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Excellent Stroke Treatment: Reports and Data

Hospitals participating in the Ohio Coverdell Stroke Program provide excellent, high quality, evidence based treatment to their stroke patients, as confirmed by the data reports below.

Since ODH received the first Coverdell grant from CDC in 2007, more than 50 Ohio Coverdell hospitals provided inpatient treatment to more than 90,000 stroke patients.

All Coverdell stroke treatment data is reported by participating hospitals in our program’s designated data collection and reporting platform, which is Get With The Guidelines ® - Stroke. Some of our most recent data reports are provided below.

 

Stroke Patients Receive Defect-Free Care

The number of stroke patients who receive defect-free care in Ohio Coverdell hospitals increased from 19.3 percent of stroke patients receiving defect-free care in 2007, to 82.3 percent of stroke patients receiving defect-free care in 2015. The Ohio Coverdell Defect-Free Care chart shows a steady positive trending over the past eight years. We calculate Defect-Free Care based on the ten national performance measures in GWTG.

 

Excellent Stroke Treatment

Each hospital participating in the Ohio Coverdell Stroke Program receives a customized Annual Benchmark Report. This report looks at the ten national performance measures for stroke, along with other demographic information and performance indicators, and compares individual hospital data on each measure to aggregate statewide data from all Ohio Coverdell hospitals, and to aggregate national data from more than 2,500 hospitals nationwide using Get With the Guidelines®-Stroke. In 2015, Ohio Coverdell hospitals met or exceeded national data on all ten performance measures for stroke. The 2015 Annual Benchmark Report shows a sample hospital report benchmarking excellent stroke treatment.

 

Transitions of Care (TOC) Learning Collaborative

The Ohio Coverdell Stroke Program began the Transitions of Care (TOC) Learning Collaborative in order to improve the quality of stroke patients’ care when transitioning from the hospital to another setting of care. The graph and summary statistics on our Learning Collaborative to Improve Stroke Transitions of Care page demonstrates the program’s excellent improvements from April 2013 to March 2014 in scheduling follow-up appointments with stroke patients prior to discharge.

Each hospital participating in the Ohio Coverdell Stroke Program also received a periodic Learning Collaborative report integrating their hospital and TOC data. This report includes performance improvement scheduling patient’s follow-up appointments with neurology and primary care providers prior to hospital discharge. The report benchmarks each hospital’s data and performance improvement in comparison to aggregate statewide data from all Ohio Coverdell hospitals. The TOC Learning Collaborative Quality Improvement Report shows a sample hospital report from April 1, 2013 – March 31, 2014.

See our Transitions of Care for Stroke Patients page for more detailed information on this work.

 

Performance Measures

The quality of care that stroke patients get in the hospital can be compared to 10 stroke performance measures developed by The Joint Commission, the American Heart/Stroke Association, and the CDC. Summary graphs of Ohio Coverdell hospitals’ performance (from years 2007 through 2015) for each measure are found below.

1.) Rapid Treatment of Acute Ischemic Stroke Patients:

This measure tells you the percent of acute ischemic stroke patients who got to the hospital within 2 hours from the time stroke symptoms started and who were able to get t-PA (drugs used to break up or dissolve blood clots) within 3 hours from the time stroke symptoms started.

2.) Blood Clot Reduction Medication:

This measure tells you the percent of patients with ischemic stroke who received antithrombotics (medicine to reduce the formation of blood clots) by the end of the second day in the hospital.

3.) Blood Clot Prevention Treatment Received:

This measure tells you the percent of patients with an ischemic stroke or hemorrhagic stroke who received venous thromboembolism (VTE) prophylaxis (medicine to prevent blood clot formation) by the end of the second day in the hospital.

4.) Discharged on Blood Clot Reducing Medication:

This measure tells you the percent of patients with an ischemic stroke who got a prescription for medicine to prevent blood clots when they were sent home from the hospital.

5.) Atrial Fibrillation Patients Receiving Blood Clot Prevention Medication:

This measure tells you the percent of patients with an ischemic stroke and an irregular heartbeat (atrial fibrillation) who went home from the hospital on medicine to thin their blood and stop blood clots from forming in the heart or lungs.

6.) Smokers Advised to Quit:

This measure tells you the percent of patients with ischemic or hemorrhagic stroke with a history of smoking cigarettes who were given information about quitting smoking.

7.) Discharged on Cholesterol Reducing Medication:

This measure tells you the percent of ischemic stroke patients with LDL (bad cholesterol) higher than 100, or who were taking cholesterol-lowering medicine (statins) before going into the hospital who were sent home on cholesterol-lowering medicine.

8.) Swallow Screening:

This measure tells you the percent of patients with ischemic or hemorrhagic stroke who were tested for trouble swallowing before being given any food, liquids or medicine by mouth.

9.) Stroke Education:

This measure tells you the percent of patients with ischemic or hemorrhagic stroke, or their caregivers, who were taught or given printed information while they were in the hospital to help them understand what to do at home. The education materials should include all of the following: personal risk factors for stroke, warning signs for stroke, how and when to call 9-1-1, the need to go to the doctor after discharge from the hospital, and how to take medicines at home.

10.) Rehabilitation Assessment:

This measure tells you the percent of patients with an ischemic or hemorrhagic stroke who were tested to see what type of rehabilitation they needed to help them recover from the side effects of stroke.

 

 

Page updated 09/29/2016