arkansas stroke registry (asr) program update dave vrudny, arkansas stroke registry program manager...

Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry

Program Manager

May 14, 2013

2

Agenda

Year in Review

Upcoming Events

Program Awards3

4

Year in Review - Coverdell

Senator Paul Coverdell

Your ASR Team

David Vrudny

Program Manager

Sherry Bird

CPHQ

ADN

Cathy Trower

RN, BSN

QI Nurse

AD

H S

taff

Joanne LaBelle

RN, MS, CPHQ, HRN

QI Consultant

Su

pp

ort

Sarah Adolph

MD, DrPh

Chronic Disease Evaluator

Katie Butterfield

American Heart Association

5

Greg Johnson

NREMT-Paramedic

EMS QI Specialist

EMS Pilot Program

6

Code Strok

e

Goals: Reduce door-to-CT

Optimize Patient Care

Optimize Outcomes

2012 ASR Performance: Jan’12 – Dec’ 12

7

0 - 29

30 - 180

181+ 8

Annual Cases

% A

dh

eren

ce

2012 ASR Performance: Jan’12 – Dec’ 12

Trends in % of Defect-Free Care Patients3 Primary Stroke Centers (PSCs) - AR

90.6 88.5 87.9 93.6

0

10

20

30

40

50

60

70

80

90

100

2009 2010 2011 2012

% D

efec

t-Fr

ee C

are Pa

tien

ts

9

t = 0.43No significant change

Trends in Stroke Mortality Rates3 Primary Stroke Centers - AR

3.73.3 3.6

2.2

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

2009 2010 2011 2012

Stro

ke M

orta

lity

Rat

es/1

,000

Pa

tien

ts

t = -1.88 No significant change

10

Trends in Risk-Adjusted Mortality Ratios3 Primary Stroke Centers - AR

0.9

0.70.9

0.4

0.00.10.20.30.40.50.60.70.80.91.0

2009 2010 2011 2012

Risk-

Adj

uste

d M

orta

lity

Rat

ios

t = - 2.8 p<.05 Significant change

11

12

Year in Review – Blue & You

Dr. Goldstein May 22nd, 4 PM – 5 PM

Minimizing time to Reperfusion

Receive 1 Hour Free CME or CE Credit!

Advanced Stroke Life Support June 3rd – 4th

Provider and Instructor Courses

Plan to Provide to AR SAVES Sites!

New Stroke Grant Application

Planned Release Date: June 2013

Basic and Enhanced Options!

13

Upcoming Events

Upcoming EventsEMS Computer Based Learning Module

Estimated June 2013

1 or 2 Free Hours of CE Credit!

Onsite Training / Data Abstraction Support

Ongoing

No Cost Abstraction / Training Assistance!

ASR Program Reviews

Ongoing

Written Recommendations! 14

15

New ASR Hospitals

Five Rivers Medical Center

De-Duplicate Data Entry

16

Program Awards

17