According to the CDC, more than 795,000 Americans experience a stroke each year (Centers for Disease Control). Most of them are first or "novel" strokes. According to the AHA, a stroke occurs every 40 seconds on average in the United States.
To guarantee that patients get the best possible treatment, it is vital to abstract basic metrics. This is not a glamorous task. Abstracted core measurements may save lives, as shown by the AHA's "Get with the Guidelines" contract concurrent review program. Abstraction Of Measurements Has Four Major Drawbacks Get with the Guidelines" stroke certification program was launched by the American Stroke Association (ASA) and the American Heart Association in 2003. The AHA & ASA accredit hospitals as "stroke care centers of excellence" if they achieve the program's medical record abstraction requirements for stroke care. The 87 key metrics culled from electronic medical records of patients may be divided into five groups:
The First Challenge Is: Not all of your patient's medical records may be able to be captured by an EHR because of a lack of medical record abstraction specific data fields. Solution: Please make use of your liaison with your EHR or a health IT professional to enter the necessary data into your EHR system. If your EHR does not provide documentation tailored for clinicians to record the needed information quickly, you will be unable to abstract the core measures data. The Second Challenge: It is possible that the doctors, nurses, as well as other clinicians who fill up your charts are not aware that they should include this information in their clinical records. Solution: Provide your doctors, nurses, and other clinicians with information and contract concurrent review training on how to use the new EHR fields in their routine workflows and why capturing this data is vital to their patients. Third Challenge: Some certification measures have had their requirements changed, which might affect how well abstractors get the information they need from the EHR. The Fourth And Final Challenge: Compliance is the key. The new clinical documentation criteria must be adhered to even if you have all the correct structures. Solution: You must have a comprehensive compliance strategy. After abstracting the statistics for the stroke core measurements, you will begin to see the gaps. Once you've established that, you may go backward to determine where and with whom you lack. It may be a division. You never know. A single doctor or nurse might be the culprit. That is when re-education and re-training come into play. Your job is to educate them on how to record and why it is necessary. Everyone has to be on the same page. There is a risk that a breakdown may occur. Consistent Adherence To Established Best Practises You are essentially testing compliance with treatment methods that have been established to yield the greatest possible clinical results for a specific medical condition when you extract fundamental measures. Timing is a significant factor in several of these metrics. Stroke victims must get their treatment started as soon as possible. The faster a patient's stroke symptoms are diagnosed and treated, the better. Time is an important consideration when it comes to "Get with the Guidelines" core measures abstraction measures. It is important to note that the AHA/ASA metrics inquire how many people got clot-busting medications within three hours after they got to the hospital in the first two hours after experiencing their initial symptoms. Other vital indicators inquire about the hospital's post-discharge treatment of stroke patients. Conclusion You are doing much more than merely gathering and core measures abstraction the data. To ensure that your stroke patients receive the best possible care, you are gathering and analyzing data. More patients will benefit from improved outcomes if compliance increases. This information has the potential to save lives. Fewer readmissions are possible when stroke patients are discharged with the proper discharge instructions and medicines. A "certified centre of excellence" for stroke care means that more and more health plan providers will direct their subscribers to your hospital for treatment, resulting in even more good commercial benefits. Improved patient outcomes because of your efforts. Your CFO will see better financial returns because of the attempt to learn where to go to get stroke core metrics from your EHR.
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