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Professional Education

Quality Data

    The following data is drawn from the Get With the Guidelines-Stroke database and represents information from at least 31 hospitals within Oregon. This database allows subscribers to enter patient data and track individual hospital performance on a variety of stroke performance measures that are based upon Brain Attack Coalition recommendations. Stroke center certification is not required in order to subscribe to and use the GWTG-Stroke database. While the database will not disclose the names of specific subscribers, it is known via the Oregon Stroke Network that there are 16 certified stroke centers in Oregon, 14 Primary Stroke Centers, and 2 JC certified Comprehensive Stroke Centers.

    The Primary Stroke Center (PSC) measures were introduced in 2005. The Joint Commission Primary Stroke Center disease-specific certification process required certified centers to track and report on these measures until January 2010 when they switched to the 8 CMS Stroke Core Measures (STK). The swallowing screening (PSC 7) and tobacco cessation (PSC 9) measures were retired about that time as required core measures, although most centers continue to track that data. In 2009, DNV Healthcare, Inc. also began offering a Primary Stroke Center disease-specific certification, and require tracking of similar measures.

    Download Quality Graphs, 2010-2015 Q1

Resources

Practice Guidelines

    2013 Providence Practice Guideline- Angioneuritic Edema Mgmt Post tPA
    Download PDF

    AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage. A Statement for Healthcare Professionals
    Download PDF

    2012 OHSU Acute Stroke Practice Guidelines for Inpatient Management of Intracerebral Hemorrhage
    Download PDF

    2012 OHSU Acute Stroke Practice Guidelines for Inpatient Management of Subarachnoid Hemorrhage
    Download PDF

    2012 OHSU Acute Stroke Practice Guidelines for Inpatient Management of Ischemic Stroke and Transient Ischemic Attack (TIA)
    Download PDF

    2012 OHSU Acute Stroke Practice Guidelines for the Emergency Department (includes ischemic stroke, TIAs, intracerebral hemorrhage, and non-subarachnoid hemorrhage)
    Download PDF

    2012 OHSU Practice Standard Intravenous Administration of t-PA in Acute Ischemic Stroke
    Download PDF

Policies

    AHA/ASA Implementation Strategies for Emergency Medical Services With Stroke Systems of Care: A Policy Statement
    Download PDF

Protocols

Nursing Protocols

Scales

Stroke Assessment Tools

EMS

    Feedback between facilities and EMS providers is an important communication link. The Oregon Stroke Network encourages this type of interagency communication and provides the following template options for use. The first option is designed to provide feedback to EMS agencies on admitted stroke patients who received an acute stroke intervention. The second option is designed to provide feedback to EMS agencies for all stroke alert patients brought to that facility. Each option has suggested information to provide, drop down menus to select from, and comment fields, when appropriate. These forms are intended as suggested templates, and may be customized for use by individual facilities. Comments or feedback on these forms can be directed to Karen Ellmers, ellmersk@ohsu.edu

    EMS feedback letter template Final Option 1
    EMS feedback letter template Final Option 2
    EMS CVA Protocol

Harborview Medical Center University of Washington Medical Center Stroke Materials

Please click on document name to download PDF.


Contact the Oregon Stroke Network at OSN@oregonstrokenetwork.org
Oregon Stroke Network, Inc. is a non-profit organization.