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Stroke Center Quality Measures

Intravenous or Intra-arterial Thrombolysis (IV tPA) usage rate

Measure Definition: Percentage of ischemic stroke patients that receive Intravenous Tissue Plasminogen Activator (IV tPA) and/or Intra-arterial (IA) tPA/thrombolysis (clot retrieval devices).

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/IA 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/IA thrombolysis 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 will reduce this risk.

Outcomes: This graph compares the 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 below hospitals nationwide.

 

St. Cloud Hospital Stroke CenterMinnesota averageNational average
IV Thrombolysis usage rate 9% 4.5%* 8%
IA Thrombolysis usage rate  5.5% 3.7% 1.4%
Thrombolytic complication rate (hemorrhage) 2.6% 2%* 4%

Door to needle

Measure Definition: Average length of time from arrival to administration of IV tPA.

Rationale: Earlier treatment is more likely to result in a favorable outcome.

Outcomes:This graph compares the door to needle time for St. Cloud Hospital patients to national statistics from the Outcome Science Stroke Database. The graph indicates that St. Cloud Hospital is at a comparable rate to hospitals nationwide.

 

St. Cloud Hospital Stroke CenterMinnesota averageNational average
Door to needle 59.4 min. 58 min.* 63.5 min.


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, that is an indicator 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.

 

St. Cloud Hospital Stroke CenterMinnesota averageNational average
Stroke composite score 97.3% 97.1% 96.8%

Discharge Destination from St. Cloud Hospital

Average length of stay for all stroke diagnosis

  • St. Cloud Hospital 4.22 days
  • All MN hospitals 4.24 days
  • National Average 5.14 days
Data Sources:
Outcomes Science unless otherwise noted
*Minnesota Stroke Registry Program Report 2008-2012

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

 

Related Locations

Hear from our patient

“It is so important to be treated as soon as possible if having a stroke,” said Kathryn, 50, who had awakened with a blinding headache a few days before her medical emergency in September 2012. Kathryn, from Annandale, made a nearly full recovery. “I don’t think it could’ve been any faster. The care at St. Cloud Hospital was excellent and having Dr. Suri’s expertise is such a blessing,” Kathryn said.

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