Hospital Inventory Data - PCNASP Awardee

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

Attachment 5b_Hospital inventory data elements_awardee.xlsx

Hospital Inventory Data - PCNASP Awardee

OMB: 0920-1108

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Overview

Instructions
Inventory


Sheet 1: Instructions

Instructions for Paul Coverdell National Acute Stroke Program (PCNASP) Hospital Inventory Data Elements


Awardees are to submit de-identified hosptial inventory data from their hospital partners as an electronic Excel file. The "Inventory" tab of this document has the data elements and format for awardees to transmit this hospital inventory data to CDC.



























Public reporting of this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a current valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1108)

Sheet 2: Inventory

Hospital Inventory Questions Reporting Tool
















































































































































































Variable Name State Year HospID RUCAcode HospSize InptDsch StkDschr StkDschr_AIS StkDschr_TIA StkDschr_SAH StkDschr_ICH StkDschr_SNS StkTeam ISProtcl ISProtcl_incl HSProtcl HSProtS HSProtcl_admit ICHProtcl ICHProtcl_incl ICHProtcl_admit IVtPA Endovasc AdmOrd DysScrn DschProt PostDschF StkIC NeuroIntensivist ContECG Neurosurg Neurosurg_247 Neurosurg_2hr Neurointerven Neurointerven_stk EMSPlan EMSPreN_Team EMSPreN_Prot EMS_RunSheet EMSFeed EMSFeed_Method EMSFeed_Pop EMSCoord EMSinter_comm EMSinter_data TOCSummary TOC_Follow TOC_FollowTime TOC_PtFollow TOC_resource NeuroRes OthRes JCPSC StateDesign StateDesign_YN TeleStkR TeleStkR_Mode TeleStkR_cons TeleStkR_ConsMode CommEdu CaseID DataAbs DataAbs_Method Sample Sample_Desc EHR DataReportsR QI_Implement AddAnalyses QIParticipation QIParticipation_Num QIParticipation_strategy QIParticipation_problems QIParticipation_results QIParticipation_help QIParticipation_helpwhy QIParticipation_challenges QIParticipation_policies QIParticipation_changes QIParticipation_buyin QIParticipation_otherqi QIParticipation_integrate QIParticipation_priority QIParticipation_affect Retention


Inventory Question #

A1 A2 A3 A4 A5 A5a A5b A5c A5d A5e B1 B2a B2ai B2b B2bi B2bii B2c B2ci B2cii B2d B2e B2f B2g B2h B2i B3 B3a B4 B5 B5a B5b B6 B7 C1 C2 C3 C4 C5 C5a C5b C6 C7a C7b D1 D2 D2a D2b D3 E1a E1b E2 E3 E3a E4 E4a E5 E5a E6 F1 F2 F3 F4 F4a F5 G1 G2 G3 H1 H1a H2 H2ai H2aii H2aiii H2aiv H2av H3 H3a H4 H5 H5a H5b H5c I1


