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Stroke guideline shows data works in health care

By | February 22, 2010, 11:23 AM PST

One of the big mysteries in modern health care is whether collecting and organizing data really can improve outcomes.

Yes, it can.

Strokes have answered the question. Almost 800,000 Americans get a stroke each year, and up to 500,000 present with a transient ischemic attack (TIA) known as a “warning stroke.”

To get a handle on this the American Stroke Association launched a program called Get With the Guidelines-Stroke early in the last decade, urging that hospitals set up stroke centers and follow identical, data-driven procedures.

Now a study in Circulation, of 1 million patient records gathered from 2003-2009, shows the approach is working, cutting in-hospital death rates by 10%.

A patient registry from Outcome Inc. is a big part of the process. The tool implements the guidelines on stroke care, automatically generating information for patients and referring physicians. A Primary Stroke Center also uses the software to maintain adherence to the guidelines through what is called an Acute Stroke Treatment Program.

There is more here than a computer program, as the FAQ for the program makes clear. Clinicians are told what to do, from the moment a patient arrives through rehabilitation.

There are elements of a checklist here, but one based on individual data. The system is also expandable, with dozens of peer-reviewed documents having been incorporated into it since it was created.

Stroke is a unique condition. It is life-threatening, it is sudden, it is complex. This, and the support of the American Heart Association, of which the stroke group is a part, helped drive approval participation. The proven success, and the high profitability of care under the guidelines, should soon make this the standard protocol.

If such standard protocols can be created, implemented, and proven in stroke care, however, they should be possible with other conditions. That’s why this story is more than a medical self-congratulation.

It’s a model for hospital treatment of other conditions. Standard protocols, combined with patient data collection from the point of entry, can deliver results in the form of saved lives.

Can they also deliver savings?

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Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

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Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

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RE: Stroke guideline shows data works in health care
Yes / See link below.

http://www.qualitydigest.com/inside/quality-insider-article/thinking-and-adapting-context-standardized-work.html

Especially the internal link to the article, ?A Bid for Better Care, Surgery With a Warranty"
Posted by RayMcBeth
24th Feb 2010
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