Stroke Quality Measures

1. Stroke Volume: This table shows the number of patients treated for each stroke type. Tracking stroke volume helps us understand the needs of our community and plan services to support timely, evidence-based stroke care.

• Ischemic Stroke: The most common type of stroke, caused by a blockage that prevents blood flow to part of the brain.
• Hemorrhagic Stroke: A stroke caused by bleeding in or around the brain.
• Transient Ischemic Attack (TIA): Often called a "mini-stroke," a TIA occurs when blood flow to the brain is temporarily blocked. Symptoms resolve, but a TIA is an important warning sign of future stroke risk.

2. Mechanical Thrombectomy: This table shows the number of patients who experienced an ischemic stroke caused by a large vessel occlusion at Good Samaritan Hospital and received mechanical endovascular reperfusion therapy (mechanical thrombectomy), a procedure which surgically removes the clot and restores blood flow to the brain.

3. Direct Arrival Thrombectomy: This table shows how quickly our stroke team begins a mechanical thrombectomy procedure for patients who arrive directly to Good Samaritan Hospital with a severe ischemic stroke caused by a blocked brain artery. The table shows the median number of minutes from hospital arrival to the start of the procedure. Rapid treatment is critical because restoring blood flow quickly can reduce brain injury, improve recovery, and increase the likelihood of a positive outcome.

4. Transfer Arrival Thrombectomy: This table shows how quickly our stroke team begins a mechanical thrombectomy procedure for patients who are transferred to Good Samaritan Hospital from another facility for specialized stroke care. The table shows the median number of minutes from arrival at Good Samaritan Hospital to the start of the procedure. Rapid treatment is critical because restoring blood flow quickly can reduce brain injury, improve recovery, and increase the likelihood of a positive outcome.

5. Recanalization Rate/Restoring Blood Flow after Stroke: This table shows the percentage of patients at Good Samaritan Hospital whose treatment successfully reopened the blocked blood vessel and restored blood flow. Some strokes are caused by a large blood clot that blocks blood flow to the brain. This is an important measure because better blood flow can give patients a better chance for recovery.

6. Tenecteplase (clot-busting medication) – GWTG Target Stroke Door to Treatment Median Time: This table shows the number of patients who received Tenecteplase and the typical time, in minutes, for eligible stroke patients to receive a clot-busting medication after arriving at Good Samaritan Hospital. Because brain cells can be damaged quickly during a stroke, faster treatment may improve recovery and reduce the risk of long-term disability.

7. Tenecteplase compliance– Target Stroke: This table shows the percentage of eligible stroke patients who received Tenecteplase, a clot-busting medication, within key treatment timeframes. The timeframes, measured from when the patient arrives in the emergency room to when they receive Tenecteplase, help hospitals evaluate how quickly patients are treated after arriving for care. Higher percentages show that more eligible patients received treatment within the recommended time goals.

8. Thrombectomy / Tenecteplase Complication Rates: The table below shows the overall rate of bleeding complications after advanced stroke treatments at Good Samaritan Hospital, including clot-busting medication and mechanical thrombectomy. Monitoring this measure helps us evaluate treatment safety while continuing to provide timely care for patients experiencing stroke. For this measure, a lower percentage reflects fewer bleeding complications.

9. Carotid Procedures: This table shows the number of procedures performed and the percentage of patients who experienced a stroke or death within 30 days of a planned carotid artery procedure. Carotid arteries carry blood to the brain. Some patients may need a planned carotid artery procedure to improve blood flow and reduce future stroke risk. Lower rates indicate safer care and better patient outcomes.

10. AHASTR66: CDC Coverdell Composite: This table shows how consistently Good Samaritan Hospital follows nationally recognized stroke care best practices. A higher score indicates strong performance across multiple aspects of stroke care, from emergency treatment through recovery planning and patient education.

1. Stroke Volume: This table shows the number of patients treated for each stroke type. Tracking stroke volume helps us understand the needs of our community and plan services to support timely, evidence-based stroke care.

