Evaluating stroke metrics for all acute ischemic stroke (all-AIS) patients can help promote change and optimize programs

Acknowledge successes and mind the gaps

How do you communicate insights and drive actions to improve patient care? Broadly disseminating successful quality strategies is critical to maximizing the benefits of individual improvement programs. A small and successful quality initiative can be distilled into a step-by-step process that can be replicated at facilities nationwide. 19

Concise, consistent communication is critical to driving ongoing improvements and can align your team on common goals and actionable insights.

Communicate with physicians and staff in terms of process by:

  • Staging one-on-one discussions and communicate without assigning blame or making it personal
  • Highlighting successes as well as challenges
  • Utilizing negative-free language that stresses "can-do" information

Report the right metrics to the right people

  • Who else should be aware of program findings (ie, reporting the right metrics/findings to the right people)?

Take action: share metrics with your stroke team

Monthly reporting templates, such as a simple grid, can be an effective tool for communicating key metrics to your stroke team. This reporting format could be adapted for different teams with different metrics.

AIS, acute ischemic stroke; DTN, door-to-needle time; mRS, modified Rankin Scale, sICH, symptomatic intracranial hemorrhage

Using metrics to empower your team in the stroke process

Average DTN time communicates how quickly patients are being treated with Activase once they arrive at the center. It is one measure which may speak to the efficiency of your stroke program.

Track average door-to-needle (DTN) time monthly
  • Assess how your institution is doing compared to established benchmarks (eg, Target: Stroke time goals) and to your own established target time
  • Evaluate your average DTN time goals
  • Communicate your results by incorporating them into your regularly scheduled presentations and/or posting them on bulletin boards. Use our feedback tool

Using metrics to empower your team to make process improvements

An all-AIS treatment rate communicates how many patients with a discharge diagnosis of AIS were treated with Activase. By accounting for every patient discharged with a confirmed AIS diagnosis and tracking an all-AIS rate, stroke coordinators can use data trends to:

  • Assess how the stroke process accounts for all patients with AIS that flow through the hospital
  • Better understand why patients are excluded and how they align to hospital protocols

Tracking the percentage of patients with symptomatic intracranial hemorrhage (sICH) is one of the important safety measures for your hospital to track. Tracking the modified Rankin Scale (mRS) at discharge helps assess whether patients have benefited. mRS scores of 2 or more indicate the presence of disability.

Track key metrics monthly
  • Assess how your institution is doing compared to established benchmarks as well as your own target goals
  • Communicate results by incorporating them into your regularly scheduled presentations and/or posting them on bulletin boards. Use our feedback loop tool

Work with stroke champions in your team to report successes and promote change:

  • Promote community awareness and emergency medical services education
  • Revisit hospital protocols, including order sets/processes, patient arrival, and hospital training
  • Review identified patient types at monthly meetings  
How often do you share metrics results with your stroke team: monthly, quarterly, bi-annually, annually, or other?
Use our resources to be a steward of change at your institution

Learn and educate using interactive learning >

Visit our resource center to ensure you have all your Activase® (alteplase) and AIS needs covered >