遵循指南® - Stroke 识别条件
成就奖
The awards recognize hospitals that demonstrate at least 85 percent compliance in each of the seven 遵循指南®-中风成就措施. Tier levels are determined by the length of demonstrated performance.
Download 识别条件 for 遵循指南 - Stroke
铜奖授予连续90天的表现.
- Silver recognizes performance of 12 consecutive months.
- Gold recognizes performance of 24 consecutive months or more.
The Achievement Measures are embedded in the Patient Management Tool. 它们是:
- 静脉溶栓3点到达.5小时,每隔4次治疗.5个小时: Percent of acute ischemic stroke patients who arrive at the hospital within 210 minutes (3.5小时)的沙巴足球体育平台最后知道 and for whom thrombolysis was initiated at this hospital within 270 minutes (4.5小时)的沙巴足球体育平台最后知道. Corresponding measure available for 住院中风病例.
- 早期的抗血栓形成的: 缺血性中风患者的百分比 or TIA who receive antithrombotic therapy by the end of hospital day two. Corresponding measures available for observation status only & 住院中风病例.
- 静脉血栓栓塞预防: 缺血性中风患者的百分比, 出血性中风, or stroke not otherwise specified who receive VTE prophylaxis the day of or the day after hospital admission.
- 抗血栓形成的: Percent of patients with an ischemic stroke or TIA prescribed antithrombotic therapy at discharge. Corresponding measures available for observation status only & 住院中风病例.
- 抗凝治疗心房颤动/心房颤动: Percent of patients with an ischemic stroke or TIA with atrial fibrillation/flutter discharged on anticoagulation therapy. Corresponding measures available for observation status only as well as 住院中风病例.
- 戒烟: Percent of patients with ischemic or 出血性中风, 或者有吸烟史的短暂性脑缺血发作, 是谁, 或者他们的看护人, given smoking cessation advice or counseling during hospital stay. Corresponding measures available for observation status only & 住院中风病例.
- 强化他汀类药物: Percent of ischemic stroke or TIA patients 是谁 discharged on intensive statin therapy. Corresponding measures available for observation status only as well as 住院中风病例.
To qualify for an Achievement Award, a hospital must:
- 根据指南实现参与®-中风医院状况.
- Demonstrate compliance in the seven 遵循指南®-中风成就措施 in at least 85 percent of all eligible patients. 这必须在书面申请中证明.
质量奖项
Silver Plus and Gold Plus 质量奖项 are advanced levels of recognition acknowledging hospitals for consistent compliance with Quality Measures embedded within the registry tool.
- Baseline data is not to be included in the demonstrated time frame of adherence.
- Once a hospital has been recognized with a 遵循指南-Stroke Silver Achievement Award, it is no longer eligible for the 遵循指南-Stroke Bronze Achievement Award.
- Recognition criteria is subject to change based on program enhancements.
- Seven key Achievement Measures are being used to evaluate and recognize success. These measures are consistent with those measures used by several organizations. However, all of the measures in 遵循指南 are important in the care of patients.
目标:笔画识别
Hospitals have the opportunity to be recognized with four 目标:笔划荣誉榜 recognition levels, each requiring a minimum of 6 patients for eligibility.
- 目标:笔划荣誉榜- 75% of applicable patients experiencing door to needle times of 60 minutes or less.
- 目标:中风荣誉榜精英 85% of applicable patients experiencing door to needle times of 60 minutes or less.
- 目标:中风荣誉榜精英加 75% of applicable patients experiencing door-to-needle times of 45 minutes or less and 50% of applicable patients experiencing door-to-needle times of 30 minutes or less.
- 目标:中风荣誉榜先进疗法 50% of applicable patients experiencing door-to-device times of 90 minutes or less for direct arriving patients and 60 minutes or less for transfer patients (within 6 hours or 24 hours).
目标:2型糖尿病
Overall Diabetes Cardiovascular Initiative Composite Score Criteria: ≥ 80% Compliance for 12 Consecutive Months (Calendar Year)
- 静脉溶栓,3点到达.5小时/ 4次治疗.5个小时
- 糖尿病患者的早期抗血栓药物
- 静脉血栓栓塞预防
- 抗血栓处方出院
- Anticoagulation Prescribed for AFib/AFlutter at Discharge
- 戒烟
- 在出院时开强化他汀类药物
- 糖尿病治疗
- Therapeutic Lifestyle Changes (TLC) Recommendations at Discharge
- 经证实对心血管疾病有益的抗高血糖药物