Impact of an Expanded Hospital Recognition Program for Stroke Quality of Care

Paul A. Heidenreich, Xin Zhao, Adrian F. Hernandez, Lee H. Schwamm, Eric Smith, Mat Reeves, Eric D. Peterson, Gregg C. Fonarow

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


BACKGROUND: In 2009, the Get With The Guidelines-Stroke (GWTG-Stroke) program offered additional recognition if hospitals performed well on certain stroke quality measures. We sought to determine whether quality of care for all hospitals participating in GWTG-Stroke improved with this expanded recognition program.

METHODS AND RESULTS: We examined hospital-level performance on 6 quality of care (process) measures and 1 defect-free composite quality measure for stroke following expansion of the existing performance measure recognition program. Compliance with all measures improved following launch of the expanded program, and this rate increased significantly for all 9 measures. When evaluated as the relative rate of increase in use over time, process improvement slowed significantly (P<0.05) following launch of the program for 2 measures, and accelerated significantly for 1 measure. However, when evaluated as a gap in care, the decrease in the quality gap was greater following launch of the program for 5 of 6 (83%) measures. There was no evidence that other processes of stroke care suffered as the result of the increase in measures and expanded recognition program.

CONCLUSIONS: While care for stroke continues to improve in this country, expanded hospital process performance recognition had mixed results in accelerating this improvement. However, the quality gap continues to shrink among those participating in provider performance programs.

Original languageEnglish (US)
JournalJournal of the American Heart Association
Issue number1
StatePublished - Jan 21 2017
Externally publishedYes


  • awards
  • health care quality assessment
  • health care quality indicators
  • hospital performance
  • performance measure
  • stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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