Introduction/Purpose There continues to be a lack of standard data management tools for neurovascular service lines and stroke programs. Many hospitals use ‘home-grown’ spreadsheets or upload to various registries which are designed more toward research initiatives than daily operations.
Installation of a dedicated Neurovascular Information System (NVIS) will result in improved efficiency, quality, and financial performance in operating a stroke program and/or neurovascular service line.
Materials and methods A small rural hospital in Pennsylvania installed a NVIS for daily use within its Primary Stroke Center. The NVIS was designed to support data entry and capture clinical data for process improvement, care standardization, and support stoke program growth. A commitment to move from retrospective data collection to near real-time data collection and analysis capitalized on the ability to adjust care for the next patient. The data from the NVIS was used to amplify opportunities for quality improvement and identify flaws in policies/procedures, care standards, and other program components. An effort to reinforce best practice standards was initiated based on findings from the data.
Results The stroke care team used the data from the NVIS to identify and quickly and efficiently fix issues real-time versus addressing any problems months later after waiting for formal data registry reports. The following results were realized: an increased swallow screen compliance, increased use of the NIH assessment by ED physicians and front-line staff, an increase in t-PA utilization rate, an increase in the number of patients receiving t-PA within 60 minutes of arrival, an increase in the number of discharges to home, and an increase in the number of patients arriving by ambulance. Additionally, the chart abstraction times were decreased.
Conclusion Utilization of a dedicated NVIS reversed the narrative related to stroke program management and allowed program leaders to use this clinical infrastructure and accurate data to drive practice improvement and assist on-site staff to more effectively manage the care continuum from pre-admission through post-discharge.
Disclosures S. Lang: None.
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