遵循指南 Stroke Rural 识别条件
Award Recognition for Rural Hospitals
The 美国心脏协会 recognizes that rural hospitals work with varied patient care dynamics. 因为这个原因, all rural hospitals participating in 遵循指南 Stroke, Heart Failure or Coronary Artery Disease, 是否参与 Rural Health Care Outcomes Accelerator or not, are eligible to receive award recognition focused on a unique set of performance metrics:
- 遵循指南 - Stroke Rural Recognition: launching with rural acute stroke data collection and bundled reporting measures in the summer of 2022.
Watch Rural Stroke Recognition Webinar Recording
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识别条件 Breakdown
Overall Rural Stroke Composite Score: Percentage of performance opportunities that were met among eligible care opportunities the 10 individual rural acute stroke measures.
- Door To CT < = 25min - Percentage of Ischemic stroke, 蒂雅, 蛛网膜下腔出血, 脑内出血, or Stroke not otherwise specified patients who receive brain imaging initiation within 25 minutes of hospital arrival.
- Documentation of Last Known Well or Time of Discovery of Stroke Symptoms- Percentage of Ischemic stroke, 蛛网膜下腔出血, 脑内出血, or Stroke not otherwise specified patients for whom a time Last Known Well (LKW) or Time of Discovery of Stroke Symptoms was documented.
- Door-in-Door-Out Time at First Hospital Prior to Transfer for Acute Therapy -Percentage of confirmed Ischemic stroke patients for whom <= 90 minutes was spent in the ED prior to transfer to a higher-level stroke center (e.g. PSC、CSC等.) for time-critical therapy
- 吞咽困难的屏幕, 缺血性中风的百分比, 蛛网膜下腔出血, 脑内出血, or Stroke not otherwise specified patients who undergo screening for dysphagia with an evidence-based bedside testing protocol approved by the hospital before being given any food, 液体, or medication by mouth or remained NPO throughout the entire hospital stay.
- IV Thrombolytic Arrive by 3.5小时，4小时.5小时- Percent of acute Ischemic stroke patients who arrive at the hospital within 210 minutes (3.5 hours) of time last known well and for whom IV thrombolytic was initiated at this hospital within 270 minutes (4.5 hours) of time last known well
- NIHSS报道 缺血性中风的百分比 and stroke not otherwise specified patients with a score reported for NIH Stroke Scale (Initial)
- Non-Contrast Brain CT or MRI Interpreted within 45 Minutes from Presentation - 缺血性中风的百分比 patients with documentation of CT or MRI brain imaging interpretation within 45 minutes of presentation
- 敬请原谅, 缺血性中风的百分比, 蒂雅, 蛛网膜下腔出血, Intracerebral Hemorrhage or Stroke not otherwise specified patients who were transported to your hospital by EMS or MSU from scene who received advanced notification by EMS of an incoming suspected stroke patient.
- Telestroke Consultation Done- Percentage of Ischemic stroke, 蛛网膜下腔出血, 脑内出血, or Stroke not otherwise specified patients who received a Telestroke consultation.
- Time to Intravenous Thrombolytic Therapy - 60 min- Percent of acute ischemic stroke patients receiving intravenous thrombolytic therapy during the hospital stay who have a time from hospital arrival to initiation of thrombolytic therapy administration (door-to-needle time) of 60 minutes or less.
