Stroke Systems and Quality of Care (Well-enlightened)

STK-1 correct answers VTE prophylaxis or have documentation why no VTE prophylaxis was given by deadline midnight hospital day 2 STK-2 correct answers Discharged on antithrombotic therapy -aspirin STK-3 correct answers Anticoagulation therapy for atrial fibrillation/flutter STK-4 correct answers This measure captures the proportion of acute ischemic stroke patients who arrive at the hospital within 2 hours of time last known well and for whom IV alteplase was initiated at this hospital within 3 hours of LKN STK-5 correct answers antithrombotic therapy by end of hospital day 2 -aspirin STK-6 correct answers discharged on statin medication -ischemic stroke patients with LDL > than or = to 100 mg/dl, or LDL not measured, or who were on lipid lowering medications prior to hospitalization are prescribed medication at discharge STK-8 correct answers Educational materials given during hospital stay must address ALL of the following: -Activation of EMS -Need for follow-up after discharge -Medications prescribed at discharge -Risk factors for stroke -Warning signs/symptoms of stroke STK-10 correct answers assessed for rehabilitation -If no rehabilitation services are required, must be clearly documented acute stroke ready hospital correct answers hospital capable of rapid evaluation of acute stroke and administration of IV tPA -neurologic evaluation is often provided via telemedicine and teleradiology, as on-site expertise is seldom available at this level -has transfer agreement to send intervention candidates to a CSC or TSC, and complex patients to a CSC, with other patients going to PSC primary stroke center (PSC) correct answers hospital capable of rapid evaluation of acute stroke and administration of IV tPA -admits and treats most stroke patients, with transfer agreement to send intervention candidates and complex cases to a CSC -compliance with STK measures