Navigation Links
CMS to Focus on Stroke Care in U.S. Hospitals
Date:8/27/2009

Hospitals can meet the new CMS requirement by participating in the American Heart Association's Get With The Guidelines-Stroke quality improvement program

DALLAS, Aug. 27 /PRNewswire-USNewswire/ -- A new rule from the U.S. Centers for Medicare and Medicaid Services (CMS Final FY 2010 Rule) focuses on improving stroke patient care in hospitals. Beginning 2010, hospitals submitting Medicare claims for stroke must let CMS know if they participate in a database registry for stroke care, such as that maintained by the American Heart Association/American Stroke Association's Get With The Guidelines-Stroke (GWTG-Stroke) quality improvement initiative.

The rule also identifies stroke care quality measures hospitals could be required to report for reimbursement beginning in 2012. The same measures have been part of Get With The Guideline-Stroke since 2001.

Lee H. Schwamm, M.D., chair of the GWTG National Steering Committee and director of the TeleStroke and Acute Stroke Services at Massachusetts General Hospital in Boston, says the final rule incorporates what the American Heart Association has long advocated as important for improving stroke care at the nation's hospitals.

"CMS has a series of measurements that they require hospitals to provide in order to receive increased reimbursement under a program called Reporting of Hospital Quality Data for Annual Payment Update," Schwamm said. "Prior to this August, there were no measures that were specific for stroke, which is the third largest killer in the United States and one of the major causes of hospitalization."

The American Heart Association has worked with the Centers for Disease Control and Prevention and The Joint Commission to hone in on the most important measures for evidence-based stroke care.

"Basically, these are the things that we all agree should be done for every stroke patient who presents to the hospital -- from patient education to prevention," Schwamm said.

The National Quality Forum, a nonpartisan organization that reviews and endorses measures for use by quality organizations, insurance companies and CMS, has since endorsed eight of the measures and CMS is considering them for future reporting. The measures are:

  1. Deep vein thrombosis (DVT) prophylaxis by end of hospital day two
  2. Discharged on antithrombotic therapy
  3. Patients with atrial fibrillation/flutter receiving anticoagulant therapy
  4. Thrombolytic therapy administered
  5. Antithrombotic therapy by end of hospital day two
  6. Discharged on statin medication
  7. Stroke education provided
  8. Assessed for rehabilitation

CMS is also considering including a measure of hospital stroke mortality derived from claims data. CMS's attention to stroke mortality is another indication of a new focus on the importance of addressing the quality of stroke care for the Medicare population.

"So, hospitals really need to start understanding how to collect data on stroke care measures and how to improve on them," Schwamm said.

The American Heart Association has been using these and other measures in its GWTG quality improvement program since 2001. The more than 1,400 U.S. hospitals participating in GWTG-Stroke are one step ahead of the ruling, he said.

Schwamm said the CMS rule also presents an ideal opportunity for hospitals not currently participating in Get With The Guidelines-Stroke. Those hospitals that join the initiative by Jan. 1, 2010 will be able to report to CMS that they are participating in a qualifying registry for stroke care.

"Get With The Guidelines-Stroke also offers unsurpassed benchmarking capabilities with its database of more than one million patient records and data clearly show participation in the program can lead to improved patient care," he said.

In a study published earlier this year in Circulation: Journal of the American Heart Association, GWTG-Stroke participation was associated with increased adherence in all stroke performance measures. All hospitals realized markedly improved stroke care, regardless of their size, geography and teaching status, Schwamm said.

"The American Heart Association/American Stroke Association has an outstanding track record of helping hospitals improve on these and other measures for heart disease and stroke, and we look forward to new hospitals joining this initiative as a springboard to successfully deliver improved care to their stroke patients," said Pierre Fayad, M.D., chair of the American Stroke Association Advisory Committee and Reynolds Centennial Professor and chair of the department of neurological sciences at the University of Nebraska Medical Center in Omaha. "The good news for patients is there will now be a new focus on stroke care in all hospitals, which means that additional resources will be devoted both to improving and measuring the outcome of stroke."

More information on Get With The Guidelines-Stroke can be found at www.americanheart.org/getwiththeguidelines.

QI09-1002


'/>"/>
SOURCE American Heart Association
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Chronic Media Multi-Tasking Makes It Harder to Focus
2. Plasma protein Therapies Association Focuses Attention on Donors and Facilities
3. EwingCole, RDLA Join Together, Creating Architecture/Engineering Firm With Largest Healthcare Focus in the Delaware Valley
4. Nfocus Neuromedical Announces US Clearance of Unique Guiding Catheter with Uni-body Internal Skeleton
5. HCCA 2009 Fall National Compliance Conference Lineup to Focus on Quality of Care, Physician Practice Compliance, Research Compliance, and Health Care Fraud & Compliance
6. Chiropractors Focus on Patients Best Interest
7. Nfocus Neuromedical Obtains CE Approval for New Vascular Reconstruction Device
8. New Survey Reveals Health-Related Fitness as Primary Focus of Middle and High School Physical Education Programs
9. Inaugural Medical Device Connectivity Conference & Exhibition to Focus on Connecting Medical Devices to People, Workflow and Information Systems
10. NACDS Pharmacy and Technology Conference Focuses on Reform
11. U.S. Stem Cell Research Seems to Focus on Two Lines
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... TherapySites, the ... affiliation with Tennessee Counseling Association. This new relationship allows TherapySites to ... Counseling Association, adding exclusive benefits and promotional offers. , "TCA is extremely excited ...
(Date:6/26/2016)... Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in ... in honor of the city’s history as home to some of the world’s leading ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... health policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, ... work on several important health care topics including advance care planning, healthcare costs ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. ... his M.D from the David Geffen School of Medicine at UCLA. He trained in ... to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he ...
(Date:6/24/2016)... Michigan (PRWEB) , ... June 24, 2016 , ... Those ... deal with these feelings, many turn to unhealthy avenues, such as drug or alcohol ... of Marne, Michigan, has released tools for healthy coping following a traumatic event. , ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Any dentist who has made an implant supported ... Many of them do not even offer this as a ... laboratory costs involved. And those who ARE able to offer ... high cost that the majority of today,s patients would not ... Zadeh , founder of Dental Evolutions Inc. and inventor of ...
(Date:6/23/2016)... June 23, 2016 Capricor ... ), a biotechnology company focused on the discovery, ... that patient enrollment in its ongoing randomized HOPE-Duchenne ... exceeded 50% of its 24-patient target. Capricor expects ... third quarter of 2016, and to report top ...
(Date:6/23/2016)... BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of Astellas Farma Colombia ... the company,s second affiliate in Latin America . ... ... Farma Colombia ... ...
Breaking Medicine Technology: