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Stroke Quality Improvement Toolkit

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This toolkit has been created to provide resources and materials to help improve stroke care. This toolkit provides examples of specific tools for stroke quality indicators through the continuum of stroke care or by specific type of resource or tool.

Stroke Quality Indicators Emergency Room/Early Admission Dysphagia Screening before Oral Intake Early Ambulation Fall Assessment by End of Hospital Day 2 NIH Stroke Scale Pressure Ulcer: Braden Scale within 24 hours of Admission Thrombolytic Therapy Administered Hospitalization Antithrombotic Therapy by end of Hospital Day 2 Deep Vein Thrombosis (DVT) Prophylaxis by end of Hospital Day 2 Initial Functional Assessment (FIM) Completed Discharge Anticoagulation for Atrial Fibrillation Antithrombotic Therapy at Discharge Discharge on Cholesterol Reducing Medication Smoking Cessation/Advice/Counseling Stroke Education

Resources and Tools Data Collection and Reporting Tools Guidelines JC Stroke Performance Measurement Guide (742 KB, PDF) NIH Stroke Scale Order Sets Pathways Patient Education Policies Process Flow Diagrams Professional Education Stroke ICD-9 Codes (21 KB, Word) VA Inpatient Stroke Processes of Care Data Collection Tool (283 KB, Word) Stroke Quality Improvement Network (SQUINT) Contact for Questions (36 KB, Excel)

NOTE: If you are considering applying for Primary Stroke Center Certification or are considering using the American Heart Association "Get with the Guidelines-Stroke Program", please let us know by contacting Jennifer Myers at jennifer.myers@va.gov.