13
2.10. Stroke Registries, Quality Improvement, and Risk
Adjustment
COR LOE
Recommendations
1 B-R
1. Hospitals treating patients with acute stroke should engage in
a multicomponent QI process that involves the continuous
monitoring, review, and feedback of stroke quality indicators,
benchmarks, and evidence-based practices, in order to
increase quality of care, improve patient outcomes, and
reduce health care disparities.
1 B-NR
2. Hospitals treating patients with acute stroke should
participate in stroke data registries to increase the adherence
to quality indicators and guideline recommendations and
improve patient outcomes.
1 B-NR
3. Hospitals treating patients with acute stroke should measure
and document baseline stroke severity (eg, NIHSS score) in
all acute stroke patients so that risk adjustment models used
to compare hospital performance can be sufficiently accurate
and reliable.
