ASC Stroke Data Management & Registry Reporting

Question 1

Which national registry is most commonly used by certified stroke centers to submit performance data and benchmark against peer institutions?

Accepted Answer

Get With The Guidelines-Stroke (GWTG-Stroke)

Answer

NCDR CathPCI Registry

Answer

National Inpatient Sample (NIS)

Answer

Nationwide Emergency Department Sample (NEDS)

Question 2

The door-to-needle (DTN) time metric for IV alteplase is defined as the time from which two events?

Accepted Answer

ED arrival to start of alteplase infusion

Answer

EMS dispatch to drug infusion start

Answer

Symptom onset to alteplase bolus

Answer

CT scan completion to alteplase administration

Question 3

According to The Joint Commission stroke certification standards, which time metric must be documented for mechanical thrombectomy-eligible patients?

Accepted Answer

Door-to-groin puncture time

Answer

Door-to-CT time

Answer

Symptom onset to hospital arrival time

Answer

Imaging-to-discharge time

Question 4

When abstracting stroke data for registry submission, which tool score must be documented at presentation to capture neurological deficit severity?

Accepted Answer

NIH Stroke Scale (NIHSS)

Answer

Modified Rankin Scale (mRS)

Answer

Barthel Index (BI)

Answer

Glasgow Coma Scale (GCS)

Question 5

In the GWTG-Stroke registry, which discharge outcome measure is used to assess functional status at the time the patient leaves the hospital?

Accepted Answer

Modified Rankin Scale (mRS)

Answer

NIH Stroke Scale score

Answer

Functional Independence Measure (FIM)

Answer

Berg Balance Scale

Question 6

A stroke coordinator is abstracting a drip-and-ship case. Which arrival time should be recorded as the 'hospital arrival time' for DTN calculation at the receiving comprehensive stroke center?

Accepted Answer

Time the patient arrived at the receiving comprehensive stroke center

Answer

Time the patient arrived at the originating hospital

Answer

Time the transfer was accepted by the receiving center

Answer

Time alteplase was initiated at the originating hospital

Question 7

Which CMS quality measure requires documentation that stroke patients were assessed for rehabilitation needs before discharge?

Accepted Answer

STK-10: Assessed for Rehabilitation

Answer

STK-1: Venous Thromboembolism Prophylaxis

Answer

STK-4: Thrombolytic Therapy

Answer

STK-6: Discharged on Antithrombotic Therapy