Performance Measures

Comprehensive Stroke (CSTK)

CSTK-01: National Institutes of Health Stroke Scale (NIHSS Score Performed for Ischemic Stroke Patients)

CSTK-02: Modified Rankin Score (mRS at 90 Days)

CSTK-03: Severity Measurement Performed for SAH and ICH Patients (Overall Rate)

CSTK-04: Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage (ICH )

CSTK-05: Hemorrhagic Transformation (Overall Rate)

CSTK-06: Nimodipine Treatment Administered

CSTK-07: Median Time to Revascularization

CSTK-08: Thrombolysis in Cerebral Infarction (TICI Post-Treatment Reperfusion Grade)

CSTK-09: Arrival Time to Skin Puncture

CSTK-10: Modified Rankin Score (mRS at 90 Days: Favorable Outcome)

CSTK-11: Timeliness of Reperfusion: Arrival Time to TICI 2B or Higher

CSTK-12: Timeliness of Reperfusion: Skin Puncture to TICI 2B or Higher

Stroke (STK)

STK-01: Venous Thromboembolism (VTE Prophylaxis)

STK-02: Discharged on Antithrombotic Therapy

STK-03: Anticoagulation Therapy for Atrial Fibrillation/Flutter

STK-04: Thrombolytic Therapy

STK-05: Antithrombotic Therapy By End of Hospital Day Two

STK-06: Discharged on Statin Medication

STK-08: Stroke Education

STK-10: Assessed for Rehabilitation

Quality Measures

Stroke Dysphagia Screening (SDS):

Percent of Stroke patients who undergo screening for dysphagia with an evidence-based bedside testing protocol approved by the hospital before being given any food, fluids, or medication by mouth.

This data is retrieved quarterly from the Get with the Guidelines stroke registry.