Question Title

* 1. Hospital Name

Question Title

* 2. Hospital Physical Address

Question Title

* 3. Is your facility deemed a Critical Access Hospital?

Question Title

* 4. Is your facility deemed a Level IV Trauma Center?

Question Title

* 5. Please provide information on the stroke registry point of contact. This person is the stroke coordinator or other primary point of contact at your hospital for all program matters related to the ASR to ensure requirements are met.

Question Title

* 6. If the primary point of contact changes, hospital staff will let the AR Department of Health team (Dr. Tammie Marshall - Tammie.Marshall@arkansas.gov) know the name of the new primary point of contact.

Question Title

* 7. Based on funding availability, does your hospital request assistance with stroke patient chart abstraction? NOTE: Due to limited funding, priority for this support is given to Critical Access Hospitals and Level IV Trauma Centers. Primary Stroke Centers are not eligible for this technical assistance.  Through an external contractor, the ADH will cover the cost of 100% of all stroke case abstractions for Critical Access Hospitals and at least 50 cases for Level IV Trauma Centers (potentially more based on funding availability) for this new program year.

Question Title

* 8. Pending funding availability, would you like for the ADH's contractor to perform the required 5 stroke case re-abstractions at no cost to the hospital? 

NOTE: If no, hospital staff will need to complete and submit the re-abstractions.

To support data quality, a quality control process, re-abstraction, is completed yearly.  The purpose is to support inter-rater reliability by having a second abstractor re-collect the patient data on a spreadsheet provided by ADH to identify variations.  Hospitals that gave IV-tPA in the timeframe must include at least one IV-tPA patient discharge in the re-abstraction sample.    The hospital commits that five stroke discharge records are re-abstracted each year (from July 2018-June 2019).  The year is expected to be the fiscal year beginning in July.  The re-abstraction process is completed on 5 patient records, saved as complete.  The due date is July 31st of the following year. If the hospital performs the re-abstractions internally, and does not use the ADH contract, the re-abstractor uses the template provided on this web page:  https://www.healthy.arkansas.gov/programs-services/topics/stroke-resources

Question Title

* 9. As a participant in the registry, the hospital commits to ensure that 100% of stroke patient data is input, within three months following the patient’s discharge date, into the AR Stroke Registry using the Get With The Guidelines - Stroke Patient Management Tool (GWTG-SPMT) starting July 1, 2018. 

NOTE: Eligible hospitals may received chart abstraction assistance from ADH. Data are entered according to the Get with the Guidelines’ coding instructions and specified ICD-10-CM codes.  For hospitals new to the Registry, entry is required for patients with discharge dates beginning July 1, 2018.  Hospitals that are joining the AR Stroke Registry between July 1, 2018 and December 31, 2018 are considered newly joining sites.

Question Title

* 10. If my hospital is new to participation in the ASR, I understand stroke patient cases need to be input starting from April 2019. If currently participating, I will ensure stroke cases continue to be input.

Question Title

* 11. As part of the data entry process, each patient record is saved as “complete”.  After all patient information, including discharge/post-discharge information, the record can be saved as complete.  As part of Registry participation, the hospital commits to completing each patient record and saving it as complete. 

Question Title

* 12. The hospital understands ADH will provide an award for the July 2018 – June 2019 program year based on achieving a minimum of 85%, 90%, and 95% or higher adherence to the “CDC/COV Defect-Free” measure in GWTG-Stroke. This measure gauges how much of the time your hospital did in providing all the appropriate interventions to every patient. We recommend you continously monitor your adherence to this measure. The 10 sub-measure that comprise the CDC/COV Defect-Free measure include (1) IV rt-PA Arrive by 2 Hour, Treat by 3 Hour; (2) Early Antithrombotics; (3) VTE Prophylaxis; (4) Antithrombotics; (5) Anticoagulation Therapy for Atrial Fibrillation/Flutter; (6) Smoking Cessation Counseling; (7) dysphagia screening; (8) stroke education; (9) rehabilitation considered and (10) LDL 100 or ND – Statin. .

Question Title

* 13. The hospital will ensure stroke bands are applied to all confirmed stroke patients and record the stroke band ID in the AR Stroke Registry beginning August 1, 2018. NOTE: Bands will be provided by the Arkansas Department of Health. EMS to apply the bands on all suspected stroke cases. If stroke is not confirmed by the hospital the band is to be removed. The hospital will ensure bands are applied to all confirmed stroke cases including POV arrivals. Stroke Band ID is recorded in the ASR

Question Title

* 14. Beginning August 1, 2018 the hospital will input the new data fields recently added to the GWTG-SPMT including:

* Stroke Band ID
* EMS Agency Name Transporting Patient from Referring Hospital
* EMS Agency Name Transporting Patient to Receiving Hospital
* Hospital name if patient transferred from your ED to another hospital
* Hospital name if patient transferred from another hospital

Question Title

* 15. The hospital understands that if patient data entry is entered incorrectly or not completed for more than six months, ASR program staff will offer hospitals the opportunity to remediate, correct, and input data to bring all cases up-to-date. If problems related to data entry continue, the ASR program staff reserves the right to terminate hospital participation in the program.

Question Title

* 16. Please let us know how we can improve your experience with participation in the Arkansas Stroke Registry.

( Privacy & Cookie Notice

T