Empowering Data-Driven Stroke Treatment


1. What does INSTOR do?

INSTOR is a sophisticated process analysis tool and clinical outcomes registry for the emergency treatment of acute ischemic stroke.  INSTOR provides a secure software platform that allows individual institutions to compile, manage, analyze and store stroke data in order to optimize processes of care and improve patient outcomes.

2. What is the difference between the INSTOR registry and any other database?

INSTOR and other databases have minimal overlap.  Whereas other registries serve as a data depository for general health information or CMS Core Measures, INSTOR offers immediate and complex analysis of numerous process measures pertaining to the emergency treatment of acute ischemic stroke.  INSTOR is unique in tracking all Performance Measures as specified by the Joint Commission, in real-time, with minimal effort.

3. Why should you choose INSTOR over other databases?

These are not either/or.  While other databases or registries might capture vast amounts of data, only INSTOR actually gives you usable information automatically and immediately for improving patient care for acute stroke patients.  There is minimal overlap in other databases.  Once you have entered the data into INSTOR (a few minutes), your job is done.  The monthly effort of tracking down electronic medical record (EMR) information and analyzing your own data in your own spreadsheets is no longer necessary; INSTOR performs this task in real-time.

4. What reports does INSTOR provide?

INSTOR visually presents a wide range of graphic reports for both short-term and long-term trends processes and performance trends.  In addition, 90-day clinical outcomes for stroke patients treated with both Intravenous (IV) tPA and/or Endovascular Treatment (EVT) are analyzed with and without individual patient risk-adjustment.  These reports both confirm what you are doing right, but also highlight possible process deficiencies when they occur.

5. How do you accomplish data collection with INSTOR?

Each institution can collect data as usual.  However, INSTOR was designed from scratch to combine data collection and documentation with data entry and subsequent analysis in order to make the overall job of a stroke coordinator far easier.  See “Effective Data Management” under “How it Works”.  Also see “Testimonials”.

6. How long does it take to enter patient data into INSTOR?

If the technique designed specifically for INSTOR to make work far easier is used (limited or no EMR abstraction), typical data entry times are: 10-15 minutes for a standard code stroke alert; 20 minutes for an entire case of IV tPA treatment; and 30-45 minutes for an EVT case are typical.  For even the busiest stroke center, this would (and does) only require three-six hours per week.  This would apply to a Comprehensive Stroke Center with five stroke alerts per day, three IV tPA cases per week, and one endovascular case per week.

7. Does INSTOR apply to all performance and Core measures associated with a Comprehensive Stroke Center?

INSTOR is designed to measure your performance against all metrics and requirements associated with the emergency treatment of acute ischemic stroke, as mandated by the American Stroke Association (Metrics of Comprehensive Stroke Centers), the Joint Commission, and numerous medical societies.  See performance measures and benchmarking.

8. How does INSTOR benefit stroke coordinators?

With multiple reports presented in graphic format for ease of viewing and sharing with other institutional stakeholders, INSTOR provides tremendous value add to any stroke coordinator.  No longer will it require hours of work to prepare comprehensive and accurate presentations for monthly administrative and QA meetings.  Instead, INSTOR makes it possible to easily generate a printed report or PowerPoint, including up-to-the-minute detail across multiple categories including long-term and current trends, personnel response times, individual patient timelines (showing the full spectrum of emergency stroke treatment for any one patient) and clinical outcomes.  See “Testimonials”.

9. How does INSTOR protect patient privacy?

All data entered into INSTOR is de-identified, a term that references health information that does not identify an individual, and where there is no reasonable basis to believe that it can be used to identify an individual (45 C.F.R., section 164.514(a) of the HIPAA Privacy Rule.)

10. What security measures are in place to protect INSTOR data?

All de-identified data is transmitted via an encrypted network to Bit Refinery, a HIPAA-certified data hosting and storage facility. This facility provides all security safeguards, and meets the necessary high standards for full-time availability.  In addition to the fully redundant structure hosting your data, Bit Refinery includes encrypted VEEAM backups sent to a separate storage device.

11. How much time is required to learn the INSTOR system?

Most institutions begin using INSTOR with as few as two to three training sessions of an hour each.  Additional one-on-one training sessions are provided as needed.

12. How much does INSTOR cost?

Users can purchase a license to use INSTOR for $2,500 per year with a one-time $500 training fee.