Get With The Guidelines®-Stroke Recognition Criteria

Updated:Jan 17,2014
Levels of Hospital Recognition

Participating Get With The Guidelines® Hospital
is the first level of recognition. It acknowledges program participation and entry of baseline data into the Patient Management ToolTM*. View the Get With The Guidelines Participating Hospital application and award permission form.
 
Award applications are now available on-line, once application has been completed please download as pdf and save a ‘final’ form to be submitted via email to your local American Heart Association Quality Improvement Director for review.

  


The Achievement Measures are embedded in the Patient Management Tool. They are:
  • Percent of 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. Corresponding measure available for inpatient stroke cases.
  • Percent of patients with ischemic stroke or TIA who receive antithrombotic therapy by the end of hospital day two. Corresponding measure available for inpatient stroke cases.
  • Percent of patients with ischemic stroke, hemorrhagic stroke, or stroke not otherwise specified who receive VTE prophylaxis the day of or the day after hospital admission.
  • Percent of patients with an ischemic stroke or TIA prescribed antithrombotic therapy at discharge. Corresponding measure available for inpatient stroke cases.
  • Percent of patients with an ischemic stroke or TIA with atrial fibrillation/flutter discharged on anticoagulation therapy. Corresponding measure available for inpatient stroke cases.
  • Percent of patients with ischemic or hemorrhagic stroke, or TIA with a history of smoking cigarettes, who are, or whose caregivers are, given smoking cessation advice or counseling during hospital stay. Corresponding measure available for inpatient stroke cases.
  • Percent of ischemic stroke or TIA patients with LDL ≥ 100, or LDL not measured, or on cholesterol-reducer prior to admission who are discharged on statin medication. Corresponding measure available for inpatient stroke cases.
 
To qualify for an Achievement Award, a hospital must:
  • Achieve Participating Get With The Guidelines-Stroke Hospital status.
  • Demonstrate compliance in the seven Get With The Guidelines-Stroke Achievement Measures in at least 85 percent of all eligible patients. This must be documented in a written application, signed by a hospital representative and include the names of the hospital staff collecting the data.
  • Complete application templates for the Bronze, Silver or Gold awards.
  • Have the application signed by the hospital's vice president or senior director of quality improvement initiatives.
  • Submit the signed application form indicating that all criteria have been met.

Please note:
  • Baseline data is not to be included in the demonstrated time frame of adherence.
  • Once a hospital has been recognized with a Get With The Guidelines-Stroke Silver Achievement Award, it is no longer eligible for the Get With The Guidelines-Stroke Bronze Achievement Award.
  • Recognition criteria is subject to change based on program enhancements.
  • Seven key Achievement Measures are being used to evaluate and recognize success. These measures are consistent with those measures used by several organizations. However, all of the measures in Get With The Guidelines are important in the care of patients.

Quality Awards
Silver Plus and Gold Plus Quality Awards are advanced levels of recognition acknowledging hospitals for consistent compliance with Quality Measures embedded within the Patient Management Tool. For eligibility information, please download the Silver Plus and Gold Plus Quality Award FAQ.

The Patient Management ToolTM system provided by Outcome, Cambridge, Mass.