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CAMC Stroke CenterSeptember 12,2013
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Drill down: Variance in capturing individualized risk
factors Med Reconciliation discrepancies Education not documented Staff feedback – request visual cue
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Nursing staff own Stroke/TIA Education
Admission Assessment- added trigger ‘Is this pt a possible stroke/TIA?’ If yes,
EMR will prompt a workflow for Stroke/TIA Education
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Stroke Education order in EMR
To facilitate documentation of patient specific risk factors, added risk factor
drop- down box
Med Reconciliation process streamlined
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Per nursing feedback, added Stroke/TIA Education order to Nursing Scheduled assessments
Once Stroke Education flowsheet is opened, cannot exit flowsheet without addressing risk factors.
Variances in practice reported to Nurse Managers for individualized follow-up
TCT Stroke Champions
Continue ongoing and monthly monitoring to achieve goal of 100% compliance
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Compliance rate increased from 82.37% 2012 to 91.11% Jan-Jun2013
June 2013 at 100% compliance
Benchmarks: TJC Nat’l Avg. 91.58% Premier top 25% 93%