Stroke care quality and outcomes

Types of Inpatient Strokes Treated

Temecula Valley Hospital (TVH) provides expert care for a variety of stroke patients.

Percentage of Patients

Type of Stroke

Q3 2019

Q4 2019

Q1 2020

Q2 2020

Ischemic Stroke

64%

65%

55%

65%

Transient Ischemic Attack

20%

24%

24%

26%

Intracerebral Hemorrhage

14%

9%

19%

6%

Subarachnoid Hemorrhage

2%

2%

3%

1%

Get With the Guidelines® Performance Measures

Temecula Valley Hospital provides stroke care according to the latest guidelines endorsed by the American Heart Association® and American Stroke Association®. Temecula Valley Hospital is accredited by the Joint Commission as a Primary Stroke Center and monitors compliance with the stroke core measures as endorsed by the Joint Commission. The chart below demonstrates our excellence in performance on these standards.

Performance Measure

Q1 2020

Q2 2020

Venous Thromboembolism Prophylaxis During the Hospital Stay

100%

98%

Antithrombotic Prescribed at Discharge

100%

100%

Anticoagulant Prescribed at Discharge for Afib

100%

100%

tPA Given Within Three Hours of Onset of Stroke

100%

100%

Antithrombotic Prescribed by Day Two of Hospital Stay

100%

94%

Statin Medication Prescribed at Time of Discharge

100%

98%

Stroke Education Performed

100%

100%

Assessed for Rehabilitation

100%

100%

Effectiveness of Endovascular Procedures

The thrombolysis in cerebral infarction (TICI) scale is used to evaluate the success of endovascular treatments. The goal of the thrombectomy procedure should be a TICI grade 2b/3 to maximize the probability of a good functional clinical outcome. The recommended goal is to achieve a TICI grade of 2b or higher in at least 50 percent of ischemic stroke patients who undergo a thrombectomy.

Post Thrombectomy Reperfusion Grade – Percent of Patients Achieving TICI 2b/3 Score

 

Recommended Goal

2019

2020 Q1 and Q2

TVH  TICI 2b and TICI 3

50%

93%

100%

Discharge Disposition Post Thrombectomy – Percent of Patients

Home

25%

SNF

63%