title: The impact of a statewide stroke quality improvement program: Colorado Stroke Alliance and Colorado Stroke Registry.
abstract: Acute stroke can result in neurological impairment or death. The Colorado Stroke Alliance and the Colorado Stroke Registry have made progress toward improving stroke care through their statewide quality improvement efforts. This report is a follow-up to a previous publication in the Journal of Neuroscience Nursing. The previous report focused on the organization and structure of the Colorado Stroke Alliance. The present report describes some of the successes and insights that have been achieved, including adherence to stroke quality indicators, gender disparities, process times for intravenous recombinant tissue plasminogen activator/alteplase, the impact of emergency medical services, and the role that nurses continue to have as agents of change in improving hospital care.
authors.affiliation: InTouch Health, Santa Barbara, CA, USA. pmurphy@intouchhealth.com
authors.forename: Paul
authors.initials: P
authors.lastname: Murphy
authors.forename: Don
authors.initials: D
authors.lastname: Smith
authors.forename: Michael
authors.initials: M
authors.lastname: Vislosky
authors.forename: Mark
authors.initials: M
authors.lastname: Tripputi
authors.forename: Ethan
authors.initials: E
authors.lastname: Cumbler
authors.forename: Julie
authors.initials: J
authors.lastname: Blakie
authors.forename: Marsha
authors.initials: M
authors.lastname: Wilde
authors.forename: William
authors.initials: W
authors.lastname: Jones
authors.forename: Connie
authors.initials: C
authors.lastname: Zachrich
authors.forename: Pam
authors.initials: P
authors.lastname: Elser
authors.forename: Katie
authors.initials: K
authors.lastname: Leonard
mesh_terms: D003120:Colorado; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D019983:Guideline Adherence; D006297:Health Services Accessibility / Q000458:organization & administration*; D054625:Healthcare Disparities; D006801:Humans; D033183:Interdisciplinary Communication; D017063:Outcome Assessment, Health Care; D017410:Practice Guidelines as Topic; D058996:Quality Improvement / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D012042:Registries; D013221:State Health Plans / Q000458:organization & administration*; D020521:Stroke / Q000401:mortality / Q000451:nursing*; D016019:Survival Analysis; D015912:Thrombolytic Therapy / Q000451:nursing; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator