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Comparison of performance achievement award recognition with primary stroke center certification for acute ischemic stroke care.

dc.contributor.author Fonarow, GC
dc.contributor.author Liang, L
dc.contributor.author Smith, EE
dc.contributor.author Reeves, MJ
dc.contributor.author Saver, JL
dc.contributor.author Xian, Y
dc.contributor.author Hernandez, Adrian Felipe
dc.contributor.author Peterson, Eric David
dc.contributor.author Schwamm, LH
dc.contributor.author GWTG-Stroke Steering Committee & Investigators
dc.coverage.spatial England
dc.date.accessioned 2017-07-06T15:59:52Z
dc.date.available 2017-07-06T15:59:52Z
dc.date.issued 2013-10-14
dc.identifier https://www.ncbi.nlm.nih.gov/pubmed/24125846
dc.identifier jah3332
dc.identifier.uri https://hdl.handle.net/10161/15018
dc.description.abstract 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.
dc.language eng
dc.relation.ispartof J Am Heart Assoc
dc.relation.isversionof 10.1161/JAHA.113.000451
dc.subject Primary Stroke Center certification
dc.subject acute stroke
dc.subject measures registry
dc.subject Achievement
dc.subject Acute Disease
dc.subject Aged
dc.subject Aged, 80 and over
dc.subject Awards and Prizes
dc.subject Brain Ischemia
dc.subject Certification
dc.subject Female
dc.subject Hospitals
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Quality of Health Care
dc.subject Stroke
dc.title Comparison of performance achievement award recognition with primary stroke center certification for acute ischemic stroke care.
dc.type Journal article
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/24125846
pubs.begin-page e000451
pubs.issue 5
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Institutes and Centers
pubs.organisational-group Medicine
pubs.organisational-group Medicine, Cardiology
pubs.organisational-group Medicine, Clinical Pharmacology
pubs.organisational-group School of Medicine
pubs.publication-status Published online
pubs.volume 2
dc.identifier.eissn 2047-9980


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