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Performance and Accountability

A stroke is a medical emergency. If you experience symptoms of a stroke, please call 911 and go to the hospital immediately. Make sure you and your family can recognize the signs of a stroke, since prompt treatment means the best chance for optimal recovery.

The Johns Hopkins Hospital Stroke Center is proud to note our additional quality statistics: The team's carotid endarterectomy data are tracked by the Vascular Quality Initiative (VQI) and meet the national benchmark. In addition our serious complication rates for diagnostic angiogram are less than 1%, better the national benchmark.

The Johns Hopkins Hospital Stroke Center is dedicated to compliance with core measures and tracks the following stroke care performance data:

  • VTE prophylaxis – Stroke patients received treatment to keep blood clots from forming anywhere in the body within two days of arriving at the hospital.
  • Discharged on antithrombotic therapy – Stroke patients received prescription before discharge for a medication known to prevent blood clots.
  • Discharged on statin – Stroke patients needing medication to lower cholesterol received prescription before discharge.
  • Anticoagulation therapy for atrial fibrillation – Stroke patients with an abnormal heartbeat received blood-thinning medication.
  • Thrombolytic therapy – Stroke patients received medication to break up a blood clot within three hours after symptoms began.
  • Antithrombotic therapy by day two – Stroke patients received medication known to prevent complications within two days of arriving at the hospital.
  • Stroke education – Stroke patients received education about stroke treatment and prevention.
  • Assessed for rehabilitation – Health care team determined if stroke patients would need rehabilitation after leaving the hospital.

Additional measures required for Comprehensive Stroke Centers

CSTK 1:A NIHSS is performed for ischemic stroke patients

CSTK 2: A modified Rankin is done 90 days after discharge for all ischemic stroke patients

CSTK 3: Severity measurement is performed for all subarachnoid hemorrhage (SAH) and intracerebral hemorrhage (ICH) stroke patients 

CSTK 4: Procoagulant reversal therapy is used for intracerebral hemorrhage (ICH) stroke patients with an INR value > 1.4 

CSTK 5: The hemorrhagic transformation rate is tracked for all ischemic stroke patients

CSTK 6: Nimodipine treatment is used  within 24 hours  of hospital arrival for subarachnoid hemorrhage (SAH) stroke patients 

CSTK 8: Thrombolysis in cerebral infarction (TICI) score is tracked for patients who undergo endovascular procedures

CSTK 9: Median time from hospital arrival to the time of skin puncture for ischemic stroke patients who undergo endovascular procedures 

CSTK 10: Favorable Outcomes (mRS 0-2)

CSTK 11: Arrival to TICI 2b or higher

CSTK 12: Skin Puncture to TICI 2b or higher

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Maryland Patients

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Neurosurgery: 410-614-1533

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Adult Neurology: 410-955-9441
Pediatric Neurology: 410-955-4259
Adult Neurosurgery: 410-955-6406
Pediatric Neurosurgery: 410-955-7337

 

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