Stroke Outcomes - 2021

The performance measures in the tables below were developed by the Joint Commission in collaboration with the American Heart Association/American Stroke Association (AHA/ASA) and show how Munson Healthcare compares against state and national benchmarks as well as American Heart Association recommendations.

The current outcomes shown are for the year 2021.


STK Measures

= exceeds national average

Measure ID#

Short Name

Definition

MMC

MI

National

STK 1

Venous Thromboembolism (VTE) Prophylaxis

This measure captures the proportion of ischemic or hemorrhagic stroke patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission.

98%

95.30%

95.50%

STK 2

Discharged on Antithrombotic Therapy

This measure captures the proportion of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge.

99.80%

99.50%

99.50%

STK 3

Anticoagulation Therapy for Atrial Fibrillation/Flutter 

This measure captures the proportion of ischemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge.

100%

97%

98%

STK 4

Thrombolytic Therapy 

This measure captures the proportion of acute ischemic stroke patients who arrive at this hospital within 2 hours of time last knownmwell and for whom IV alteplase was initiated at this hospital within 3 hours of time last known well.

97.50%

95.30%

93.50%

STK 5

Antithrombotic Therapy By End of
Hospital Day 2 

This measure captures the proportion of ischemic stroke patients who had antithrombotic therapy administered by end of hospital day 2.

99.70%

97.20%

97.30%

STK 6

Discharged on Statin Medication 

This measure captures the proportion of ischemic stroke patients who are prescribed statin medication at hospital discharge.

97.80%

98.70%

98.90%

STK 8

Stroke Education 

This measure captures the proportion of ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after
discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke.

93.10%

96.60%

95%

STK 10

Assessed for Rehabilitation 

This measure captures the proportion of ischemic or hemorrhagic
stroke patients who were assessed for rehabilitation services.

99.80%

99.20%

99.40%

 


Volumes

tPA administered 

73

Thrombectomy performed 

106

Total Stroke Admitted

873


Other Measures

Occurrence

MMC

MI

National

Stroke LOS 2021

5.3

5.86

6.13

Hemorrhagic Transformation from tPA and Thrombectomy

2.40%

5.10%

5.70%