Measuring the outcomes of stroke care

an annotated bibliography
  • 38 Pages
  • 2.17 MB
  • English
UK Clearing House on Health Outcomes, University of Leeds , Leeds
Outcome assessment (Medical care) -- Great Britain -- Bibliography., Cerebrovascular disease -- Treatment -- Bibliography., Cerebrovascular disease -- Patients -- Great Britain -- Bibliogr
StatementAlison Brettle, Joanne Greenhalgh and Andrew F. Long.
SeriesOutcomes measurement bibliographies -- no. 4
ContributionsGreenhalgh, Joanne., Long, Andrew F., UK Clearing House for Information on Health Outcomes.
The Physical Object
Pagination38 p. ;
ID Numbers
Open LibraryOL18248328M
ISBN 101900167352

Stroke continues to be a public health problem and risk perceptions are key to understanding people’s thoughts about stroke risk and their preventative health behaviors. This review identifies how the perceived risk of stroke has been measured and outcomes in terms of levels, predictors, accuracy, and intervention by: 3.

Articles that examined how to measure the quality of stroke care and that examined difficulties in the measurement of care outcomes, processes, and structures were selected. Selected articles were reviewed to summarise methods used to measure quality of stroke care and the primary outcome measures of the studies were extracted.

Conclusions were Cited by: A reliable measure of deficits after a stroke is important, not only to serve as a baseline for the evaluation of therapeutic measures, but also for rehabilitation and health care planning.

The goal of this article is to provide information on 6 different measurement scales used to assess and measure outcomes of strokes. The FMA 25 is an impairment-based measure developed to assess motor recovery after stroke and was based on early works of Twitchell 26 and Brunnstrom.

27 It is widely used in stroke research and has been used as a gold standard to compare the reliability and validity of other outcome measures. Measuring the quality of stroke care to improve outcomes Outcome measures help demonstrate changes in the health of an individual, group or population which is attributable to an intervention.

It is important that we measure the outcomes of the stroke care provided in our region to help us understand how we can make further improvements.

StrokEDGE II Outcome Measures Acute Care The StrokEDGE II task force updated the original StrokEDGE outcome measure recommendations. The StrokEDGE II recommendations focus on stroke-specific measures through updated literature review () and analysis of the originally recommended outcome measures.

Patients who survive mild strokes tend to have better outcomes than those who survive massive strokes. This phenomenon is often measured using the National Institutes of Health Stroke Scale (NIHSS). Patients who score 15 or lower on the NIHSS are considered to have sustained mild or moderate stroke.

Putten et al. () pointed out that measuring the outcome of health care is a “central component of determining therapeutic effectiveness and, therefore, the provision of evidence-based healthcare,” (van der Putten et al.

The Stroke Rehabilitation Evidence-Based Review (SREBR) is a landmark achievement in consolidating. These Stroke chart abstracted measures were developed in collaboration with the American Heart Association (AHA)/American Stroke Association (ASA)/Brain Attack Coalition (BAC).

The measure development and maintenance process is guided by expertise and advice provided by the Stroke Measuring the outcomes of stroke care book Maintenance Technical Advisory Panel (TAP).

Recommendations for use of each outcome measure reviewed were categorized by 5 practice settings: acute care hospital, in-patient rehabilitation, home health, skilled nursing facility, and out-patient as well as by acuity level.

Recommendations for each outcome measure were. Below are examples of the performance measures that we monitor and report in order to improve the care and outcomes of our stroke patients.

Treating patients with ischemic stroke as quickly as possible is critical to achieving good neurologic outcomes. tPA (tissue plasminogen activator), the clot-busting drug used to treat ischemic stroke, is only effective if administered within hours.

This measure set is applicable to patients with diagnoses of ischemic stroke and hemorrhagic stroke, and TIA. Each measure includes patients from one or more categories. The final clinical diagnosis is used to identify the measure population.

Measure 6a is new and is being pilot tested in The following table identifies the. 1. Overview and Description. An Outcome Measure is a qualitative or quantitative measurement of outcome, 1 generally in response to a rehabilitation intervention in the context of physiatry, 2 and will be referred to as Rehabilitation Measure of Outcome (RMO) in this article.

RMOs are vital to the practice of evidence-based medicine, and can be understood in the context of the.

Details Measuring the outcomes of stroke care EPUB

Figure. According to the American Heart Association (AHA), someone has a stroke every 40 seconds in the United States; a person dies of one approximately every 4 minutes.

1 This translates into 1 in every 20 deaths in the United States resulting from stroke, making it the fifth leading cause of death for Americans.

Stroke has also remained the leading cause of disability for the last decade. • 7-grade scale measuring functional independence and gait stability • mRShas been used to measure stroke outcomes and functional impact post-stroke • The scale is used a “core metric” of Comprehensive Stroke Centers; evaluating day clinical outcomes of post-IV tPA (Alteplase) or endovascular intervention (EVT) patients.

