Table 3.

Top-10 of most implemented elements in 2012 and 2015.

Top-10	Elements most implemented in 2012	N (100% = 53)	Elements most implemented in 2015	N (100% = 53)
1.	Being a member of the Stroke Knowledge Network Netherlands	53	Being a member of the Stroke Knowledge Network Netherlands	53
2.	Organising a 24-hour availability for thrombolysis in the care chain (7 days a week)	50	Working in multidisciplinary teams	53
3.	Defining the targeted patient group	49	Directing the care chain by appointing a limited number of people with coordinating tasks	53
4.	Working in multidisciplinary teams	49	Organising a 24-hour availability for thrombolysis in the care chain (7 days a week)	52
5.	Installing a coordinator working at the chain-care level	46	Defining the targeted patient group	52
6.	Achieving adjustments among care partners by means of direct contact	46	Installing a coordinator working at the chain-care level	52
7.	Reaching agreements on referrals and the transfer of patients through the care chain	46	Involving leaders in improvement efforts in the care chain	52
8.	Delivery of indicator data of the chain to the benchmark of the Stroke Knowledge Network Netherlands	46	Delivery of indicator data of the chain to the benchmark of the Stroke Knowledge Network Netherlands	51
9.	Using evidence-based guidelines and standards	45	Assuring the leadership commitment of the partners involved in the care chain	51
10.	Reaching agreements on chain logistics (e.g. waiting periods and throughput times)	45	Striving toward an open culture for discussing possible improvements for care partners	51