|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.