Stroke Outcomes for Patients

Baptist is a leader in responsive, effective stroke care

When a stroke occurs, every minute counts. The stroke specialists at Baptist Brain & Spine Network know that immediate response times, attention to quality patient care, and appropriate treatment decisions can make all the difference in our patient outcomes. That is why rely on specific data to measure our performance against established standards, and in comparison to others when it comes to timely assessment, decision-making and best treatment options.

We're proud to say that Baptist stroke services outpace those industry standards and the performance of other health care providers. Baptist utilizes advanced technology and imaging capabilities to quickly identify those patients who meet the guidelines to have an intervention. The quicker the intervention and the faster blood flow is restored, the less likely the patient will have short or long-term disabilities.

The following information shows our performance goals and how we measure up to them, and other stroke care providers, in terms of treating the cause of the stroke (thrombolysis) and restoring blood flow to the brain and other organs (reperfusion), specifically in the areas of:

  • Thrombolysis in cerebral infarction (TICI) Post-Treatment Reperfusion Grade
  • Rate of rapid effective reperfusion from hospital arrival
  • Rate of Rapid effective reperfusion from skin puncture
  • IV Thrombolytic: Arrive with 3.5 hours and Treat by 4 hours
  • Average Door to Needle time
  • % of patients treated medically for stroke

Baptist uses Get With The Guidelines® (GWTG) from the American Heart Association and the American Stroke Association for the data registry. GWTG is the leader for driving hospital quality improvements.

While our outcomes are strong compared with our peers, our team of specialty-trained physicians, nurses and staff carefully review the results of each patient to continually identify ways to improve the care Baptist provides.

ThRombolysis in Cerebral infarction (TICI) Post-Treatment Reperfusion Grade

January - December 2020
WHAT DOES THIS MEASURE?
This is a post-procedural score that ranks the success of the clot removal - higher numbers mean better restored blood flow.

Quarter 1 Quarter 2
Quarter 3
Quarter 4
Baptist 88.20% 88% 81.50% 88.90%
All Comprehensive Stroke Hospitals (12-mo Avg.)
85.40% 85.40% 85.40% 85.40%
All Tennessee Hospitals (12-mo Avg.)
84.08% 84.08% 84.08% 84.08%
All Certified Primary Stroke Hospitals (12-mo Avg.)
79.50% 79.50% 79.50% 79.50%

Thombolysis in Cerebral infarction (TICI) Post-Treatment Reperfusion Grade


Rate of Rapid Effective Reperfusion from Hospital Arrival

January - December 2020
WHAT DOES THIS MEASURE?
This is the percentage of patients who have successful blow flow restoration within 120 minutes or less of hospital arrival.

Quarter 1 Quarter 2
Quarter 3
Quarter 4
Baptist 81.20% 74% 77.80% 75%
All Comprehensive Stroke Hospitals (12-mo Avg.)
61.93% 61.93% 61.93% 61.93%
All Tennessee Hospitals (12-mo Avg.)
67.78% 67.78% 67.78% 67.78%
All Certified Primary Stroke Hospitals (12-mo Avg.)
49.45% 49% 49.45% 49.45%

Post Treatment Reperfusion Grade


Rate of Rapid Effective ReperFuSion from Skin Puncture

January - December 2020
WHAT DOES THIS MEASURE?
Percentage of patient who have successful blood flow restoration within 60 minutes or less of hospital arrival.

Quarter 1 Quarter 2
Quarter 3
Quarter 4
Baptist 87.50% 82.60% 81.50% 83.30%
All Comprehensive Stroke Hospitals (12-mo Avg.)
69.00% 69.00%
69.00%
69.00%
All Tennessee Hospitals (12-mo Avg.)
71.90% 71.90%
71.90%
71.90%
All Certified Primary Stroke Hospitals (12-mo Avg.)
60.70% 60.70%
60.70%
60.70%

Rate of Rapid Effective Repersuion from Skin Puncture


IV Thrombolytic: Arrive within 3.5 hours and Treat by 4 hours

January - December 2020
WHAT DOES THIS MEASURE?
Percentage of patients that arrive at the hospital within 3.5 hours of symptom onset for whom treatment with IV medications was initiatived within 4.5 hours.

Quarter 1 Quarter 2
Quarter 3
Quarter 4
Baptist 100% 100% 100% 100%
All Comprehensive Stroke Hospitals (12-mo Avg.)
94.33% 94.33%
94.33%
94.33%
All Tennessee Hospitals (12-mo Avg.)
91.08% 91.08%
91.08%
91.08%
All Certified Primary Stroke Hospitals (12-mo Avg.)
92.08% 92.08%
92.08%
92.08%

IV Thrombolytic:  Arrive with 3.5 hours and Treat by 4 hours


Average Door to Needle Time

2021 - 12 Months
WHAT DOES THIS MEASURE?
This is the time from the patient's arrival until the patient receives IV Thrombolytic
Goal: Less than 45 minutes

May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21
Baptist 47.9 53.8 38 56 45 29 42 38.6 39.8 38.5 65.7 53.8
Target 45 45 45 45 45 45 45 45 45 45 45 45

Door to Needle


Patients Treated Medically for Stroke

2021 - 12 Months
WHAT DOES THIS MEASURE?
This is the percentage of patients who are treated for stroke using a thrombolytic or an endovascular procedure.

Apr-20 May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-21 Jan-21 Feb-21 Mar-21
% Treated Medically 12% 18% 17% 14% 14% 12% 12% 12% 21% 26% 17% 21%
Patients Treated Medically