Performance trends

Why is this measure important?

The sooner a patient can be seen at a primary stroke care center, the greater likelihood that there will be no lasting effects of a stroke.

Factors contributing to current performance

  • Early identification of patients' stroke symptoms by EMS providers.
  • MCFRS' quality assurance (QA) program emphasizes the importance of rapidly beginning transport of stroke patients to the hospital.
  • Holy Cross-Germantown (HCG) Hospital gained designation as a primary stroke center in late-FY18.

Factors restricting performance improvement

  • Behavior of individuals experiencing stroke - ignoring the signs, hesitating to call 911
  • Demographic factors: Age, race/ethnicity, gender
  • Patient stability: Signs/symptoms presented by the stroke patient upon arrival in the hospital emergency room can delay transfer to the CT lab.
  • Traffic congestion, resulting in delayed transport of stroke patient to hospital.

Performance improvement plan

  • Addition of Holy Cross Germantown Hospital's primary stroke care center should result in decreased transport times for stroke patients in the up-county area during FY19 and beyond.
  • MCFRS will continue providing feedback to its EMS providers on the importance of this performance measure.
  • MCFRS will work collaboratively with hospitals having primary stroke care centers who aspire to become comprehensive stroke care centers. There are currently no hospitals offering this level of service in Montgomery County.

SUPPORTING MEASURES

Percentage of stroke patients receiving complete ''bundle of care''

Percentage of stroke events with scene time by ALS providers of 15 minutes or less