Question Description State name 2-letter code Year of inventory 4-digit Coverdell Hospital ID number What is your hospital's Rural-Urban Commuting Area (RUCA) code? Current hosptial size (number of licensed beds) total number of inpatient discharges (not including observation only, ED patients, ED transfers) in most recent calendar year total number of acute stroke discharges (primary diagnosis only; see list of ICD-9 and ICD-10 codes in the appendix) in most recent calendar year [Optional] Total number of acute ischemic stroke discharges in the most recent calendar year [Optional] Total number of TIA discharges in the most recent calendar year [Optional] Total number of subarachnoid hemorrhagic stroke discharges in the most recent calendar year [Optional] Total number of intracerebral hemorrhagic stroke discharges in the most recent calendar year [Optional] Total number of stroke (type unspecified) discharges in the most recent calendar year Does your hospital have a designated acute stroke team? Written protocol for emergency care of ischemic stroke? If yes to (2a), does it include (select all that apply): Written protocol for emergency care of subarachnoid hemorrhagic strokes (SAH)? If yes to (2b), does it include (select all that apply): Does your hospital admit most subarachnoid hemorrhagic (SAH) stroke patients? Protocol for emergency care of intracerebral hemorrhagic (ICH) strokes? If yes to (2c), does it include (select all that apply) Does your hospital admit most intracerebral hemorrhagic (ICH) stroke patients? Protocol for IV tPA (alteplase) Protocol for endovascular therapy Protocol for admission orders Protocol for dysphagia screening Discharge planning protocol Post-discharge follow-up care protocols Does your hospital have a neuro-intensive care unit? If yes to (3) does your hospital have a neurointensivist to manage care for stroke patients? Do all stroke patients receive continuous ECG monitoring for at least 24 hours during admission? Does your hospital have neurosurgical services on-staff? If yes to (5), does your hospital have neurosurgical services available 24/7 (may be on-site or at a remote location)? If never to (5a), does your hospital have neurosurgical services available within 2 hours of patient arrival (may be on-site or at a remote location)? Does your hospital have stroke neurointerventional capabilities? Does your hospital provide neurointerventional treatment (select all that apply) Is there a written plan for receiving patients with suspected stroke via EMS Does pre-notification by EMS regarding a suspected stroke case lead to activation of the stroke team? Does EMS notification lead to activation of written stroke care protocol Does your hospital enter EMS run sheets into a Coverdell-specific in-hospital data collection tool (e.g., GWTG, state-based system)? Do you have a formal process for data feedback to EMS agencies? If yes to (5), how is the feedback provided to EMS agencies? (select all that apply) If yes to (5), for what patient population is feedback provided? (select all that apply) Does your hospital have an EMS coordinator? [Optional] To what extent has the interaction between the ED and EMS providers changed during the past calendar year, compared to the prior calendar year, with respect to communication [Optional] To what extent has the interaction between the ED and EMS providers changed during the past calendar year, compared to the prior calendar year, with respect to data exchange Do you utilize a transition of care summary with stroke patients during discharge? Does your hospital conduct post-discharge follow-up on patients discharged to home? If yes to (2), how long after discharge does this follow-up typically take place? Do you follow-up with (select all that apply) Does your hospital utilize an inventory of community resources to make referrals for post-stroke needs?  Does your hospital have a neurology residency or fellowship program Does your hospital have other residency or fellowship programs Is your hospital currently certified as a Joint Commission ASRH, PSC, CSC, TSC, or other similar organization such as DNV or HFAP? Does your state/county/region/locality have a stroke designation program? (select all that apply) If yes to (3), is your hospital current designated by that entity as a stroke center or stroke capable/ready hospital ? (select all that apply) Does your hospital receive stroke consultation services from another hospital via telemedicine? [Optional] If yes to (4), what mode does the telemedicine consult take place? (select all that apply) Does your hospital provide stroke consultation services to other hospitals via telemedicine?  [Optional] If yes to (5), what mode does the telemedicine consult take place? (select all that apply)   [Optional] Does your hospital provide community education on stroke signs and symptoms and importance of calling 911? What process is used for case identification? (select one best answer) Who is responsible for data abstraction? (select all that apply) What process is used for data abstraction? (select one best answer) Does your hospital sample cases to abstract for data that is submitted to Coverdell? If yes to (4), please briefly describe your sampling method (e.g. following The Joint Commission's requirements), including the percentage of cases that are sampled What electronic health record system does your hospital use for stroke care? Who receives data reports on your stroke quality of care? (select all that apply) How many systematic quality improvement interventions were implemented by hospital staff as a result of quality of care data reports? [Optional] In the most recent calendar year, have you run additional analyses (beyond what was required for reporting) on your hospital's own stroke data? Did you participate in any QI activities offered through the State health department Coverdell program? If yes to (1), how many? [Optional] Has your stroke team implemented structured quality improvement strategies (e.g. PDSA (Plan-Do-Study-Act) cycles, small tests of change, lean, six-sigma) to improve
quality of care in the most recent calendar year?
If yes to (2), describe problems addressed If yes to (2), briefly describe results If yes to (2), was this a helpful way to address the problem? If yes to (2), why or why not [was it or not a helpful way to address the problem]? If yes to (2), what challenges did you encounter? [Optional] As a result of participating in the registry the most recent calendar year, what stroke policies or system changes has your hospital implemented? Have you assessed the impact of any of these changes, for example, by examining changes in data/performance measures? [Optional] To what extent do you have buy-in from upper management (i.e. hospital CEO/board/upper management) to implement stroke QI initiatives? (select one best answer) [Optional] Do you have other QI initiatives that are not directly related to stroke care at your hospital? If yes to (5), are your stroke QI initiatives integrated with other QI initiatives in your hospital? If yes to (5), compared to other QI initiatives, how important/prioritized are QI initiatives around stroke? If yes to (5), how do you think other hospital QI initiatives affect your stroke QI initiatives? What reasons or incentives are most important in your hospital's decision to participate in (if new) or continue to participate in the Coverdell Stroke Registry? (select the 3 most important reasons)


