Abstract T P300: Hospital Characteristics, Distribution, and Site Reviews of Certified Comprehensive Stroke Centers
Objectives: In 2012 The Joint Commission (TJC) began an advanced certification program for Comprehensive Stroke Centers (CSC) using criteria defined by the Brain Attack Coalition and several Technical Advisory Panels. We now report the results from organizations who successfully achieved this certification. Our hypothesis was that, compared to Primary Stroke Centers (PSCs), the CSCs would be larger urban teaching hospitals, and that their distribution would be uneven and would not match population density.
Methods: We obtained data from TJC about the 73 hospitals that were successful in achieving CSC certification from 2012 through July 2014. These data were compared to the 1036 organizations that achieved PSC designation from 2004 through July 2014. Data on hospital type, location, bed size, and distribution by population were analyzed. Analyses were done using Chi-square comparisons. The number of Requirements for Improvement (RFI) were tabulated and analyzed for the CSCs.
Results: More than 94% of PSCs and 100% of CSCs were in urban locations (p=0.026.) More than 92% of CSCs were teaching hospitals compared to 50% of PSCs (p< 0.0001). CSCs were larger facilities than PSCs, with 64.4% of CSCs having 500 or more beds compared to only 21.7% of PSCs (p< 0.001). Among the 10 largest states by population, the percent of certified CSCs as a percent to total JC certified stroke centers varied from a high of 11.3% (OH) to a low of 0% (FL ) and 2% (TX). The most common RFIs were 1) time parameters for stroke work-up (74% non-compliant), 2) assessments consistent with clinical practice guidelines (69% non-compliant), and 3-5) documenting care/treatments, monitoring complications, and defined accountability of leaders (each 57% non-compliant). Our data do not reflect CSCs certified by other agencies and organizations.
Conclusions: Compared to PSCs, hospitals certified as CSCs are large teaching facilities in urban areas. The current distribution of CSCs is uneven. Many CSCs were not initially compliant with several standards.
Author Disclosures: M.J. Alberts: None. M. Hampel: None. V. Cantwell: None. J. Range: None. N. Eggen: None. K. Kolbusz: None. A. Watt: None.
- © 2015 by American Heart Association, Inc.