Crosswalk program aims and outcomes

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

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

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

X

X

X

X

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

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

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