Description Measuring the outcomes of stroke care PDF

STROKE S FACT SHEET STROKE S PAGE February FACTSHEET Get With The Guidelines®-Stroke is the American Heart Association’s collaborative performance improvement program, demonstrated to improve adherence to evidence-based care of patients hospitalized with stroke.

Prevention and management of medical complications are essential aspects of stroke care, because patients with stroke are at high risk of medical complications such as pneumonia, pressure ulcers, and venous thromboembolism.

1,2 Previous studies have reported that up to 96% of all patients hospitalized for stroke experience medical or neurological complications during their hospitalization.

MEASUREMENT OF OUTCOMES OF CARE FOR STROKE PATIENTS TABLE 1 Ten Categories of Self-Care and Mobility Functions Are Rated by the Examiner Using the Batihel Index1 Independent With help 1. Feedin (if food needgs to be cu =t help) 2.

Moving from wheelchair to bed and return (includes sitting up in bed) 3.

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The purpose of this paper is to review the methods used to measure quality of stroke care. Relevant articles were searched for on Medline using the following key words: stroke, quality, outcome of care, process of care, structure of care.

Articles that examined how to measure the quality of stroke care and that examined difficulties in the measurement of care outcomes, processes, and. Predictors of Stroke Outcome Using Objective Measurement Scales Sandy C.

Loewen, BMR-PT, and Brian A. Anderson, MD, FRCP(C) We set out to determine if rehabilitation variables predicted the motor and functional outcomes of stroke patients. Using the. ICHOM Standard Sets are standardized outcomes, measurement tools and time points and risk adjustment factors for a given condition.

Developed by a consortium of experts and patient representatives in the field, our Standard Sets focus on what matters most to the patient. McLaren Flint Stroke Program recognized for quality care, patient outcomes American Heart Association Award recognizes McLaren Flint’s commitment to quality stroke care How Telestroke Enhances Patient Outcomes For Stroke Care With an increase in stroke patients, the demand for neurological care continues to rise.

Despite increased demand, the U.S. faces a shortage of neurologists to care for stroke patients. Telestroke offers health systems a highly effective way to prevent deaths and minimize long.

Long-term care services tend to be more concerned with addressing the day-to-day consequences of long-term conditions. As such, a quality of life measure should not be overly focused on the potential impact of services on personal ability and should instead consider how services directly help people to function in everyday life.

1. Re-organize Care around Patient Conditions, into Integrated Practice Units −For primary and preventive care, IPUs serve distinct patient segments 2. Measure Outcomes and Costs for Every Patient 3. Move to Value-Based Reimbursement Models, and Ultimately Bundled Payments for Conditions 4.

Integrate Multi-Site Care Delivery Systems 5. Recent evidence-based practice initiatives and the need for accountability in clinical practice have focused attention on the use of standardized outcome measures (OMs) in physical therapy.

1– 4 Monitoring patient status through the appropriate use of OMs is considered good clinical practice 5 and has been suggested to enhance patient care as it contributes to a more thorough.

ABSTRACT. Objectives: To evaluate the association between patient satisfaction and cost, outcomes, and clinical performance of stroke care. Study Design: An ecological study was conducted on all. Joint Commission Clinical Measure Measure Description a a a a **CSTK** NIH Stroke Scale: Ischemic stroke patients for whom an initial NIH Stroke Scale score is performed prior to any acute recanalization therapy or within 12 hours of emergency department arrival.

% (/) % (/) % (/) % (/). Note: If you are a developer of a standardized tool or instrument that is appropriate for use as a routine outcome measure in the behavioral health care field, or a behavioral health care organization using a standardized tool or instrument that is working well for you, we.

Adriana Pérez, Barbara C. Tilley, in Stroke (Sixth Edition), Shift Analysis of the mRS. The modified Rankin Scale (mRS) is the most commonly used outcome measure in stroke trials. 14,15,48 The mRS is an ordered scale coded from 0 (no symptoms at all) through 5 (severe disability) 6 (death). 14 Traditionally, stroke trials collapsed the mRS into two groups, for example scores of 0 to 1.

Fisher-Titus recognized for stroke care. tools and resources provided help us track and measure our success in meeting evidenced-based clinical guidelines developed to improve patient outcomes.•Evaluate the integration and usefulness of the measure into practice (e.g.

efficiency of implementation, value of data per time spent, etc.). Issues Affecting Outcome Measures Administering outcome measure [3] modified Emory Functional Ambulation Profile (mEFAP) [6] •Performance-based measure for the post-stroke population.Shepherd Center Outcomes Scorecard and Annual Quality Report.

The quality goal for Shepherd Center is to be the leader in defining, measuring and delivering superior-quality care for patients who have sustained life-altering spinal cord and brain injuries.