Abstract:
BACKGROUND:In 2009, the Get With The Guidelines-Stroke (GWTG-Stroke) program offered additional recognition if hospitals performed well on certain stroke quality measures. We sought to determine whether quality of care for all hospitals participating in GWTG-Stroke improved with this expanded recognition program. METHODS AND RESULTS:We examined hospital-level performance on 6 quality of care (process) measures and 1 defect-free composite quality measure for stroke following expansion of the existing performance measure recognition program. Compliance with all measures improved following launch of the expanded program, and this rate increased significantly for all 9 measures. When evaluated as the relative rate of increase in use over time, process improvement slowed significantly (P<0.05) following launch of the program for 2 measures, and accelerated significantly for 1 measure. However, when evaluated as a gap in care, the decrease in the quality gap was greater following launch of the program for 5 of 6 (83%) measures. There was no evidence that other processes of stroke care suffered as the result of the increase in measures and expanded recognition program. CONCLUSIONS:While care for stroke continues to improve in this country, expanded hospital process performance recognition had mixed results in accelerating this improvement. However, the quality gap continues to shrink among those participating in provider performance programs.
journal_name
J Am Heart Assocjournal_title
Journal of the American Heart Associationauthors
Heidenreich PA,Zhao X,Hernandez AF,Schwamm LH,Smith E,Reeves M,Peterson ED,Fonarow GCdoi
10.1161/JAHA.116.004278subject
Has Abstractpub_date
2017-01-21 00:00:00issue
1issn
2047-9980pii
JAHA.116.004278journal_volume
6pub_type
杂志文章abstract::Background Platelets play a role in promoting inflammatory responses under several disease conditions. Platelets are activated in hypertensive patients. However, the mechanisms responsible for platelet-mediating vascular inflammation are unknown. The present study investigated the role of platelets in promoting vascul...
journal_title:Journal of the American Heart Association
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pub_type: 杂志文章,多中心研究
doi:10.1161/JAHA.115.002965
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更新日期:2017-10-31 00:00:00
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journal_title:Journal of the American Heart Association
pub_type: 杂志文章,meta分析,评审
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更新日期:2013-02-19 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2013-05-31 00:00:00
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更新日期:2017-07-03 00:00:00
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pub_type: 杂志文章
doi:10.1161/JAHA.114.001241
更新日期:2014-09-26 00:00:00
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doi:10.1161/JAHA.119.015323
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更新日期:2019-08-06 00:00:00
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journal_title:Journal of the American Heart Association
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journal_title:Journal of the American Heart Association
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pub_type: 临床试验,杂志文章
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