Evidence map›Paper›PMID 28110310›Full record

ArticleJournal of the American Heart Association2017

Impact of an Expanded Hospital Recognition Program for Stroke Quality of Care.

Paul A Heidenreich, Xin Zhao, Adrian F Hernandez, Lee H Schwamm, Eric Smith, Mat Reeves, Eric D Peterson, Gregg C Fonarow

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Paul A HeidenreichVA Palo Alto Health Care System, Palo Alto, CA heiden@stanford.edu.
Xin ZhaoDuke Clinical Research Institute, Durham, NC.
Adrian F HernandezDuke Clinical Research Institute, Durham, NC.
Lee H SchwammMassachusetts General Hospital, Boston, MA.
Eric SmithUniversity of Calgary, Alberta, Canada.
Mat ReevesMichigan State University, Lansing, MI.
Eric D PetersonDuke Clinical Research Institute, Durham, NC.
Gregg C FonarowUniversity of California Los Angeles, Los Angeles, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2009, the Get With The Guidelines-Stroke (GWTG-Stroke) program offered additional recognition if hospitals performed well on certain stroke quality measures. We sought to determine whether quality of care for all hospitals participating in GWTG-Stroke improved with this expanded recognition program. METHODS AND

resultsWe examined hospital-level performance on 6 quality of care (process) measures and 1 defect-free composite quality measure for stroke following expansion of the existing performance measure recognition program. Compliance with all measures improved following launch of the expanded program, and this rate increased significantly for all 9 measures. When evaluated as the relative rate of increase in use over time, process improvement slowed significantly (P<0.05) following launch of the program for 2 measures, and accelerated significantly for 1 measure. However, when evaluated as a gap in care, the decrease in the quality gap was greater following launch of the program for 5 of 6 (83%) measures. There was no evidence that other processes of stroke care suffered as the result of the increase in measures and expanded recognition program.

conclusionsWhile care for stroke continues to improve in this country, expanded hospital process performance recognition had mixed results in accelerating this improvement. However, the quality gap continues to shrink among those participating in provider performance programs.

Indexed as

Awards and PrizesGuideline AdherenceHospitalsPractice Guidelines as TopicQuality of Health CareAgedFemaleHumansMaleQuality Indicators, Health CareStrokeawardshealth care quality assessmenthealth care quality indicatorshospital performanceperformance measurestroke

Identifiers

PMID28110310
PMCPMC5523627

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.