Mild and Rapidly Improving Stroke Study (MaRISS)
The American Heart Association and the University of Miami will begin enrollment for the Mild and Rapidly Improving Stroke (MaRISS) study soon.
The MaRISS study seeks to evaluate approximately 2650 MRIS patients across 100 representative Get With The Guidelines® Stroke hospitals. The primary outcome will be Modified Rankin Scale at 0-1 and 90 days. Secondary outcomes include Barthel Index, Stroke Impact Scale, and Euro-QOL at 90 days. Outcomes will be assessed by phone interview.
Hospital recruitment will begin soon with patient enrollment beginning January 1, 2013.
Study site requirements for participation include > 300 stroke discharges per year, ability to enroll patients over a 2 years study period, good performance on NIHSS on Get With The Guidelines® Stroke, ability to achieve IRB approval, and ability to achieve informed consent after decision to treat or not to treat.
For more information please email:Sara Camp
RN MSN ACNP CCRN-CSC
Director of Quality Marketing and Research American Heart Association National Center
Do you have the Get With The Guidelines Heart Failure or Stroke 30 Day Follow-Up Form Activated? It’s Free and Important to Take Advantage of!
Both Get With The Guidelines Heart Failure and Stroke have 30 day follow-up forms which are intended to further support the transition and continuity of care from those patients discharged from the hospital. These forms and 30 day follow-up quality metrics are available now to all participating sites at no additional cost.
Addressing 30 day readmission rates and improving transitions of care is critical. Collecting performance data is key to developing a better understanding of what is needed to ensure safe and effective care transitions and reduce preventable 30 day readmission rates.
The Get With The Guidelines Heart Failure and Stroke forms, allow hospitals to capture patient data in the 30-day period after hospitalization, such as mortality, re-hospitalization, follow-up visits, medication adherence, rehabilitation, patient education, etc. These forms can be leveraged by hospital to reduce the number of hospital readmissions. Additionally, the 30 day forms help to:
- Ensure consistency in collection of do day post discharge information
- Avoid duplication of data entry, thus reducing administrative burden
- Allow for flexibility in terms of data entry since it only a few mandatory fields, while providing access to numerous optional fields
- Provide real-time feedback to hospital on how they are doing on high-interest data elements
- Assist hospitals by providing them with data needed to reduce 30 day readmissions, which will be critical as CMS continue to scrutinize readmissions and adjusts reimbursement under the hospital readmission reduction program.
Exciting News for Get With The Guidelines®-Stroke
Get With The Guidelines®-Stroke is the AHA/ASA Quality Improvement program focused on impacting the care of patients with ischemic stroke, hemorrhagic stroke, and TIA. Last week the Get With The Guidelines-Stroke program surpassed over 2 million patient records entered into the program. While it took 7 years to get the first million patients into Get With The Guidelines-Stroke, it just took a little over 2 years to get the second million patient records entered.
Truly astounding work with subsequent research that demonstrates that participating hospitals are delivering improved patient care that translates into better patient outcomes. To date, 33 peer-reviewed manuscripts have been published from the wealth of data accumulated through Get With The Guidelines-Stroke. Additionally, Get With The Guidelines-Stroke abstracts have been presented for years at International Stroke Conference (ISC), American Heart Association Scientific Sessions (AHA SS) and Quality of Care and Outcomes Research (QCOR).
The Stroke Research Speaks Volumes
For example, when reading, Relationship of National Institute of Health Stroke Scale to 30-Day Mortality in Medicare Beneficiaries with Acute Ischemic Stroke1 you will find the importance of a valid specific measure of stroke severity (such as NIHSS) as a determinate of mortality after acute ischemic stroke for Medicare beneficiaries. Or, if you read Representativeness of the Get With The Guidelines-Stroke Registry: Comparison of Patient and Hospital Characteristics Among Medicare Beneficiaries Hospitalized with Ischemic Stroke2 the findings suggest that the Medicare-aged Get With The Guidelines-Stroke ischemic stroke admissions are generally representative of the national fee-for-service Medicare ischemic stroke population. Read all of our Quality Research!
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