What question did this study set out to answer?

To compare compliance with ten acute stroke care quality performance measures and defect-free care delivery between certified Primary Stroke Centers (PSCs), centers preparing for certification, and non-PSCs over time.

March 24, 2014Journal of the American Heart AssociationOpen Access

Compliance With Acute Stroke Care Quality Measures in Hospitals With and Without Primary Stroke Center Certification: The North Carolina Stroke Care Collaborative

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To compare compliance with ten acute stroke care quality performance measures and defect-free care delivery between certified Primary Stroke Centers (PSCs), centers preparing for certification, and non-PSCs over time.
Analyzed 29,654 stroke cases across 47 acute care hospitals (10 PSCs, 8 preparing for certification, 29 non-PSCs) in the Registry of the North Carolina Stroke Care Collaborative from January 2005 to February 2010.
Used multivariable logistic regression and generalized estimating equations to assess adherence to 10 quality measures and defect-free care, adjusting for hospital-level clustering.
PSCs and hospitals preparing for certification demonstrated significantly higher compliance than non-PSCs across 8 of 10 individual quality measures (each P < 0.01).
Defect-free care was delivered in 52.8% of cases in hospitals preparing for certification, 45.0% in PSCs, and 21.9% in non-PSCs.
Annual percent increases in defect-free care between 2005 and 2010 were significantly higher in PSCs (P = 0.01) and hospitals preparing for certification (P = 0.04) compared to non-PSCs.

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Implication

Observational registry study reveals higher quality compliance in certified stroke centers, highlighting the value of standardized certification.

Cite This Study

Johnson et al. (2014) studied this question.

synapsesocial.com/papers/6a7d84518b7e38892f14fdd7 https://doi.org/10.1161/jaha.113.000423

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Implication

Observational registry study reveals higher quality compliance in certified stroke centers, highlighting the value of standardized certification.

Compliance With Acute Stroke Care Quality Measures in Hospitals With and Without Primary Stroke Center Certification: The North Carolina Stroke Care Collaborative

Key Points

Discussion

Implication

Cite This Study

Compliance With Acute Stroke Care Quality Measures in Hospitals With and Without Primary Stroke Center Certification: The North Carolina Stroke Care Collaborative

Key Points

Discussion

Implication

Cite This Study

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