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Stroke Core Measure Data

Core Measure Data as of 4/27/2018

Performance Measure FSRMC Other Comprehensive Stroke Centers Other Tennessee Hospitals
Venous Thrombus Embolism (VTE)
All stroke patients receive treatment to prevent blood clots from forming when confined to bed
100.0 98.5 98.3
Discharged on Anti-thrombotic Therapy
All ischemic stroke patients should go home on a blood thinner to prevent another stroke
100.0 99.7 99.5
Anticoagulation for Atrial Fibrillation/Flutter
All ischemic stroke patients are treated with a strong blood thinner when the patient has an abnormal heart rhythm that could cause blood clots
100.0 98.8 99.1
Thrombolytic Therapy
All acute ischemic stroke patients who arrive to the hospital within 2 hours of their stroke symptoms and tPA (clot busting medication) initiated within 60 minutes of arriving to the hospital
100.0 95.3 95.1
Anti-thrombotics Received by Hospital Day#2
All ischemic stroke patients are treated with a blood thinner within 2 days after admission to prevent further strokes
98.7 97.3 98.7
Discharged on a Statin Medication
All ischemic stroke patients are treated with a cholesterol lowering medication to reduce stroke risk
100.0 98.9 98.2
Stroke Education
All stroke patients and their families are provided with information about stroke warning signs, stroke risk factors, community resources, medications, following up with your family doctor and the importance of calling 9-1-1
100 96.6 97.0
Assessed for Rehabilitation
All stroke patients are evaluated by either a physical therapist, an occupational therapist or a speech pathologist (Rehabilitation Team) to assess needs for recovering after a stroke
100 99.5 99.5

Data Source: American Heart Association Get With The Guidelines stroke database

  • Of FSRMC patients treated with tPA, a clot-dissolver, or who underwent a procedure to retrieve a blood clot, 4.3% of patients experienced complications, compared to the national average complication rate of 6%.
  • Of the patients diagnosed with asymptomatic carotid artery disease who had a procedure for carotid artery, either a carotid stent or a carotid endarterectomy, 0.0% of patients had complications related to stroke or death in the 30 days following the procedure. This goal for this metric complication rate is less than 3%.

Key

Stretch Target Met Target Below Target
99% – 100% 95% – 98% <95%