Paul Coverdell National Acute Stroke Registry Performance Measures
(Updated 1/4/2010)

1. Venous Thromboembolism (VTE) Prophylaxis (STK-1)
Patients with an ischemic stroke or a hemorrhagic stroke who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission.

2. Discharged on Antithrombotic Therapy (STK-2)
Patients with an ischemic stroke prescribed antithrombotic therapy at discharge.

3. Patients with Atrial Fibrillation/Flutter Receiving Anticoagulation Therapy (STK-3)
Patients with an ischemic stroke with atrial fibrillation/flutter discharged on anticoagulation therapy.

4. Thrombolytic Therapy Administered (STK-4)
Acute ischemic stroke patients who arrive at the hospital within 120 minutes (2 hours) of time last known well and for whom IV t-PA was initiated at this hospital within 180 minutes (3 hours) of time last known well.

5. Antithrombotic Therapy by End of Hospital Day Two (STK-5)
Patients with ischemic stroke who receive antithrombotic therapy by the end of hospital day two.

6. Discharged on Cholesterol Reducing Medication (STK-6)
Ischemic stroke patients with LDL>100, or LDL not measured, or on cholesterol-reducer prior to admission, who are discharged on cholesterol reducing drugs.

6a. Discharged on Statin Medication (STK-6a)
Ischemic stroke patients with LDL >100, or LDL not measured, or, who were on cholesterol reducing therapy prior to hospitalization are discharged on statin medication.

7. Dysphagia Screening (STK-7)

Patients with ischemic or hemorrhagic stroke who undergo screening for dysphagia with an evidence-based bedside testing protocol before being given any food, fluids, or medication by mouth.

8. Stroke Education (STK-8)
Patients with ischemic or hemorrhagic stroke or their caregivers who were given education and/or educational materials during the hospital stay addressing all of the following: risk factors for stroke, warning signs for stroke, activation of emergency medical system, need for follow-up after discharge, and medications prescribed at discharge.

9. Smoking Cessation/Advice/Counseling (STK-9)  
Patients with ischemic or hemorrhagic stroke with a history of smoking cigarettes, who are, or whose caregivers are, given smoking cessation advice or counseling during hospital stay.  For the purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival.

10. Assessed for Rehabilitation (STK-10)
Patients with an ischemic stroke or hemorrhagic stroke who were assessed for rehabilitation services.  

Downloads:

Paul Coverdell National Acute Stroke Registry Stroke Performance Measures (pdf, 137 kb) (Updated 1/27/10)
MSR Performance Measure Guide 1.0 (pdf 1.1 mb, updated 1/27/10)
Go to the "Downloads" Page for all downloadable documents