1 / 29

State of the MSR Program

The Minnesota Stroke Registry (MSR) Program provides an essential framework for improving stroke care across the state. Established from 2001 onwards, it has evolved through pilot phases, national expansions, and ongoing quality improvement initiatives. With key milestones including the integration of tools like the Minnesota Stroke Registry Tool and the Go With the Guidelines (GWTG) Patient Management Tool, the MSR aims to enhance patient outcomes through evidence-based practices, education, and comprehensive data analysis. The program faces challenges but remains committed to delivering high-quality care to all stroke patients.

berny
Télécharger la présentation

State of the MSR Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. State of the MSR Program

  2. Overview • History/Milestones • Program Activities • Data • Vision

  3. History • National program • 2001-2004: Pilot • 2004-2007: National program launched • 2007-2012: Second funding cycle • 2012-?: Next funding cycle • Minnesota • 2007-present

  4. Program Milestones: Enrollment

  5. Program Milestones: Abstraction • Minnesota Stroke Registry Tool • Integration w/GWTG (Patient Management Tool) • Chart auditing process • Updates to data elements, algorithms • Stroke Education • VTE Prophylaxis • Evidence of Atherosclerosis • Data dictionary • Case ascertainment guidance • CMS, stroke as a core measure: yes or no?

  6. Program Milestones: Quality Improvement

  7. Ongoing Activities

  8. STK-1: VTE Prophylaxis

  9. STK-2: Discharged on Antithrombotic Therapy

  10. STK-3: Discharged on Anticoagulant (A Fib)

  11. STK-5: Antithrombotic therapy by day 2

  12. STK-6: Discharged on Statin Therapy

  13. STK-9: Smoking Cessation

  14. STK-10: Assessed for Rehabilitation

  15. STK-8: Stroke Education

  16. STK-7: Dysphagia Screening

  17. Dysphagia screening: Flow sheet Patients with acute ischemic or hemorrhagic stroke or stroke not otherwise specified (ill-defined) who were eligible for dysphagia screening Patient screened for dysphagia prior to any oral intake? Results of dysphagia screen Documentation of nosocomial pneumonia? Source: MSR, Q12008-Q32010

  18. STK-4: Thrombolytic Therapy

  19. Thrombolytic therapy: Flow sheet, 2010*includes patients transferred to another acute care facility (drip-and-ship) Time and date last well known documented Came within 2 hours of symptom onset Received IV tPA Documented contraindications Source: MSR, Q12008-Q42010

  20. Improvements in tPA

  21. Thrombolytic therapy: Reasons for nontreatment 528 arrived within 2 hours of symptom onset 199 (38%) received tPA, 329 (62%) did not receive tPA

  22. Vision: “Clinical” Issues • Stroke education (patients/caregivers) • tPA administration • Door-to-Needle Time • Secondary prevention

  23. Patient Demographics: Medical History

  24. Vision: Program • Expansion • Integration with statewide acute stroke system • Stroke conferences • Evaluation: QI → patient health outcomes

  25. Challenges • Funding uncertainties • CDC priorities • Hospitals’ priorities

  26. Our Goal The best care everywhere, for everyone, all the time.

  27. “Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful execution; it represents the wise choice of many alternatives.” - William A. Foster

  28. Thank you! Back Row: Mary Jo Mehelich Albert Tsai Front Row: Jacob Zdon Lisa Calhoun Jim Peacock

More Related