Print
CHAPTER 146STROKE CARE REPORTING641—146.2(135) Purpose. The purpose of this chapter is to identify the statewide stroke database where nationally certified comprehensive stroke centers and nationally certified primary stroke centers in the state are required to report stroke care data in accordance with Iowa Code chapter 135.Related ARC(s): 3748C641—146.1(135) Definitions.
"Comprehensive stroke center" means a hospital certified as a comprehensive stroke center by a nationally recognized certifying body with certification criteria consistent with the most current nationally recognized, evidence-based stroke guidelines related to reducing the occurrence of and disabilities and death associated with stroke.
"Department" means the Iowa department of public health.
"Primary stroke center" means a hospital certified as a primary stroke center by a nationally recognized certifying body with certification criteria consistent with the most current nationally recognized, evidence-based stroke guidelines related to reducing the occurrence of and disabilities and death associated with stroke.
"Stroke" means a clinical diagnosis of acute stroke or principal International Classification of Disease, 10th Revision, Clinical Modification (ICD-10-CM) discharge code of “stroke,” or “transient ischemic attack,” or “cerebral infarction,” or “cerebral hemorrhage.”
"Stroke care" means care provided to individuals with confirmed cases of stroke.
Related ARC(s): 3748C641—146.3(135) Stroke care reporting. 146.3(1) Iowa statewide stroke database. The department designates the Get with the Guidelines stroke module of the American Heart Association/American Stroke Association as the Iowa stroke database established in Iowa Code section 135.191. 146.3(2) Who is required to report. All nationally certified comprehensive stroke centers and all nationally certified primary stroke centers operating in the state of Iowa are required to report stroke data. Nationally certified acute stroke-ready hospitals and emergency medical services operating in the state of Iowa are encouraged to report stroke care data. 146.3(3) What is required to be reported. Reportable data of stroke care are required to be reported. Reportable data are those data identified by a clinical diagnosis of acute stroke or by the following ICD-10 coding:ICD-10-CM CodeShort DescriptionI60.00 - I60.9Nontraumatic subarachnoid hemorrhageI61.0 - I61.9Nontraumatic intracerebral hemorrhageI63.00 - I63.9Cerebral infarction (occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction)G45.0 - G45.2TIA and related syndromesG45.8 - G45.9TIA and related syndromesO99.411 - O99.43Diseases of the circulatory system complicating pregnancy, childbirth and puerperiumG97.31 - G97.32Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedureG97.51 - G97.52Postprocedural hemorrhage and hematoma of a nervous system organ or structure following a procedureI97.810 - I97.821Intraoperative and postoperative cerebrovascular infarctionRelated ARC(s): 3748C641—146.4(135) Method and frequency of reporting. 146.4(1) Stroke centers shall report the required stroke care information for any reportable stroke case no later than 120 days after the patient was discharged, transferred to another hospital, or pronounced dead. 146.4(2) Reports shall meet the data quality, format, and timeliness standards prescribed by the Iowa statewide stroke database.Related ARC(s): 3748C641—146.5(135) Confidentiality. The Iowa statewide stroke database shall comply with federal and state law and other health information and data collection, storage, and sharing requirements of the department.Related ARC(s): 3748C641—146.6(135) Penalties and enforcement. If a stroke center required to report under this chapter does not comply with the reporting requirements, the department may request a review of the certification of the comprehensive stroke center or the primary stroke center by the certifying entity.Related ARC(s): 3748CThese rules are intended to implement Iowa Code section 135.191.Related ARC(s): 3748C