Allowed response alpha yyyy alpha numeric numeric numeric numeric numeric numeric numeric numeric numeric Y/N Y/N Initial stabilization/Diagnostic imaging/Treatment/Labs Y/N Initial stabilization/Diagnostic imaging/Treatment/Labs We typically transfer SAH patients/We typically admit these patients/We admit or transfer depending on staff availability or other factors Y/N Initial stabilization/Diagnostic imaging/Treatment/Labs We typically transfer ICH patients/We typically admit these patients/We admit or transfer depending on staff availability or other factors Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Always/Sometimes/Never Always/Sometimes/Never Y/N Intra-arterial alteplase/Catheter-based reperfusion; mechanical thrombectomy Y/N Always/Sometimes/Never/No pre-notification Always/Sometimes/Never/No pre-notification Always/Sometimes/Rarely/Never Y/N Fax/Email/Phone/In-person/Other Patients transported by EMS with final dx of stk with pre-notification/ Patients transported by EMS with final dx of stk w/o pre-notification/Patients with Pre-notification regardless of final dx/Unknown/Other Y/N substantial improvement/minimal improvements/no improvements/minimal decline/substantial decline substantial improvement/minimal improvements/no improvement/minimal decline/substantial decline Always/Sometimes/Rarely/Never Y/N 1-7/8-14/15-21/22-30/>30 All patients discharged home/a sample of patients dischaged home/only cases that were treated with IV alteplase/only cases that were treated with IV alteplase and/or thrombectomy/other  Y/N Y/N Y/N JC ASRH/JC PSC/DNV PSC/HFAP PSC/JC CSC/DNV CSC/JC TSC State designation/County regional local designation/No Stroke Center (state)/Stroke capable (state)/Stroke center (county regional)/Stroke capable (county regional) Y when neuro not avail/Y no neuro/N Telephone call/ interactive video; videoconference/Other Yes provide telestroke consul services and can receive patients that we provide consul on/Yes provide telestroke consul services but cannot receive patients/No do not provide telestroke consul services Telephone call/Interactive video; videoconference/other Y/N Pros/Retro/Comb MD/Stk Team/Med Records/QI/other hospital staff/outsourced/Other Concurrent/Retro/Equal Y/N alpha Allscripts/Centricity/Cerner/CPSI/eClinicalWorks/Epic/McKesson/Meditech/NextGen/Other CEO/Board/CNO/StkTeam/MD/Chief Med/Other numeric Y/N Y/N numeric Y/N alpha alpha Y/N alpha alpha alpha Y/N A great deal of support/a fair amount of support/little support/no support Y/N Y/N Much more important/a little more important/equally important/a little less important/a lot less important complement/hinder/do not affect Prof Dev/Networking/Enhance quality/Financial/Stroke designation/GWTG/Upper management/Benchmark/Recognition/Other


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