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Comparative Study
.2013 Oct 14;2(5):e000451.
doi: 10.1161/JAHA.113.000451.

Comparison of performance achievement award recognition with primary stroke center certification for acute ischemic stroke care

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Comparative Study

Comparison of performance achievement award recognition with primary stroke center certification for acute ischemic stroke care

Gregg C Fonarow et al. J Am Heart Assoc..

Abstract

Background: Hospital certification and recognition programs represent 2 independent but commonly used systems to distinguish hospitals, yet they have not been directly compared. This study assessed acute ischemic stroke quality of care measure conformity by hospitals receiving Primary Stroke Center (PSC) certification and those receiving the American Heart Association's Get With The Guidelines-Stroke (GWTG-Stroke) Performance Achievement Award (PAA) recognition.

Methods and results: The patient and hospital characteristics as well as performance/quality measures for acute ischemic stroke from 1356 hospitals participating in the GWTG-Stroke Program 2010-2012 were compared. Hospitals were classified as PAA+/PSC+ (hospitals n = 410, patients n = 169,302), PAA+/PSC- (n = 415, n = 129,454), PAA-/PSC+ (n = 88, n = 26,386), and PAA-/PSC- (n = 443, n = 75,565). A comprehensive set of stroke measures were compared with adjustment for patient and hospital characteristics. Patient characteristics were similar by PAA and PSC status but PAA-/PSC- hospitals were more likely to be smaller and nonteaching. Measure conformity was highest for PAA+/PSC+ and PAA+/PSC- hospitals, intermediate for PAA-/PSC+ hospitals, and lowest for PAA-/PSC- hospitals (all-or-none care measure 91.2%, 91.2%, 84.3%, and 76.9%, respectively). After adjustment for patient and hospital characteristics, PAA+/PSC+, PAA+/PSC-, and PAA-/PSC+ hospitals had 3.15 (95% CIs 2.86 to 3.47); 3.23 (2.93 to 3.56) and 1.72 (1.47 to 2.00), higher odds for providing all indicated stroke performance measures to patients compared with PAA-/PSC- hospitals.

Conclusions: While both PSC certification and GWTG-Stroke PAA recognition identified hospitals providing higher conformity with care measures for patients hospitalized with acute ischemic stroke, PAA recognition was a more robust identifier of hospitals with better performance.

Keywords: Primary Stroke Center certification; acute stroke; measures registry.

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Figures

Figure 1.
Figure 1.
Performance measure conformity by hospital PAA recognition and PSC certification status.P‐value is <0.0001 for each individual performance measure and the summary all‐or‐none measure for each pairwise comparison, except for the comparisons between PAA+/PSC+ vs PAA+/PSC− hospitals. All‐or‐none measure represents the proportion of patients who received all of the measures that they were eligible for. AF indicates atrial fibrillation; Anticoag, anticoagulation; antithrom, antithrombotics; DC, discharge; DVT, deep vein prophylaxis; IV, intravenous; PAA, Performance Achievement Award; proph, prophylaxis; PSC, Primary Stroke Center; t‐PA, tissue‐type plasminogen activator (TPA).
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References

    1. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Magid D, Marcus GM, Marelli A, Matchar DB, McGuire DK, Mohler ER, Moy CS, Mussolino ME, Nichol G, Paynter NP, Schreiner PJ, Sorlie PD, Stein J, Turan TN, Virani SS, Wong ND, Woo D, Turner MB. Heart disease and stroke statistics 2013 update: a report from the American Heart Association. Circulation. 2013; 127:e6-e245 - PMC - PubMed
    1. Adams HP, Jr, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, Grubb RL, Higashida RT, Jauch EC, Kidwell C, Lyden PD, Morgenstern LB, Qureshi AI, Rosenwasser RH, Scott PA, Wijdicks EF. Guidelines for the early management of adults with ischemic stroke. Circulation. 2007; 115:e478-e534 - PubMed
    1. Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly‐Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack. Stroke. 2006; 37:577-617 - PubMed
    1. Reeves MJ, Arora S, Broderick JP, Frankel M, Heinrich JP, Hickenbottom S, Karp H, LaBresh KA, Malarcher A, Mensah G, Moomaw CJ, Schwamm L, Weiss P. Acute stroke care in the US: results from 4 pilot prototypes of the Paul Coverdell National Acute Stroke Registry. Stroke. 2005; 36:1820 - PubMed
    1. Hinchey JA, Shephard T, Tonn ST, Ruthazer R, Selker HP, Kent DM. Benchmarks and determinants of adherence to stroke performance measures. Stroke. 2008; 39:1619-1620 - PubMed

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