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Stroke Quality Reporting

Commitment to Stroke Care. Commitment to Quality.

Capital Health recognizes that treating stroke, one of the leading causes of death and disability, is a critical healthcare service for the communities we serve. With an expert team available 24-hours-a-day, 7 -days-a-week, both of our hospitals have a demonstrated commitment to providing high quality, compassionate, and comprehensive stroke care.

Certifications and Recognitions

Joint Commission

 

American Heart Association Comprehensive Stroke Center Certification

 

Capital Health Regional Medical Center is a Joint Commission Comprehensive Stroke Center, as well as a State of NJ designated Comprehensive Stroke Center. Joint Commission certification recognizes hospitals that are able to receive and treat the most complex stroke patients.

Every two years, Regional Medical Center undergoes a rigorous recertification process which includes a multi-day onsite visit by the Joint Commission. To achieve certification the hospital must meet various criteria including those that address volume, capabilities, and quality measurements. The certification recognizes that in order to treat the most complex patients, the hospital must provide significant resources, staff, and training, to meet the needs of these patients.

Capital Health Medical Center – Hopewell is a Joint Commission Primary Stroke Center, and a State of NJ Primary Stroke Center. This certification, also obtained through rigorous onsite review, recognizes our organization-wide commitment to treating stroke. Primary Stroke Centers are recognized as making “exceptional efforts to foster better outcomes for stroke care.” Certification shows that we have the necessary services and processes that are critical elements to achieve long-term success in improving outcomes.

Get With the Guidelines® - Stroke Recognition

American Heart Association/American Stroke Association’s 2023 Get With the Guidelines® Gold Plus with Target: Stroke Honor Roll Elite and Target: Type 2 Diabetes Honor Roll

Capital Health Regional Medical Center is a 2023 Get with the Guidelines® Gold Plus hospital.

Hospitals receiving Get With The Guidelines® Gold Plus Achievement Award have reached an aggressive goal of treating patients with 85% or higher compliance to core standard levels of care as outlined by the American Heart Association® for two consecutive calendar years. In addition, those hospitals have demonstrated 75% compliance to four out of six stroke quality measures during the 12-month period.

Capital Health Regional Medical Center is also a 2023 Target: Stroke™ Honor Roll Elite hospital which recognizes hospitals achieving time to thrombolytic therapy ≤ 60 minutes in 85% or more of applicable acute ischemic stroke patients treated with IV thrombolytics to improve quality of patient care and outcomes.

By the Numbers January 2023 – December 2023

Capital Health Regional Medical Center – Comprehensive Stroke Center

  Capital Health Regional
Medical Center
Median Door to Needle Time 33 minutes
Venous Thromboembolism Prophylaxis 99.5%
Discharged on Antithrombotic 100%
Discharged on Statin 100%
Stroke Education Provided 99.5%
Assessed for Rehabilitation 100%
Procoagulant Reversal Agent Initiation for Intracerebral Hemorrhage 100%
Mechanical Endovascular Reperfusion Therapy for Eligible Patients with
Ischemic Stroke
100%
Rate of Substantial Reperfusion – Patients with Acute Ischemic Stroke
who Receive Mechanical Endovascular Reperfusion Therapy who have
post-reperfusion Thrombolysis in Cerebral Infarction (TICI) grade 2B or 3
91.2%

 

This data represents the authors’ independent analysis of local or multicenter data gathered using the AHA Get With The Guidelines® (GWTG) IQVIA Registry Platform™ (IRP) but is not an analysis of the national GWTG dataset and does not represent findings from the AHA GWTG National Program.