Stroke Care Measures

Stroke is a condition that commonly brings patients into a hospital for medical treatment.  The two types of stroke are hemorrhagic and ischemic.  A hemorrhagic stroke occurs when a weakened blood vessel ruptures.  The blood accumulates and compresses the surrounding brain tissue.  An ischemic stroke is caused by a clot which obstructs blood flow to the brain.

The Joint Commission has established treatment guidelines that when followed have been shown to help patients recover more quickly with fewer complications or lasting effects.  Cedars-Sinai's performance for The Joint Commission measures compared to other medical centers and hospitals around the nation  are highlighted below.  To view Cedars-Sinai performance on additional quality measures, click here.

Stroke Care Quality Measures

The following measures are based on evidence that the practices described in the left column lead to better outcomes for patients who come to a hospital shortly after suffering a stroke. 

Stroke Care Quality MeasuresCedars-Sinai
(Jan-Mar 2014)

All Hospitals Nationwide*
(Apr 2012 - Mar 2013)
 
 Top 10% Scored at least Average
Venous Thromboembolism Prophylaxis: The percentage of ischemic or hemorrhagic stroke patients who received treatment to prevent clots on the day of or the day after admission to the hospital.99% 100% 60%
Discharged on Antithrombotic Therapy: The percentage of patients with an ischemic stroke who, at discharge, were prescribed therapy to prevent clots 100%100%  99%
Anticoagulation Therapy for Atrial Fibrillation / Flutter: The percentage of ischemic stroke patients with atrial fibrillation (a-fib) or atrial flutter who, at discharge, were prescribed medication to slow clotting100% 100% 95%
Thrombolytic Therapy: The percentage of patients with an ischemic stroke who, at discharge, were prescribed therapy to slow the clotting process. 100% 100%97%
Antithrombotic Therapy by the End of Hospital Day 2: The percentage of patients with an ischemic stroke  who received therapy to prevent clots by hospital day 2.100% 100% 92%
Discharged on Statin Medication: The percentage of ischemic stroke patients with LDL greater than or equal to 100 mg/dl or who were on lipid lowering medication prior to admission who were prescribed statin medication at discharge96% 100% 93%
Stroke Education: The percentage of ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during hospitalization addressing all of the following: activation of emergency medical system, need for follow up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs/symptoms of stroke 100% 100% 85%
Assessed for Rehabilitation: The percentage of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services 100%100%  97%

 

The same information is displayed below as a graph.

Cedars-Sinai scored within the top 10% nationally for six of the eight measures.

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