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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

Implementing a state-based stroke quality improvement collaborative: the Massachusetts experience.

H June O'Neill¹, Laura J Coe, Zainab Magdon-Ismail

¹Massachusetts Department of Public Health, Heart Disease and Stroke Prevention and Control, Boston, USA.

Critical Pathways in Cardiology

|July 25, 2012

Summary

A voluntary stroke quality improvement collaborative demonstrated feasibility and sustainability. High hospital participation and case entry were achieved without dedicated funding, highlighting a successful public-private partnership model.

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Area of Science:

Public Health
Healthcare Quality Improvement
Stroke Care Management

Background:

The Stroke Collaborative Reaching for Excellence (S-CORE) is a voluntary quality improvement (QI) initiative.
It is a partnership between the Massachusetts Department of Public Health and the American Heart Association/American Stroke Association.
S-CORE aims to enhance acute stroke care in Massachusetts hospitals based on national guidelines.

Purpose of the Study:

To provide an overview of a successful public-private partnership model for hospital stroke QI.
To assess the effectiveness of the collaborative model in engaging hospitals.

Main Methods:

The study utilized the Institute for Healthcare Improvement's Collaborative model.
Hospitals were enrolled, and staff received training in data collection and QI expertise.
Descriptive statistics were used to analyze hospital participation and case entry rates.

Main Results:

83% of eligible hospitals (58 of 70) participated from 2005 to 2010, representing over 85% of statewide stroke discharges.
Consistent engagement was observed, with an average of 74% of hospital representatives attending learning sessions.
Over 39,000 cases were entered into the registry between 2007 and 2010, showing a 15% increase in case entry.

Conclusions:

A voluntary, state-based hospital QI collaborative is feasible and sustainable, even without continuous hospital funding.
Consistent participation and data entry suggest the model's effectiveness.
Further research is recommended to explore the link between participation and patient outcomes, and the model's generalizability.