Comparison of performance achievement award recognition with primary stroke center certification for acute ischemic stroke care.
Repository Usage Stats
BACKGROUND: Hospital certification and recognition programs represent 2 independent but commonly used systems to distinguish hospitals, yet they have not been directly compared. This study assessed acute ischemic stroke quality of care measure conformity by hospitals receiving Primary Stroke Center (PSC) certification and those receiving the American Heart Association's Get With The Guidelines-Stroke (GWTG-Stroke) Performance Achievement Award (PAA) recognition. METHODS AND RESULTS: The patient and hospital characteristics as well as performance/quality measures for acute ischemic stroke from 1356 hospitals participating in the GWTG-Stroke Program 2010-2012 were compared. Hospitals were classified as PAA+/PSC+ (hospitals n = 410, patients n = 169,302), PAA+/PSC- (n = 415, n = 129,454), PAA-/PSC+ (n = 88, n = 26,386), and PAA-/PSC- (n = 443, n = 75,565). A comprehensive set of stroke measures were compared with adjustment for patient and hospital characteristics. Patient characteristics were similar by PAA and PSC status but PAA-/PSC- hospitals were more likely to be smaller and nonteaching. Measure conformity was highest for PAA+/PSC+ and PAA+/PSC- hospitals, intermediate for PAA-/PSC+ hospitals, and lowest for PAA-/PSC- hospitals (all-or-none care measure 91.2%, 91.2%, 84.3%, and 76.9%, respectively). After adjustment for patient and hospital characteristics, PAA+/PSC+, PAA+/PSC-, and PAA-/PSC+ hospitals had 3.15 (95% CIs 2.86 to 3.47); 3.23 (2.93 to 3.56) and 1.72 (1.47 to 2.00), higher odds for providing all indicated stroke performance measures to patients compared with PAA-/PSC- hospitals. CONCLUSIONS: While both PSC certification and GWTG-Stroke PAA recognition identified hospitals providing higher conformity with care measures for patients hospitalized with acute ischemic stroke, PAA recognition was a more robust identifier of hospitals with better performance.
SubjectPrimary Stroke Center certification
Aged, 80 and over
Awards and Prizes
Quality of Health Care
Published Version (Please cite this version)10.1161/JAHA.113.000451
Publication InfoFonarow, GC; Liang, L; Smith, EE; Reeves, MJ; Saver, JL; Xian, Y; ... GWTG-Stroke Steering Committee & Investigators (2013). Comparison of performance achievement award recognition with primary stroke center certification for acute ischemic stroke care. J Am Heart Assoc, 2(5). pp. e000451. 10.1161/JAHA.113.000451. Retrieved from https://hdl.handle.net/10161/15018.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
More InfoShow full item record
Professor of Medicine
Fred Cobb, M.D. Professor of Medicine
Dr Peterson is the Fred Cobb Distinguished Professor of Medicine in the Division of Cardiology, a DukeMed Scholar, and the Past Executive Director of the Duke Clinical Research Institute (DCRI), Durham, NC, USA. Dr Peterson is the Principal Investigator of the National Institute of Health, Lung and Blood Institute (NHLBI) Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure With Preserved Ejection Fraction (SPIRRIT) Trial He is also the Principal I
Alphabetical list of authors with Scholars@Duke profiles.
Showing items related by title, author, creator, and subject.
Contemporary trends and predictors of postacute service use and routine discharge home after stroke. Prvu Bettger, Janet; McCoy, L; Smith, EE; Fonarow, GC; Schwamm, LH; Peterson, Eric David (J Am Heart Assoc, 2015-02-23)BACKGROUND: Returning home after the hospital is a primary aim for healthcare; however, additional postacute care (PAC) services are sometimes necessary for returning stroke patients to their pre-event status. Recent trends ...
Strategic planning to reduce the burden of stroke among veterans: using simulation modeling to inform decision making. Beadles, Christopher A; Bosworth, Hayden Barry; Bravata, DM; Cheng, EM; Homer, JB; Lich, KH; Matchar, David Bruce; ... (9 authors) (Stroke, 2014-07)BACKGROUND AND PURPOSE: Reducing the burden of stroke is a priority for the Veterans Affairs Health System, reflected by the creation of the Veterans Affairs Stroke Quality Enhancement Research Initiative. To inform the ...
Cao, L; Hayden, Kathleen M; Newby, Laura Kristin; Pokorney, SD; Welsh-Bohmer, Kathleen Anne (J Am Heart Assoc, 2015-08-03)