Quality & Patient Safety

Stroke Care Ensuring Quality Care

A stroke, sometimes called a “brain attack,” occurs when blood flow to the brain is interrupted. When a stroke occurs, brain cells in the immediate area begin to die because they stop getting the oxygen and nutrients they need to function.

There are two major kinds of stroke:

  • An ischemic stroke is caused by a blood clot that blocks or plugs a blood vessel or artery in the brain.
  • A hemorrhagic stroke is caused by a blood vessel in the brain that breaks and bleeds into the brain.

Strokes can cause a loss of the ability to speak, memory problems, or paralysis on one side of the body. Getting the right care at the right time can help reduce the risk of complications and another stroke. These measures show some of the standards of stroke care that hospitals should follow, for adults who have had a stroke.

The individual measures below are how hospitals throughout the United States are measured. Click on a link to see how EJGH compares nationally and in Louisiana in each individual measure.

  • 1 Ischemic stroke patients who received medicine known to prevent complications caused by blood clots within 2 days of arriving at the hospital Show More

    Description of Measure

    This measure tells how often patients having certain types of surgery received treatment to prevent blood clots in the period from 24 hours before surgery to 24 hours after surgery.

    Why is this Important?

    Research shows that hospitals should start this medicine within two (2) days of arriving at the hospital to prevent and treat clots and reduce the risk of complications from the stroke.

    Serious complications caused by strokes include changes in thinking and memory; muscle, joint, and nerve problems; or difficulty swallowing or eating; or blood clots.

    This measure shows the percentage of patients admitted with an ischemic stroke who got antithrombotic therapy started within 2 days of arriving at the hospital.

     

  • 2 Ischemic or hemorrhagic stroke patients who received treatment to keep blood clots from forming anywhere in the body within 2 days of arriving at the hospital Show More

    Description of Measure

    Patients admitted to the hospital with ischemic stroke or hemorrhagic stroke are at increased risk of developing new blood clots in their veins that break off and travel to other parts of the body, like the brain or lung (also called Venous Thromboembolism).

    Why is this Important?

    Research shows that hospitals should begin treatment to prevent new blood clots on the day of or day after these patients are arrived at the hospital.

    Treatment can include medicine, medical devices, or tightly fitting stockings designed to keep blood from clotting.

    This measure shows the percentage of patients admitted with an ischemic stroke or hemorrhagic stroke who either received treatment to prevent blood clots on the day of or day after arrival at the hospital or had paperwork in their chart to explain why they had not received this treatment.

     

  • 3 Ischemic stroke patients who received a prescription for medicine known to prevent complications caused by blood clots before discharge Show More

    Description of Measure

    Patients admitted with an ischemic stroke are at risk for developing complications like another stroke even after discharge. These patients should get a prescription at discharge for a blood thinner that prevents complications like another stroke (called Antithrombotic Therapy.)

    Why is this Important?

    Serious complications caused by strokes include changes in thinking and memory; muscle, joint, and nerve problems; or difficulty swallowing or eating; or blood clots.

    This measure shows the percentage of patients who were admitted with an ischemic stroke who were given a prescription for an antithrombotic before they were discharged from the hospital.

     

  • 4 Ischemic stroke patients needing medicine to lower cholesterol, who were given a prescription for this medicine before discharge Show More

    Description of Measure

    Cholesterol is a fat (also called a lipid) that the body needs to work properly. Levels of bad cholesterol (LDL) that are too high can increase the chance of stroke, heart disease, and other problems. Medicines called statins can help lower LDL cholesterol levels.

    Why is this Important?

    In patients with ischemic stroke who have high cholesterol, taking statins can help lower the chance of another stroke.

    This measure shows the percentage of patients admitted with an ischemic stroke who got a prescription for a statin before they were discharged from the hospital.

    Patients who shouldn’t take statins are not included in this measure.

     

  • 5 Ischemic or hemorrhagic stroke patients or caregivers who received written educational materials about stroke care and prevention during the hospital stay Show More

    Description of Measure

    Educating patients with ischemic stroke and hemorrhagic stroke and their caregivers about stroke care and prevention helps patients live healthier lives and reduces health care costs.

    Why is this Important?

    During the hospital stay, hospital staff should give stroke patients and caregivers written information on:

    • How to activate the hospital emergency system
    • The importance of doing follow-up after being released from the hospital
    • Medicines prescribed at discharge
    • What increases the chance of stroke
    • Warning signs and symptoms of stroke

    This measure shows the percentage of patients with an ischemic stroke or a hemorrhagic stroke or their caregivers who received written information about these topics during their hospital stay.

