Yale New Haven Hospital Stroke Center Quality Report (2019)

Yale New Haven Hospital (YNHH) aims to provide the highest quality of stroke care using national standard performance measures. This report shows the percent of patients who were provided selected treatments compared to patients at other Connecticut hospitals and New England hospitals.

The national benchmark goal is > to 85% compliance with each measure. YNHH’s goal is 95% or greater compliance.

99%-100% = stretch target

95%-98% = met target

< 95% = below target

 

 

Performance Measure

YNHH

All CT Hospitals

New England Hospitals

 

Venous thrombus embolism (VTE)
Treated to prevent blood clots from forming when confined to bed

 

96.7%

 

96.9%

 

97.0%

 

Discharged on anti-thrombotic therapy
Discharged to home on a blood thinner to prevent another ischemic stroke

 

99.9%

 

99.6%

 

99.7%

 

Anti-coagulation for atrial fibrillation/flutter
Treated with a strong blood thinner when you have an abnormal heart rhythm that could cause blood clots

 

99.0%

 

98.5%

 

98.6%

 

Thrombolytic therapy
Arrived at the hospital within 2 hours of stroke symptoms and treated with a clot-busting drug within 3 hours of symptoms

 

96.1%

 

87.6%

 

88.2%

 

Anti-thrombotics by hospital day #2
Treated with a blood thinner within two days after admission to prevent further ischemic strokes

 

92.3%

 

95.4%

 

97.0%

 

Discharged on a statin medication
Treated with a cholesterol-lowering drug to reduce your ischemic stroke risk

 

99.5%

 

98.8%

 

98.9%

 

Stroke education
Provided with information about warning signs, stroke risk factors, and the importance of calling 9-1-1

 

90.6%

 

92.1%

 

95.4%

 

Assessed for rehabilitation
Evaluated by a member of the rehabilitation team to assess your need for recovery therapy

 

97.1%

 

98.8%

 

98.9%

This information is based on data retrieved from Outcomes Science Get With The Guidelines® data

Yale New Haven Hospital Stroke Center Outcomes Report (2019)

Yale New Haven Hospital’s stroke program monitors outcomes for selected ischemic stroke patients who undergo emergency neuro-interventions.

In 2019, YNHH performed approximately 170 emergency thrombectomy procedures. This procedure removes a blood clot from a major blood vessel in the brain by inserting a clot-retrieving catheter; 75% of patients had meaningful improvement of blood flow to their brain.

 

Performance Measure

YNHH

All CT Hospitals

New England Hospitals

 

Hemorrhagic transformation after IV alteplase
Ischemic stroke patients who develop significant bleeding in the brain within 36 hours after receiving a clot-busting medication (lower percentage is better)

 

4.3%

 

3.7%

 

2.8%

 

Hemorrhagic transformation after IA alteplase (tPA) or thrombectomy
Ischemic stroke patients who develop significant bleeding in the brain within 36 hours after undergoing a surgical procedure to remove a blood clot (lower percentage is better)

 

5.5%

 

7.9%

 

7.2%

 

TICI* reperfusion grade of 2B or higher
Ischemic stroke patients who had meaningful improvement of blood flow to their brain after undergoing a surgical procedure

 

74.8%

 

79.8%

 

82.5%

 

Arrival to skin puncture (procedure start)
Median time from hospital arrival to the time of skin puncture to access the artery for a thrombectomy procedure (lower percentage is better). Goals: 60 minutes from outside hospital; 90 minutes from arrival at YNHH

 

105 mins

 

102 mins

 

74 mins

This information is based on data retrieved from Outcomes Science Get With The Guidelines® data

*Thrombolysis in cerebral infarction (TICI) scale is a score used to grade brain tissue revascularization

Advanced Comprehensive Stroke Centers are required to demonstrate a 24-hour post-procedure death rate of less than 1% after diagnostic catheter angiography. YNHH met this requirement in 2018 and 2019.

 

Quality Outcomes

 

24-hour mortality after carotid diagnostic angiography

 

Jan.-Dec.
2018

 

Jan.-Dec.
2019

 

24-hour mortality

 

0.5%

 

0.3%