Don't miss out on recognition opportunities as a participating hospital. Your continued dedication to improving patient care is commendable.
Effective January 1, 2016, the American Heart Association will implement an automated award process for Get With The Guidelines®- Stroke program
What does that mean for the hospitals?
- Hospitals will no longer have to submit an on-line paper version of their award application.
- Data will be transferred quarterly via Quintiles to AHA, the data will be aggregated by hospital, and award eligibility will be determined.
- Time of compliance will be on the calendar year (January to December) for all award levels.
- Hospitals will be notified in May if they qualify for award.
What is the hospital's responsibility under the new automated award process?
- Hospitals must have all prior year (calendar year) data entered into the PMT by March 31.
- Complete Quality Improvement Programs Permission Form and return to your local QSI director (Note: It's only necessary to complete this form if your hospital has not done so in the past, or if you have a name change request)
- Hospital will be notified by local QSI staff in May if they qualify for award
Hospitals that participate actively and consistently in Get With The Guidelines®- Stroke are eligible for public recognition. Participation is the first level of recognition. It acknowledges entry of baseline data into the Patient Management Tool™
Beyond participation, there are three levels of recognition, determined by the length of demonstrated performance:
- Bronze: recognizes performance of 90 consecutive days.
- Silver recognizes performance of 12 consecutive months.
- Gold recognizes performance of 24 consecutive months or more.
The Achievement Measures are embedded in the Patient Management Tool*. They are:
- IV rt-PA arrive by 2 hour, treat by 3 hour: Percent of acute ischemic stroke patients who arrive at the hospital within 120 minutes (2 hours) of time last known well and for whom IV t-PA was initiated at this hospital within 180 minutes (3 hours) of time last known well.
- Early antithrombotics: Percent of patients with ischemic stroke or TIA who receive antithrombotic therapy by the end of hospital day two.
- VTE prophylaxis: Percent of patients with ischemic stroke, hemorrhagic stroke, or stroke not otherwise specified who receive VTE prophylaxis the day of or the day after hospital admission.
- Antithrombotics: Percent of patients with an ischemic stroke or TIA prescribed antithrombotic therapy at discharge.
- Anticoag for AFib/Aflutter: Percent of patients with an ischemic stroke or TIA with atrial fibrillation/flutter discharged on anticoagulation therapy
- Smoking cessation: Percent of patients with ischemic or hemorrhagic stroke, or TIA with a history of smoking cigarettes, who are, or whose caregivers are, given smoking cessation advice or counseling during hospital stay.
- Statin Prescribed at Discharge: Percent of Ischemic stroke or TIA who are discharged on Statin Medication.
Note: This is a new achievement measure starting with 2017 discharges)
Silver Plus and Gold Plus Quality Awards are advanced levels of recognition acknowledging hospitals for consistent compliance with Quality Measures embedded within the Patient Management Tool.
Please note: Recognition criteria are subject to change based on program enhancements
* The Patient Management Tool™ is powered by Outcome, A Quintiles Company, Cambridge, Mass
Target: Stroke Recognition
Starting in January 2015, hospitals will have the opportunity to be recognized with two new Target: Stroke Honor Roll levels. The existing and new Honor Roll levels will include:
- Target: Stroke Honor Roll: Time to thrombolytic therapy within 60 minutes in 50 percent or more of acute ischemic stroke patients treated with IV tPA (current criteria and same volume thresholds).
- Target: Stroke Honor Roll-Elite: Time to thrombolytic therapy within 60 minutes in 75 percent or more of acute ischemic stroke patients treated with IV tPA (current criteria and same volume thresholds).
Target: Stroke Honor Roll-Elite Plus: Time to thrombolytic therapy within 60 minutes in 75 percent or more of acute ischemic stroke patients treated with IV tPA AND time to thrombolytic therapy within 45 minutes in 50 percent of acute ischemic stroke patients treated with IV tPA (current criteria and same volume thresholds).