     

  • 6 Ischemic or hemorrhagic stroke patients who were evaluated for rehabilitation services Show More

    Description of Measure

    Many ischemic stroke or hemorrhagic stroke patients will experience moderate or severe disability, including problems with physical, speech and mental functions. Stroke rehabilitation can help patients relearn those lost skills and regain independence. Once the stroke symptoms and related problems are under control, the hospital appropriate health care professionals should review the status of the patient and begin rehabilitation as soon as possible. Appropriate health care professionals include physicians, physical therapists, occupational therapists, speech and language therapists, and/or neuropsychologist. The earlier the patient starts rehabilitation, the better the recovery process.

    Why is this Important?

    Patients who need stroke rehabilitation may begin while they are still at the hospital and continue in a rehabilitation setting that is right for the patient. These options include inpatient rehabilitation units (either stand-alone or part of a hospital/clinic), outpatient units (usually part of a hospital/clinic), nursing home, or home-based programs.

    This measure shows the percentage of patients admitted with an ischemic stroke or a hemorrhagic stroke who were evaluated for their need for rehabilitation services.

     

All descriptions and data sources are reported from Hospital Compare.

Data reported are based on discharges from January 2020 through December 2020

Awards & Recognition

Jefferson General Hospital has long been recognized for its personalized and comprehensive approach to treating stroke patients. In fact, CareChex, the leading hospital review service, has ranked EJGH in the top 10% of all hospitals in the United States for stroke care. East Jefferson General Hospital was also awarded the American Heart/Stroke Association’s high honor “Target: Stroke Honor Roll Elite, Gold Plus” award for 2020.

Perhaps nothing speaks to the quality of care we provide stroke patients more than the designation we received from the Joint Commission, an independent, not-for-profit organization that is the nation’s oldest and largest standards-setting and accrediting body in health care, certifying EJGH as a Thrombectomy capable Stroke Center. This designation means a great deal to us, but here is what it means to those we care for:

  • Certification signifies we have implemented the stringent, national guidelines needed to achieve high level stroke care and outcomes Join Commission’s Disease-Specific Care Certification Program is designed to evaluate clinical programs across the continuum of care.
  • Designation shows an organized approach to performance measurement and improvement activities.
  • What all this means to you, the community we serve is that today we stand as a stroke treatment facility that can stand alongside the finest in the nation. But more importantly, it means we are actively dedicated to improving our processes to ensure we stay at the forefront of stroke care.

 

Stroke Measure

Timeframe

EJGH

Ischemic or Hemorrhagic Stroke patients who received medicine or
another method of prevention known to prevent complications caused by blood
clots within 2 days of arriving at the hospital.

Jan – Dec 2020

85.5%

Ischemic stroke patients who received medicine known to reduce the
formation of blood clots (antithrombotic) to prevent complications caused by
blood clots at discharge.

Jan – Dec 2020

99.5%

Ischemic stroke patients with atrial fibrillation who received medicine
known to reduce the formation of blood clots (anticoagulant) to prevent
complications caused by blood clots at discharge.

Jan – Dec 2020

93.5%

Eligible ischemic stroke patients received tPA
(clot buster) to help dissolve blood clot creating blockage within 60 minutes
of arriving at the hospital. 

Jan – Dec 2020

94.4%

Ischemic stroke patients who received medicine known to reduce the
formation of blood clots (antithrombotic) to prevent complications caused by
blood clots within 2 days of arriving at the hospital. 

Jan – Dec 2020

97.6%

Ischemic stroke patients who received a prescription for medicine to
lower cholesterol at discharge.

Jan – Dec 2020

97.0%

Ischemic or hemorrhagic stroke patients or caregivers who received
written educational materials about stroke care and prevention during the
hospital stay. 

Jan – Dec 2020

94.8%

Ischemic or hemorrhagic stroke patients who were evaluated for
rehabilitation services. 

Jan – Dec 2020

99.6%

Ischemic stroke patients for whom an initial NIHSS (stroke severity
scale) was completed prior to any endovascular reperfusion therapy or within
12 hours of hospital arrival for those patients who do not undergo
reperfusion therapy.

Jan – Dec 2020

83.3%

Ischemic stroke patients receiving any endovascular reperfusion
therapy (tPA or recanalization) for whom a modified
Rankin score (assessment of recovery post stroke) was obtained either in
person or via telephone within 75-105 days after discharge.

Jan – Dec 2020

100%

Ischemic stroke patients who are treated with tPA
or mechanical endovascular reperfusion therapy who experience symptomatic
hemorrhage on brain imaging after reperfusion therapy (overall rate). 

Jan – Dec 2020

7.1%

Ischemic stroke patients undergoing mechanical embolectomy
with substantial to complete reperfusion of the distal and occluded
vessel. 

Jan – Dec 2020

87.5%

Median time in minutes from arrival at the hospital to mechanical embolectomy in eligible ischemic stroke patients with a
large vessel occlusion. 

Jan – Dec 2020

99 mins