Background and Purpose: The Banner Health (BH) System includes 7 hospitals that are certified as Primary Stroke Centers (PSCs) by The Joint Commission. Each PSC employs a Stroke Coordinator to oversee the stroke program, monitor data, and ensure compliance with Joint Commission standards. Many of the Coordinators struggled with unique difficulties and barriers within their individual programs. In October 2012, the Stroke Coordinators decided to form a committee and meet monthly with a focus on standardizing processes within the stroke programs across the BH System. This collaboration and sharing of common struggles and best practices has led to a decrease in door-to-needle times throughout the BH System and an increase in the utilization rate of this emergency treatment.
Methods: The BH Stroke Coordinator Committee objectives:
-Stroke Core Measure review and development of a consistent process to resolve outliers
-Standardization of stroke alert and Core Measure tracking mechanisms
-Implementation of consistent metric reporting
-Sharing of best practices
-Joint Commission standard compliance
The Stroke Coordinator Committee reports to the BH System Interdisciplinary Neuroscience Clinical Consensus Group (Neuro CCG). The Neuro CCG approves revisions and updates to stroke care as indicated from the Stroke Coordinator Committee at the BH System level.
Conclusion: Collaboration among the Stroke Coordinators and standardization of stroke care across the BH system resulted in lowering the average door-to-tPA times and increasing the tPA utilization across all 7 BH Primary Stroke Centers.