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Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

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Page 1: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry

Program Manager

May 14, 2013

Page 2: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

2

Page 3: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Agenda

Year in Review

Upcoming Events

Program Awards3

Page 4: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

4

Year in Review - Coverdell

Senator Paul Coverdell

Page 5: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Your ASR Team

David Vrudny

Program Manager

Sherry Bird

CPHQ

ADN

Cathy Trower

RN, BSN

QI Nurse

AD

H S

taff

Joanne LaBelle

RN, MS, CPHQ, HRN

QI Consultant

Su

pp

ort

Sarah Adolph

MD, DrPh

Chronic Disease Evaluator

Katie Butterfield

American Heart Association

5

Greg Johnson

NREMT-Paramedic

EMS QI Specialist

Page 6: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

EMS Pilot Program

6

Code Strok

e

Goals: Reduce door-to-CT

Optimize Patient Care

Optimize Outcomes

Page 7: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

2012 ASR Performance: Jan’12 – Dec’ 12

7

Page 8: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

0 - 29

30 - 180

181+ 8

Annual Cases

% A

dh

eren

ce

2012 ASR Performance: Jan’12 – Dec’ 12

Page 9: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Trends in % of Defect-Free Care Patients3 Primary Stroke Centers (PSCs) - AR

90.6 88.5 87.9 93.6

0

10

20

30

40

50

60

70

80

90

100

2009 2010 2011 2012

% D

efec

t-Fr

ee C

are Pa

tien

ts

9

t = 0.43No significant change

Page 10: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Trends in Stroke Mortality Rates3 Primary Stroke Centers - AR

3.73.3 3.6

2.2

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

2009 2010 2011 2012

Stro

ke M

orta

lity

Rat

es/1

,000

Pa

tien

ts

t = -1.88 No significant change

10

Page 11: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Trends in Risk-Adjusted Mortality Ratios3 Primary Stroke Centers - AR

0.9

0.70.9

0.4

0.00.10.20.30.40.50.60.70.80.91.0

2009 2010 2011 2012

Risk-

Adj

uste

d M

orta

lity

Rat

ios

t = - 2.8 p<.05 Significant change

11

Page 12: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

12

Year in Review – Blue & You

Page 13: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Dr. Goldstein May 22nd, 4 PM – 5 PM

Minimizing time to Reperfusion

Receive 1 Hour Free CME or CE Credit!

Advanced Stroke Life Support June 3rd – 4th

Provider and Instructor Courses

Plan to Provide to AR SAVES Sites!

New Stroke Grant Application

Planned Release Date: June 2013

Basic and Enhanced Options!

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Upcoming Events

Page 14: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Upcoming EventsEMS Computer Based Learning Module

Estimated June 2013

1 or 2 Free Hours of CE Credit!

Onsite Training / Data Abstraction Support

Ongoing

No Cost Abstraction / Training Assistance!

ASR Program Reviews

Ongoing

Written Recommendations! 14

Page 15: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

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New ASR Hospitals

Five Rivers Medical Center

Page 16: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

De-Duplicate Data Entry

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Page 17: Arkansas Stroke Registry (ASR) Program Update Dave Vrudny, Arkansas Stroke Registry Program Manager May 14, 2013

Program Awards

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