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

GWTG-Stroke is the American Heart Association/American Stroke Association registry used by certified stroke centers to track adherence to evidence-based stroke measures and benchmark performance.

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

Door-to-needle time is measured from the patient's emergency department arrival time to the initiation of IV alteplase infusion, and the target is ≤60 minutes.

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-groin puncture time (target ≤90 minutes) is a key metric for endovascular thrombectomy cases, tracked in stroke registries and required by certification standards.

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

The NIHSS score at presentation is a required data element in stroke registries and certification standards because it quantifies initial neurological deficit severity.

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

The modified Rankin Scale (mRS) at discharge is a required GWTG-Stroke data element that captures the patient's level of functional independence on a 0–6 scale.

(ASC) Advanced Stroke Coordinator Certification Practice Test

(ASC) Advanced Stroke Coordinator Certification Practice Test

ASC Stroke Data Management & Registry Reporting