ASC Quality Improvement & Program Management 2

Question 1

Which metric is most directly used to evaluate the effectiveness of a Get With The Guidelines-Stroke program?

Accepted Answer

Door-to-needle time under 60 minutes

Answer

Door-to-needle time under 60 minutes for tPA administration is the primary performance metric in GWTG-Stroke certification programs.

Question 2

A stroke coordinator notices that NIHSS documentation is missing for 20% of admitted stroke patients. The BEST first step in a QI approach is to:

Accepted Answer

Conduct a root cause analysis to identify why documentation is being missed

Answer

Root cause analysis identifies the underlying system or process failure before interventions are designed.

Question 3

In the PDSA cycle used for stroke QI, what does the 'Study' phase primarily involve?

Accepted Answer

Analyzing data to determine if the change produced improvement

Answer

The Study phase involves reviewing data collected during the Do phase to evaluate whether the intervention worked.

Question 4

Which of the following is a process measure rather than an outcome measure in stroke quality reporting?

Accepted Answer

Percentage of ischemic stroke patients receiving antithrombotic therapy at discharge

Answer

Antithrombotic therapy at discharge is a process measure reflecting adherence to a care step, not a patient outcome.

Question 5

Which organization administers the Primary Stroke Center certification program in the United States?

Accepted Answer

The Joint Commission (TJC)

Answer

The Joint Commission administers PSC, TSC, and CSC certification programs for stroke centers.

(ASC) Advanced Stroke Coordinator Certification Practice Test