A successful treatment strategy is about analyzing process and identifying missed eligible patients

Understanding measures and outcomes of a high performing stroke institution

The first step in identifying areas for improvement is prioritizing and analyzing stroke quality metrics. Doing so will prompt the necessary steps to implement change over time. Although change involves the entire multidisciplinary stroke team, stroke coordinators, given their unique role, are well-positioned to spearhead performance enhancements and process improvements.

Methodically review reasons for non-treatment:

  • Review all patients with a discharge diagnosis of AIS 
  • Investigate reasons for non-treatment
  • Assess areas for potential process and protocol change
  • Develop a strategy to improve process
  • Communicate and implement strategy

Continue to assess. Given that only a minority of all AIS patients receive Activase, 3 monitoring processes such as door-to-needle (DTN) time and evaluating all-AIS patients to identify missed eligible patients may facilitate advancement of care. 

Based on your metrics, what is the most common reason for not treating with Activase?

Analyze process

Process improvement examples

Analyze outcomes