FirstHealth of the Carolinas

Stroke Care Quality Measures

Stroke is the third leading cause of death and the leading cause of serious, long-term disability in the United States. About 700,000 people experience a new or recurrent stroke each year. These quality measures have been shown to reduce complications and improve quality of life for patients diagnosed with stroke.

The rates displayed in these graphs are from data reported for discharges October 1, 2011 through December 31, 2011. Stroke care is benchmarked against the North Carolina Stroke Care Collaborative. The higher the score the better. Click here to view the legend for the graphs.

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Venous Thromboembolism Prophylaxis

Explanation:


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Discharged on Antithrombotic Therapy

Explanation:
Data at this time suggest that antithrombotic therapy, such as aspirin, should be prescribed at discharge following acute ischemic stroke to reduce stroke mortality as long as no contraindications exist.


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A-FIB Receiving Anticoagulation Therapy

Explanation:
Atrial fibrillation is a common arrhythmia and an important risk factor for stroke. The administration of anticoagulation therapy, unless there are contraindications, is an established, effective strategy in preventing recurrent strokes in high-risk atrial fibrillation patients.


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Thrombolytic Therapy

Explanation:


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Antithrombotic Therapy Day Two

Explanation:
Data at this time suggest that antithrombotic therapy, such as aspirin, should be initiated within 48 hours of symptom onset in acute ischemic stroke to reduce stroke mortality as long as no contraindications exist.


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Discharged on Statin Medication

Explanation:
Clinical trials have convincingly demonstrated that intensive lipid lowering therapy was associated with a dramatic reduction in the rate of recurrent ischemic stroke. The reduction of LDL cholesterol below 100 mg/dl is now recommended for all patients with stroke or TIA.


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Stroke Education

Explanation:
There are many examples of how patient education for specific chronic conditions have increased healthful behaviors, improved health status, and/or decreased health care costs of their participants. Patient education should include information about the event (e.g., cause, treatment, and risk factors), the role of various medications or strategies, as well as desirable lifestyle modifications to reduce risk or improve outcomes.


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Assessed for Rehabilitation

Explanation:
Effective rehabilitation interventions initiated early following a stroke can enhance recovery process and minimize function disability. Stroke rehabilitation should begin as soon as the diagnosis of stroke is established and life-threatening problems are under control.


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Stroke Optimal Care Score

Explanation:


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