Background: An opportunity existed to improve the chart abstraction process to include concurrent review of stroke patients and allow the application of current evidence based practices in real-time. The utilization of Get With The Guidelines (GWTG)/Quintiles and EPIC Medical Charting System optimizes the entry method of data collection in the acute care environment. Comprehensive Stroke Center requirements create more robust data requirements with the need for improvement and maintenance to ensure the quality of patient care.
Methods: In order to maintain external data requirements, we constructed a formal timeline for data abstraction. We then defined a specific schedule to coordinate with GWTG and The Joint Commission submission timelines using the time and date of patient arrival and discharge for concurrent data. This allowed us to focus on a population at risk of missing essential measures of timely care. This was accomplished through interaction and monitoring of stroke patients including daily real-time interactions with the inter-professional team.
Results: In April 2016 we fully deployed this method of concurrent data abstraction to maximize quality care for time sensitive stroke measures. From the first quarter of 2016 to the second quarter of 2016, there was demonstrated improvement in three major outcomes: administration of venous thromboembolism (95.2% to 96.0%), thrombolytic therapy (96.8% to 98.5%), and dysphasia screenings (83.1% to 88.2%).
Conclusions: Progressing to concurrent abstraction created a stronger environment of accountability and care provision. Developing a schedule and process for data abstraction assists the comprehensive inter-professional team to treat stroke patients expediently with accordance to the American Stroke Association national guidelines. This proactive process generates timely awareness to address elements of care to optimize stroke outcomes.