Empowering Data-Driven Stroke Treatment


During a recent Joint Commission inspection, INSTOR clearly demonstrated all necessary data points, clinical outcomes, and both times and trends for processes-of-care for our stroke program in a thoroughly impressive manner.  As one of the first hospitals in the nation to be approved as a Comprehensive Stroke Center by the Joint Commission, INSTOR provides the breadth and depth of data analysis that we need to ensure that quality and excellence stays at the forefront of everything we do.

Vance McCollum, M.D., Mercy Hospital, Oklahoma City, OK

Fulfilling the Mandates of the Joint Commission

Beginning in 2001, the need for a stroke registry was formally recognized by multiple societies and associations in the first definition of Primary Stroke centers.  Ten years later, the American Stroke Association (ASA) took a significant step toward formalizing the stroke registry requirement by publishing the following milestone document:

Metrics for Measuring Quality of Care in Comprehensive Stroke Centers

“To facilitate data collection in a standardized way and to avoid the redundant efforts that would occur if Comprehensive Stroke Centers (CSCs) designed their own databases, we expect that CSCs will make use of national databases or registries to collect data required for metrics and to collect additional detailed data that will assist in quality improvement……”

Predicated on this ASA document, new certification requirements for Advanced Primary and Comprehensive Stroke Centers were released by the Joint Commission mandating stroke registries:

From the Joint Commission in 2011:

“Primary Stroke centers should have a database or registry for tracking the number and type of patients with stroke seen, their treatments, timelines for receiving treatments, and some measurement of their outcomes..”

From the Joint Commission in 2012:

“The Comprehensive Stroke Center uses a stroke registry… Measurement data must be internally trended over time and may be compared to an external data source for comparative purposes.”

In 2013, added to the growing list of milestone guidelines and consensus statements  around the use of a stroke registry was the Multisociety Consensus Quality Improvement Guidelines for Intra-Arterial Catheter Directed Treatment of Acute Ischemic Stroke .  The most definitive mandate to date, the paper was published under the banner of a consortium of medical societies/specialties that perform nearly all of the endovascular stroke procedures in the United States, Canada and Europe.  Specifically, the guidelines require that “100 percent of patients have the required process and outcomes data entered into a national database, trial, or registry” in order to document and monitor overall quality of patient care.

Today, over 1000 Primary Stroke Centers and growing numbers of newly designated Comprehensive Stroke Centers are considering how best to fulfill the stroke registry requirements put forth by the Joint Commission and guidelines recommended by multiple societies.  INSTOR, the only dedicated process improvement system available, tracks numerous performance measures across the entire spectrum of emergency stroke treatment, including data points specified by the Joint Commission for Primary and Comprehensive Stroke Centers.  Unique in this capability, INSTOR captures everything you need, as shown in this Comprehensive Summary Chart  to help you understand and improve your processes of care and clinical outcomes.  For a more in-depth look at the actual reports that will provide real-time rationale for recommended procedural adjustments, go to What it Delivers where you can navigate between six report categories.

Learn more about how INSTOR complies with multiple standards and guidelines, and is designed in accordance with strict privacy and security protocols.