Stroke Data Management & Registry Reporting Flashcards
7 cards from real ASC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Stroke Data Management & Registry Reporting flashcards as text
When documenting ED arrival time for a stroke patient who was brought in by EMS, which timestamp is used as the official arrival time for registry purposes?
Answer: Time the patient was registered in the ED tracking system
The official ED arrival time for registry and metric calculations is the time the patient was registered in the hospital's ED tracking or triage system, which represents the 'door' time.
Which finding documented in a stroke patient's medical record must be recorded in the registry to capture a serious complication during hospitalization?
Answer: Symptomatic intracranial hemorrhage following tPA administration
Symptomatic intracranial hemorrhage (sICH) following tPA is a required adverse event data element in stroke registries because it is a critical safety metric and treatment complication indicator.
The discharge medication compliance measure STK-6 requires documentation that ischemic stroke patients are discharged on which class of medication?
Answer: Antithrombotic therapy (antiplatelet or anticoagulant)
STK-6 mandates that eligible ischemic stroke patients be prescribed antithrombotic therapy (either antiplatelet agents or anticoagulants) at discharge to reduce recurrent stroke risk.
A stroke registry submission deadline is approaching and several cases are missing door-to-CT times. What is the most appropriate action for the stroke coordinator?
Answer: Perform concurrent chart review using radiology timestamps and ED documentation to obtain accurate times
The most appropriate action is to conduct thorough concurrent chart review using radiology system timestamps and ED documentation to accurately capture the door-to-CT times before submission.
Which performance improvement methodology is most commonly applied when analyzing GWTG-Stroke data to identify root causes of DTN time delays?
Answer: Plan-Do-Study-Act (PDSA) cycles with fishbone diagram analysis
PDSA cycles combined with fishbone (Ishikawa) diagram analysis are widely used in stroke quality improvement to systematically test process changes and identify root causes of DTN delays.
When benchmarking a stroke center's performance against GWTG-Stroke national data, which comparison is most meaningful for identifying improvement opportunities?
Answer: Comparing risk-adjusted compliance rates against peer hospitals of similar size and designation
Comparing risk-adjusted compliance rates against peer hospitals of similar size and designation provides the most meaningful benchmark because it accounts for patient population differences and hospital characteristics.
Under The Joint Commission Primary Stroke Center (PSC) certification, how frequently must stroke core measure data be reviewed with hospital leadership and the stroke program committee?
Answer: At least quarterly with documented action plans for underperforming measures
TJC certification standards require that stroke performance data be reviewed with hospital leadership and the stroke committee at least quarterly, with documented performance improvement action plans when measures fall below benchmarks.