• Ischemic Stroke: The most common type of stroke, caused by a blockage that prevents blood flow to part of the brain.
• Hemorrhagic Stroke: A stroke caused by bleeding in or around the brain.
• Transient Ischemic Attack (TIA): Often called a " mini-stroke," a TIA occurs when blood flow to the brain is temporarily blocked. Symptoms resolve, but a TIA is an important warning sign of future stroke risk.

1. Mechanical Thrombectomy: This table shows the number of patients who experienced an ischemic stroke caused by a large vessel occlusion at Bethesda North Hospital and received mechanical endovascular reperfusion therapy (mechanical thrombectomy), a procedure which surgically removes the clot and restores blood flow to the brain.

1. Direct Arrival Thrombectomy: This table shows how quickly our stroke team begins a mechanical thrombectomy procedure for patients who arrive directly to Bethesda North Hospital with a severe ischemic stroke caused by a blocked brain artery. The table shows the median number of minutes from hospital arrival to the start of the procedure. Rapid treatment is critical because restoring blood flow quickly can reduce brain injury, improve recovery, and increase the likelihood of a positive outcome.

1. Transfer Arrival Thrombectomy: This table shows how quickly our stroke team begins a mechanical thrombectomy procedure for patients who are transferred to Bethesda North Hospital from another facility for specialized stroke care. The table shows the median number of minutes from arrival at Bethesda North Hospital to the start of the procedure. Rapid treatment is critical because restoring blood flow quickly can reduce brain injury, improve recovery, and increase the likelihood of a positive outcome.

1. Recanalization Rate/Restoring Blood Flow after Stroke: This table shows the percentage of patients at Bethesda North Hospital whose treatment successfully reopened the blocked blood vessel and restored blood flow. Some strokes are caused by a large blood clot that blocks blood flow to the brain. This is an important measure because better blood flow can give patients a better chance for recovery.

1. Tenecteplase (clot-busting medication) – GWTG Target Stroke Door to Treatment Median Time: This table shows the number of patients who received Tenecteplase and the typical time, in minutes, for eligible stroke patients to receive a clot-busting medication after arriving at Bethesda North Hospital. Because brain cells can be damaged quickly during a stroke, faster treatment may improve recovery and reduce the risk of long-term disability.

1. Tenecteplase compliance– Target Stroke: This table shows the percentage of eligible stroke patients who received Tenecteplase, a clot-busting medication, within key treatment timeframes. The timeframes, measured from when the patient arrives in the emergency room to when they receive Tenecteplase, help hospitals evaluate how quickly patients are treated after arriving for care. Higher percentages show that more eligible patients received treatment within the recommended time goals.

1. Thrombectomy / Tenecteplase Complication Rates: The table below shows the overall rate of bleeding complications after advanced stroke treatments at Bethesda North Hospital, including clot-busting medication and mechanical thrombectomy. Monitoring this measure helps us evaluate treatment safety while continuing to provide timely care for patients experiencing stroke. For this measure, a lower percentage reflects fewer bleeding complications.

1. AHASTR66: CDC Coverdell Composite: This table shows how consistently Bethesda North Hospital follows nationally recognized stroke care best practices. A higher score indicates strong performance across multiple aspects of stroke care, from emergency treatment through recovery planning and patient education.

Patient arrival to the emergency room to TNK administration equaled a median time of 49 minutes in comparison to 39 and 40 minutes in the region and state

Patient arrival to the ED to TNK administration:

• 67% of patients who were eligible received TNK within 60min
• 33% of patients who were eligible received TNK within 45min
• 33% of patients who were eligible received TNK within 30min
• In comparison to the region and state

2024

39 Ischemic strokes, 6 hemorrhagic strokes and 3 TIAs

Patient arrival to the emergency room to TNK administration equaled a median time of 43 minutes in comparison to 39 and 40 minutes in the region and state

Patient arrival to the ED to TNK administration:

• 92% of patients who were eligible received TNK within 60min
• 70% of patients who were eligible received TNK within 45min
• 38% of patients who were eligible received TNK within 30min
• In comparison to the region and state

2024

69 Ischemic strokes, 9 hemorrhagic strokes and 4 TIAs