Crosswalk - Aims/Outcomes

Attachment 3a_Crosswalk aims and outcomes.docx

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

Crosswalk - Aims/Outcomes

OMB: 0920-1108

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Paul Coverdell National Acute Stroke Program (PCNASP)

Cross Walk Showing Relationships among Program Aims and Short/Intermediate/Long-Term Outcome Measures

PCNASP Aims

Outcome Measures1

Short-Term

Intermediate-Term

Long-Term

S1

S2

S3

S4

S5

I1

I2

I3

I4

I5

I6

I7

I8

I9

I 10

L1

  1. Improved systems of stroke care through coordination of stroke prevention and care activities (primarily secondary stroke prevention but also elements of primary prevention), reduced time to treatment, improved transitions from EMS to ED, and improved transitions from hospital to home and return to primary care provider

X

X


X

X

X

X


X

X






X

  1. Improved EMS QoC; improved ED and hospital QoC as measured by adherence to established guidelines for care and quality metrics




X



X


X







X

  1. Improved cholesterol, hypertension, and tobacco control; improved early medication adherence post-hospital; improved access to community services and rehabilitation; improved receipt and understanding of on-going post-stroke care; reduced 30-day hospital readmissions and 30-day mortality following acute stroke

X



X

X



X




X

X

X

X

X

  1. Development and use of integrated data collection systems that can link across the continuum of care for EMS, hospital, and post-hospital care to address data-driven QI in these different care settings



X

X



X


X

X

X

X

X

X

X

X

  1. Strengthen statewide infrastructure to reduce the burden of stroke morbidity and mortality, and eliminate disparities in care for stroke

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X



1Outcome measures are as follows:

Short-Term Outcome Measures (1-2 years)

S1

Increased public awareness of signs and symptoms of stroke and knowledge of appropriate activation of emergency medical systems

S2

Maintenance of existing broad reach and/or increase in the state-wide reach of the stroke system of care

S3

Increased data usage and sharing between components of the stroke care system that will result from having an integrated/ linked data platform for pre-hospital data, in-hospital data, and early post-discharge data

S4

Increased workforce capacity and scientific knowledge for stroke surveillance within stroke systems of care

S5

Improved patient and caregiver receipt of education on ongoing post-stroke care needs

Intermediate Outcome Measures (3+ years)

I1

Reduced time to treatment for acute stroke events

I2

Improved transition of care from emergency services to hospital emergency department (ED)

I3

Improved transition of care from hospital to home, which may include reintegration with primary care provider, access to community resources, enhanced patient/caregiver education, and ongoing rehabilitation and secondary prevention

I4

Improved quality of EMS care for possible stroke patients

I5

Improved quality of acute and sub-acute ED and hospital stroke care as measured by adherence to established guidelines for care and quality metrics

I6

Improved defect free care for acute stroke patients

I7

Improved tobacco control/reduction in smoking post stroke

I8

Improved medication adherence post-discharge

I9

Reduced 30-day hospital readmissions and ED visits for stroke-related complications after stroke

I10

Reduced 30-day mortality after acute stroke

Long Term Outcome Measures

L1

Reduced disparities in stroke care, death, and disability should result from adherence to stroke care guidelines



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorChang, Tiffany (CDC/ONDIEH/NCCDPHP) (CTR)
File Modified0000-00-00
File Created2021-01-24

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