Table 4.
Odds Ratio and 95% CIs of Compliance with Joint Commission Performance Measures Among Cases Enrolled in the North Carolina Stroke Care Collaborative, 2005–2010, by PSC Certification Status (Referent=non‐PSC)
| Performance Measures | Model 1* | Model 2* | Model 3* | |||
|---|---|---|---|---|---|---|
| PSC | Preparing for Certification | PSC | Preparing for Certification | PSC | Preparing for Certification | |
| 1. Received deep vein thrombosis prophylaxis | 4.2 (3.7 to 4.7) | 2.7 (2.3 to 3.1) | 3.9 (3.4 to 4.4) | 2.7 (2.4 to 3.2) | 3.9 (2.6 to 5.9) | 2.7 (1.3 to 5.6) |
| 2. Discharged on antithrombotic | 4.0 (3.3 to 4.8) | 2.3 (1.8 to 2.8) | 4.1 (3.4 to 5.0) | 2.2 (1.8 to 2.7) | 2.5 (1.7 to 3.7) | 1.6 (1.0 to 2.5) |
| 3. Patients with atrial fibrillation received anticoagulant | 1.3 (1.0 to 1.8) | 1.2 (0.9 to 1.7) | 1.3 (1.0 to 1.7) | 1.2 (0.8 to 1.6) | 1.2 (0.7 to 2.0) | 1.2 (0.6 to 2.4) |
| 4 a. IV tPA received (among eligible ischemic strokes) | 2.8 (2.3 to 3.5) | 1.7 (1.3 to 2.2) | 2.8 (2.2 to 3.4) | 1.7 (1.3 to 2.2) | 2.4 (1.4 to 4.1) | 1.5 (0.8 to 3.1) |
| b. IV tPA considered | 5.4 (4.0 to 7.0) | 5.2 (3.6 to 7.7) | 5.4 (4.1 to 7.2) | 5.3 (3.6 to 7.8) | 4.8 (1.8 to 12.5) | 2.9 (0.9 to 8.8) |
| c. IV tPA received (among all ischemic strokes) | 2.6 (2.1 to 3.1) | 1.3 (1.0 to 1.6) | 2.6 (2.2 to 3.1) | 1.3 (1.0 to 1.6) | 2.2 (1.2 to 3.7) | 1.2 (0.5 to 2.5) |
| 5. Received antithrombotics within 48 hours | 1.9 (1.7 to 2.2) | 1.9 (1.7 to 2.3) | 1.9 (1.7 to 2.2) | 2.0 (1.7 to 2.3) | 2.5 (1.5 to 4.1) | 3.1 (1.9 to 5.1) |
| 6 a. Lipid profile measured during hospitalization | 1.5 (1.4 to 1.6) | 1.6 (1.5 to 1.7) | 1.4 (1.3 to 1.5) | 1.5 (1.4 to 1.7) | 1.1 (0.8 to 1.4) | 1.2 (0.9 to 1.6) |
| b. If lipid profile measured, discharged on statin | 1.7 (1.3 to 2.4) | 1.4 (1.0 to 2.0) | 1.6 (1.2 to 2.2) | 1.4 (1.0 to 1.9) | 1.0 (0.6 to 1.7) | 0.9 (0.4 to 2.3) |
| 7. Screened for dysphasia | 2.8 (2.6 to 3.0) | 3.4 (3.1 to 3.6) | 2.8 (2.7 to 3.0) | 3.3 (3.1 to 3.6) | 3.2 (2.1 to 5.0) | 3.5 (2.5 to 4.9) |
| 8. Given stroke education | 2.5 (2.3 to 2.6) | 3.5 (3.2 to 3.8) | 2.5 (2.3 to 2.6) | 3.3 (3.1 to 3.6) | 4.0 (2.2 to 7.0) | 3.9 (2.3 to 6.9) |
| 9. Given smoking cessation counseling | 0.7 (0.6 to 0.9) | 1.5 (1.1 to 2.0) | 0.7 (0.6 to 0.9) | 1.5 (1.1 to 1.9) | 1.2 (0.5 to 2.9) | 1.1 (0.5 to 2.6) |
| 10. Considered for a rehabilitation plan | 1.4 (1.3 to 1.6) | 1.6 (1.4 to 1.8) | 1.7 (1.5 to 1.9) | 1.8 (1.6 to 2.2) | 1.5 (0.9 to 2.4) | 1.6 (1.0 to 2.5) |
| Defect‐free care | 2.9 (2.8 to 3.1) | 3.9 (3.6 to 4.1) | 2.9 (2.7 to 3.1) | 3.5 (3.3 to 3.8) | 3.2 (2.1 to 4.7) | 3.7 (2.5 to 5.5) |
PSC indicates primary stroke center; IV tPA, intravenous tissue plasminogen activator.
*
Unadjusted.
*
Adjusted for age, sex, race, and stroke type.
*
Adjusted for age, sex, race, stroke type, and hospital bed size and accounting for clustering of patients within hospitals.