ASC Stroke Data Management & Registry Reporting 3

Question 1

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?

Accepted Answer

Time the patient was registered in the ED tracking system

Answer

Time EMS was dispatched

Answer

Time EMS arrived on scene

Answer

Time the patient was placed in an ED treatment room

Question 2

Which finding documented in a stroke patient's medical record must be recorded in the registry to capture a serious complication during hospitalization?

Accepted Answer

Symptomatic intracranial hemorrhage following tPA administration

Answer

Mild constipation treated with laxatives

Answer

A single episode of low-grade fever treated with acetaminophen

Answer

Transient bradycardia self-resolving within one minute

Question 3

The discharge medication compliance measure STK-6 requires documentation that ischemic stroke patients are discharged on which class of medication?

Accepted Answer

Antithrombotic therapy (antiplatelet or anticoagulant)

Answer

Anticoagulant therapy for all ischemic stroke patients

Answer

Antihypertensive therapy regardless of blood pressure

Answer

Corticosteroid therapy for cerebral edema

Question 4

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?

Accepted Answer

Perform concurrent chart review using radiology timestamps and ED documentation to obtain accurate times

Answer

Estimate the CT times based on physician notes and submit

Answer

Submit the cases without the CT times and note them as missing

Answer

Exclude all cases with missing CT times from the submission

Question 5

Which performance improvement methodology is most commonly applied when analyzing GWTG-Stroke data to identify root causes of DTN time delays?

Accepted Answer

Plan-Do-Study-Act (PDSA) cycles with fishbone diagram analysis

Answer

Failure Mode and Effects Analysis (FMEA)

Answer

Six Sigma Black Belt certification process

Answer

Lean waste elimination only

Question 6

When benchmarking a stroke center's performance against GWTG-Stroke national data, which comparison is most meaningful for identifying improvement opportunities?

Accepted Answer

Comparing risk-adjusted compliance rates against peer hospitals of similar size and designation

Answer

Comparing raw case volumes to the national total

Answer

Comparing only the absolute number of tPA cases administered

Answer

Comparing only the total length of stay across all stroke admissions

Question 7

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?

Accepted Answer

At least quarterly with documented action plans for underperforming measures

Answer

Daily during morning rounds

Answer

Annually at the time of recertification only

Answer

Only when a sentinel event occurs