be taken against the safety offenders in quality health (Boyd et al., 2017). The main agenda of

the Patient Safety and Quality act of 2005 is the provision of people to work voluntarily. Also,

other significant duties of the action are improving the safety of the patient and eradication of the

acute effects on the patients globally, accordingly.

From the joint commission site, I chose stroke as the core measure selected. Arteries that

surround the brain or lead to the mind are affected by stroke. Thus, stroke is considered the

leading in disability and instant deaths in the world. Mainly, a stroke will occur if the blood

vessel that carries blood to the brain either bursts or the blood in it clots. There are some signs

that one is experiencing a stroke. The first sign is an impromptu numbness on the face or leg.

The second sign is confusion when speaking or having some trouble when trying to

communicate. The third sign of stroke comes in the vision problem in either an eye or both.

Other bold signs are difficulty in waking and sudden severe headaches, with no valid cause.

Stroke is a deadly disease that people must avoid it with all means possible. People should be

going for check-ups over such conditions after some interval, accordingly. Also, there are three

main types of stroke, which are an ischemic attack, transient ischemic attack (TIA), and

hemorrhagic attack (bleeds).

There were seven measures regarded for the stroke condition. These approaches were

made suitable for smooth operation and improvement of the health condition of stroke patients.

Venous Thromboembolism (VTE) Prophylaxis is the first measure taken. The second measure is

discharged on Antithrombotic therapy. Other health measures in stroke include Anticoagulation

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Therapy for Atrial Fibrillation / Flutter, Thrombolytic therapy, Antithrombotic Therapy by the

end of Hospital Day Too, Discharged on Statin Medication, Stroke Education, and Assessed for

Rehabilitation (DAMIATI, 2018). There are outpatient measures for stroke inconsiderate

hospitals. Some of these out-patient approaches are an ischemic stroke, drip, and ship, and

ischemic stroke No IV Alteplase Before Transfer; LVO and Not MER Eligible.

There are also comprehensive stroke measures conducted for ischemic stroke patients.

There is a requirement that certified organizations for broad stroke measures must meet. Data

collection is the needed approach for accredited organizations. The data points, collected

monthly, are submitted every three months of the year, via the Certification Measure Information

Process (Fassett, 2006). These data points are located in the joint commission site. In the

comprehensive approach, the measures are elevated from ten to eighteen, due to the improved

actions taken, accordingly. These metrics were brought up to have a standardized form of

operation. Also, another reason for the standardized measure is the facilitation of local quality to

improve in efforts. Finally, the metric was made present to have a pool of data from different

comprehensive sectors that may lead to the improvement of the national parameter. The standard

measures in the holistic approach are well designed to have equity generally.

In the metrics, various classes are used to improve the condition of the stroke. The classes

run from course one, two, and three — level one advocates for states that have evidence, proving

the usefulness and procedure of the metric. Grade two has two categories. That is class two A

and class two B. class two generally points on the conflicting evidence (Kwakkle et al, 2017).

Course two A focuses on the weight of the evidence provided, being in favor of the treatment

provided. Also, class two B stresses on the importance of the established opinion. In the metrics,

there are therapeutic and diagnostic conditions, each having levels of evidence A, B, and C. such
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measures must be followed by any health organization that considers the comprehensive stroke

approach. Penalties are implemented on the relevant institutions that run extensive stroke metrics

but do not necessarily follow them.

There are also penalties for not following the recommended outlines in the filed of

comprehensive stroke metrics. The first penalty is the closure of the system in the hospital. Due

to the inability to level up its game to the expected metric standards, the organization would be

closed, to save the quality of the comprehensive stroke, accordingly. The second penalty is

charging the organization according to the law (Stenzelius et al., 2016). Suppose the metric was

not followed, the legislation would assume that the implementors were doing illegal business,

thus need for punishment. Imprisonment on the implementors will be the verdict taken as

punishment by the law, with some bail cash. Health issues must be taken seriously inaccurate

execution. The core measures in the joint commission site must be followed in order to make

things simple for the health institutions.

References
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Boyd, L. A., Hayward, K. S., Ward, N. S., Stinear, C. M., Rosso, C., Fisher, R. J., ... & Cohen, L.

G. (2017). Biomarkers of stroke recovery: consensus-based core recommendations from

the stroke recovery and rehabilitation roundtable. International Journal of Stroke, 12(5),

480-493.

DAMIATI, N. (2018). Experiences of Patients with Ischemic Stroke and Their Family

Caregivers in South Tangerang City, Indonesia: Before and After Discharge (Doctoral

dissertation).

Fassett, W. E. (2006). Patient safety and quality improvement act of 2005. Annals of

Pharmacotherapy, 40(5), 917-924.

Kwakkel, G., Lannin, N. A., Borschmann, K., English, C., Ali, M., Churilov, L., ... & Krakauer,

J. W. (2017). Standardized measurement of sensorimotor recovery in stroke trials:

consensus-based core recommendations from the stroke recovery and rehabilitation

roundtable. Neurorehabilitation and neural repair, 31(9), 784-792.

Stenzelius, K., Laszlo, L., Madeja, M., Pessah-Rasmusson, H., & Grabe, M. (2016). Catheter-

associated urinary tract infections and other infections in patients hospitalized for acute

stroke: A prospective cohort study of two different silicone catheters. Scandinavian

journal of urology, 50(6), 483-488.