ASC ASC Stroke Program Certification & Standards 2 — Questions and Answers
Question 1: Which federal program uses stroke process measures to calculate value-based incentive payments to hospitals?
- Hospital Value-Based Purchasing (VBP) (Correct answer)
- Hospital Readmissions Reduction Program
- Merit-Based Incentive Payment System
- Bundled Payments for Care Improvement
Correct answer: Hospital Value-Based Purchasing (VBP)
The Hospital Value-Based Purchasing program ties a portion of Medicare payments to performance on clinical process and outcome measures, including stroke.
Question 2: The American Stroke Association's Target: Stroke Honor Roll Elite status requires achieving a median DTN time of 45 minutes or less in what percentage of eligible patients?
- 75% (Correct answer)
- 50%
- 90%
- 60%
Correct answer: 75%
Honor Roll Elite recognition requires that 75% or more of eligible ischemic stroke patients receive tPA within 45 minutes of arrival.
Question 3: Which data registry do most US stroke-certified hospitals use to track core measure performance and benchmark against peers?
- Get With The Guidelines–Stroke (GWTG-Stroke) (Correct answer)
- National Inpatient Sample (NIS)
- Vizient Clinical Database
- NSQIP Stroke Module
Correct answer: Get With The Guidelines–Stroke (GWTG-Stroke)
GWTG-Stroke is the American Heart Association's hospital-based quality improvement registry used for benchmarking and certification reporting.
Question 4: A stroke program's certification requires documented evidence of multidisciplinary stroke team meetings. What is the minimum recommended frequency according to TJC standards?
- Quarterly (Correct answer)
- Monthly
- Weekly
- Annually
Correct answer: Quarterly
Joint Commission stroke certification standards require multidisciplinary performance improvement meetings at least quarterly.
Question 5: Which document serves as the primary roadmap for stroke center certification surveyor expectations during a TJC on-site review?
- Disease-Specific Care Certification Manual (Correct answer)
- National Patient Safety Goals
- Hospital Accreditation Standards manual
- CMS Conditions of Participation
Correct answer: Disease-Specific Care Certification Manual
The Disease-Specific Care Certification Manual contains the specific standards, elements of performance, and scoring guidelines surveyors use for stroke certification reviews.
Question 6: A Thrombectomy-Capable Stroke Center (TSC) differs from a PSC primarily by requiring availability of which service?
- Endovascular thrombectomy (Correct answer)
- Intravenous tPA
- Neurology consult
- MRI with DWI
Correct answer: Endovascular thrombectomy
The TSC designation requires 24/7 capability for endovascular mechanical thrombectomy for large vessel occlusion stroke, beyond what a PSC provides.
ASC ASC Stroke Program Certification & Standards 2
Which federal program uses stroke process measures to calculate value-based incentive payments to hospitals?