Stroke Quality Measures

Intravenous Tissue Plasminogen Activator (IV tPA) usage rate
Measure Definition: Percentage of ischemic stroke patients that receive Intravenous Tissue Plasminogen Activator (tPA).

Rationale: tPA is the only FDA approved medication that can be used in acute ischemic stroke patients to reduce or eliminate disability. 

Outcomes: This graph compares the IV tPA usage rate for St. Cloud Hospital patients to national statistics from the Outcome Science Stroke Database. The graph indicates that St. Cloud Hospital administers IV tPA at a comparable rate to hospitals nationwide.

Intravenous Tissue Plasminogen activator (IV tPA) complication rate
Measure Definition: Percentage of acute ischemic stroke patients that received IV tPA and developed brain hemorrhage post-treatment.

Rationale: Unfortunately, one of the complications from IV tPA is brain hemorrhaging. Six out of 100 patients treated with IV tPA may have a hemorrhage post-treatment. Carefully screening patients for tPA eligibility reduces this risk.

Outcomes: This graph compares the IV tPA complication rates for St. Cloud Hospital patients to national statistics from the Outcome Science Stroke Database. The graph indicates that St. Cloud Hospital’s IV tPA complication rate is comparable to hospitals nationwide.

1 St. Cloud Hospital Stroke Center
2 Outcomes Science Stroke Database
3 Adeoye, O., Hornung R., Khatri, P., et al. (2007) Recombinant tissue-type plasminogen activator use for ischemic stroke in the United States: A doubling of treatment rates over the course of 5 years. Stroke, 42:00-00.

Stroke Composite Score
Measure Definition: Percentage of patients who met the inclusion criteria for the eight stroke measures and the measures were met.

Rationale: Eight stroke measures have been endorsed by the Joint Commission as an indicator for providing quality stroke care. When a patient meets the inclusion criteria for any one of the eight quality measures and that measure is met, this indicates that the patient has received quality stroke care.  For example, if the patient met the inclusion criteria for receiving Deep Vein Thrombosis (DVT) prophylaxis and the patient was given medication, then the patient received quality care according to that indicator.

Outcomes: This graph compares the stroke composite score for St. Cloud Hospital patients to national score from the Outcomes Science Stroke Database.  The graph indicates that St. Cloud Hospital’s quality of care is comparable to hospitals nationwide.

Discharge Destination from St. Cloud Hospital
46.7% home
19.1% short/long term rehab facility
20.1% inpatient rehab
1.2% transfer
12.7% other (hospice, expired, federal facility)

Rehabilitation Center
In addition to its nationally recognized inpatient care, St. Cloud Hospital provides a full range of care for patients after the stroke. Inpatient and outpatient rehabilitative care is provided at St. Cloud Rehabilitation Center, a respected treatment center accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).
Learn more about the Rehabilitation Center

Inpatient Rehabilitation Stroke Outcomes
St. Cloud Hospital Inpatient Rehabilitation Unit provides comprehensive rehabilitative care for stroke patients.
Learn more about St. Cloud Hospital's Stroke Outcomes