title: Metrics for measuring quality of care in comprehensive stroke centers: detailed follow-up to Brain Attack Coalition comprehensive stroke center recommendations: a statement for healthcare professionals from the American Heart Association/American Stroke Association.
abstract: BACKGROUND
  Stroke is a major cause of disability and death. The Brain Attack Coalition has proposed establishment of primary and comprehensive stroke centers to provide appropriate care to stroke patients who require basic and more advanced interventions, respectively. Primary stroke centers have been designated by The Joint Commission since 2003, as well as by various states. The designation of comprehensive stroke centers (CSCs) is now being considered. To assist in this process, we propose a set of metrics and related data that CSCs should track to monitor the quality of care that they provide and to facilitate quality improvement.
  
  
  RESULTS
  We analyzed available guideline statements, reviews, and other literature to identify the major features that distinguish CSCs from primary stroke centers, drafted a set of metrics and related data elements to measure the key components of these aspects of stroke care, and then revised these through an iterative process to reach a consensus. We propose a set of metrics and related data elements that cover the major aspects of specialized care for patients with ischemic cerebrovascular disease and nontraumatic subarachnoid and intracerebral hemorrhages at CSCs.
  
  
  CONCLUSIONS
  The metrics that we propose are intended to provide a framework for standardized data collection at CSCs to facilitate local quality improvement efforts and to allow for analysis of pooled data from different CSCs that may lead to development of national performance standards for CSCs in the future.
authors.forename: Dana
authors.initials: D
authors.lastname: Leifer
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Bravata
authors.forename: J J Buddy
authors.initials: JJ
authors.lastname: Connors
authors.forename: Judith A
authors.initials: JA
authors.lastname: Hinchey
authors.forename: Edward C
authors.initials: EC
authors.lastname: Jauch
authors.forename: S Claiborne
authors.initials: SC
authors.lastname: Johnston
authors.forename: Richard
authors.initials: R
authors.lastname: Latchaw
authors.forename: William
authors.initials: W
authors.lastname: Likosky
authors.forename: Christopher
authors.initials: C
authors.lastname: Ogilvy
authors.forename: Adnan I
authors.initials: AI
authors.lastname: Qureshi
authors.forename: Debbie
authors.initials: D
authors.lastname: Summers
authors.forename: Gene Y
authors.initials: GY
authors.lastname: Sung
authors.forename: Linda S
authors.initials: LS
authors.lastname: Williams
authors.forename: Richard
authors.initials: R
authors.lastname: Zorowitz
mesh_terms: D000046:Academic Medical Centers / Q000592:standards*; D000572:American Heart Association; D002545:Brain Ischemia / Q000453:epidemiology / Q000628:therapy*; D005500:Follow-Up Studies; D006282:Health Personnel / Q000592:standards*; D006287:Health Planning Guidelines; D006801:Humans; D011787:Quality of Health Care / Q000592:standards*; D020521:Stroke / Q000453:epidemiology / Q000628:therapy*; D014481:United States / Q000453:epidemiology