Crosswalk hospital inventory changes

Attachment 10d_Crosswalk of hospital inventory changes.xlsx

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

Crosswalk hospital inventory changes

OMB: 0920-1108

Document [xlsx]
Download: xlsx | pdf
Modified question Deleted question New required question New optional question
Current hospital inventory (0920-1108; exp. 3/31/2019)
Requested changes
Change description
Original question # Original question Response options Question # Revised question Response option


1





A2 What is your hospital’s Rural-Urban Commuting Area (RUCA) code? To determine this, navigate to the Rural Health Information Hub website (https://www.ruralhealthinfo.org/am-i-rural). Enter your hospital’s address in the search bar and click “locate”. Then click on the orange “run report” button in the map. Scroll down to find your hospital’s RUCA Code by census tract (e.g. 1.1) and provide this number for the inventory survey. Open text
This question is being added to better understand the hospital capabilities in certain areas, such as the use of telemedicine consults in rural areas.
1



A3 Total number of inpatient discharges in the most recent calendar year Open text
A4 Total number of inpatient discharges (not including observation only, ED patients, ED transfers) in the most recent calendar year Open text
The question is changed to be more specific based on clarity needed in previous responses from hospitals
1



B2b Emergency care of hemorrhagic strokes (including diagnostic imaging and labs) Yes
No

B2b Emergency care of subarachnoid hemorrhagic strokes (SAH) (including diagnostic imaging and labs) Yes
No

The question is changed to specifically ask about subarachnoid and then intracerebral stroke subtypes.


1





B2bii Does your hospital admit most subarachnoid hemorrhagic (SAH) stroke patients? We typically transfer SAH patients
We typically admit these patients
We admit or transfer depending on staff availability or other factors (please describe): _____

This question is added to help better determine capacity of hospitals to treat hemorrhagic stroke patients


1





B2c Emergency care of intracerebral hemorrhagic (ICH) strokes (including diagnostic imaging and labs) Yes
No

This question is added to specifically ask about hemorrhagic stroke subtypes.


1





B2ci If yes to (B2c), does it include (select all that apply) Initial stabilization
Diagnostic imaging treatment
Labs

This question is added to specify the emergency care of intracerebral hemorragic strokes


1





B2cii Does your hospital admit most intracerebral hemorrhagic (ICH) stroke patients? We typically transfer ICH patients
We typically admit these patients
We admit or transfer depending on staff availability or other factors (please describe): _____

This question is added to help better determine capacity of hospitals to treat hemorrhagic stroke patients
1



B8 Does your hospital provide neurointerventional treatment for stroke capability to give intra-arterial tPA or use of catheter-based neurointerventional reperfusion? Yes
No

B7 Does your hosptial provide neurointerventional treatment for (select all that apply) Intra-arterial alteplase
Catheter-based reperfusion/mechanical thrombectomy

This question is modified due to emerging science supporting and interest in about thrombectomy-capable hospitals
1



C4 Does your hospital enter EMS run sheets into the Coverdell in-hospital record? Always
Sometimes
Rarely
Never

C4 Does your hospital enter EMS run sheets into a Coverdell-specific in-hospital data collection tool (e.g., GWTG, state-based system)? Always
Sometimes
Rarely
Never

This question is modified to provide additional clarity.


1





D2b Do you follow-up with (select all that apply) All patients discharged home
A sample of patients discharged home
Only cases that were treated with IV alteplase
Only cases that were treated with IV alteplase and/or thrombectomy
Other: (text)

This question is added to better determine which stroke patients hospitals focus on to follow-up after discharge.


1





D3 Does your hospital utilize an inventory of community resources to make referrals for post-stroke needs? Yes
No

This question is added to better understand hospitals' use of community resouces for discharged stroke patients.
1



E2 Is your hospital certified as a Joint Commission Acute Stroke Ready Hospital (JC ASRH), Joint Commission Primary Stroke Center (JC PSC), Joint Commission Comprehensive Stroke Center (JC CSC), or other similar organization such as Det Norske Veritas (DNV) or Healthcare Facilities Accreditation Program (HFAP)? (select all that apply) JC ASRH
JC PSC
DNV PSC
HFAP PSC
JC CSC
DNV CSC

E2 Is your hospital currently certified as a Joint Commission Acute Stroke Ready Hospital (JC ASRH), Joint Commission Primary Stroke Center (JC PSC), Joint Commission Comprehensive Stroke Center (JC CSC), Joint Commission thrombectomy capable stroke center (TSC) or other similar organization such as Det Norske Veritas (DNV) or Healthcare Facilities Accreditation Program (HFAP)? (select all that apply) JC ASRH
JC PSC
DNV PSC
HFAP PSC
JC CSC
DNV CSC
JC thrombectomy capable stroke center (TSC)

The question is modified to specify that this is asking about current certification. The legal values are modified to include a new level of stroke certification that is available.

1


E2a If your hospital is certified by any one of the organizations above, what is the year of your most recent certification? Date --/--/----




This question is no longer needed due to the modification to the prior question
1



E3a If yes to (3), is your hospital designated by that entity as a stroke center or stroke capable/ready hospital? (select all that apply) Stroke Center (State designation)
Stroke Capable/Ready (State designation)
Stroke Center (County/regional/local designation)
Stroke Capable/Ready (County/regional/local designation)

E3a If yes to (3), is your hospital currently designated by that entity as a stroke center or stroke capable/ready hospital? (select all that apply) Stroke Center (State designation)
Stroke Capable/Ready (State designation)
Stroke Center (County/regional/local designation)
Stroke Capable/Ready (County/regional/local designation)

The question is modified to specify that this is asking about current certification.

1


E3b If designated in 3a, what is the date of the most recent certification?





This question is no longer needed due to the modification to the prior question
1



E4a [Optional] if yes to (4), what mode does the telemedicine consult take place? (select all that apply) Telephone
Videoconference
Other (please specify):

E4a [Optional] if yes to (4), what mode does the telemedicine consult take place? (select all that apply) Telephone call
Interactive video/videoconference
Other (e.g, teleradiology), please specify:

The legal values are modified to align with language used for the in-hospital data elements


1





E5 Does your hospital provide stroke consultation services to other hospitals via telemedicine? Yes, we provide telestroke consultation services and can receive patients that we have provided consultations on
Yes, we provide telestroke consultation services but cannot receive patients in any cases
No, we do not provide telestroke consultation services

This question is added to further understand the capabilities of participating hospitals



1




E5a [Optional] If yes to (5), what mode does the telemedicine consult take place (select all that apply) Telephone call
Interactive video/videoconference
Other (e.g, teleradiology), please specify:

This question is added to further understand the capabilities of participating hospitals
1



F2 Who is responsible for data abstraction (select all that apply) Physician
Stroke nursing staff/stroke team member
Medical records staff
QI department staff
Other (e.g. outsourced, other staff)

F2 Who is responsible for data abstraction? (select all that apply) Physician
Stroke nursing staff/stroke team member
Medical records staff
QI department staff
Other hospital staff (please specify): ___
Outsourced

The response options are modified to add more specificity
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy