Stroke Updates from GWTG - Fall/Winter 2011

Updated:Mar 20,2012
Are Quality Improvements in the Get With The Guidelines-Stroke Program Related to Better Care or Better Data Documentation?
Reeves MJ, Grau-Sepulveda MV, Fonarow GC, Olson D, Smith EE, Schwamm LH. Circ Cardiovasc Qual Outcomes. 2011;4:503–511. Published online before print August 9, 2011,doi: 10.1161/CIRCOUTCOMES.111.961755.
  • Increased compliance could result from documentation changes and hospitals could improve performance by decreasing the denominator rather than increasing the numerator (i.e., improving care).
  • After analyzing data from more than ½ million ischemic stroke admissions, it was found that the majority of performance improvements in GWTG-Stroke program represent an increase in the proportion of eligible subjects treated (i.e., numerator) and not changes to underlying target populations or missing data or documentation of contraindications. 
Representativeness of the Get With The Guidelines-Stroke Registry: Comparison of Patient and Hospital Characteristics Among Medicare Beneficiaries Hospitalized with Ischemic Stroke
Reeves MJ, Fonarow GC, Smith EE, Pan W, Olson D, Hernandez AF, Peterson ED, Schwamm LH. Stroke 43:44–49. Published online before print October 6, 2011, doi: 10.1161/STROKEAHA.111.626978
  • Despite substantial differences between GWTG-Stroke and non-GWTG-Stroke hospitals, Medicare beneficiaries entered in the program were similar to other Medicare beneficiaries.
  • These data suggest that the Medicare-aged GWTG-Stroke ischemic stroke admissions are generally representative of the national fee-for-service Medicare ischemic stroke population.

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