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Invited Commentary |

Measure for Measure: New Insights Offered and Challenges Encountered in the Efforts to Improve Acute Stroke Care Comment on “Processes of Care Associated With Acute Stroke Outcomes”

Lee H. Schwamm, MD
Arch Intern Med. 2010;170(9):810-812. doi:10.1001/archinternmed.2010.93.
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Cerebrovascular disease is common in the United States: 800 000 strokes and 200 000 to 500 000 transient ischemic attacks (TIAs) every year produce an estimated prevalence of 6.4 million strokes and 5 million TIAs among adult Americans. Strokes are a major cause of disability and often result in long-term institutionalization. It is therefore essential to improve the health outcomes of people with stroke.

Recently, the American Heart Association Get With the Guidelines-Stroke (GWTG-S),1 the Centers for Disease Control and Prevention Paul Coverdell National Acute Stroke Registry (PCNASR),2 and the Joint Commission Primary Stroke Center3 certification programs harmonized their stroke quality improvement (QI) performance measures. Eight of these measures were endorsed by the National Quality Forum4 and then adopted into the core measurement set for hospital accreditation by the Joint Commission.5 Recently, the Center for Medicare and Medicaid Services6 announced its intention to add these to its “pay for reporting” program in 2012.

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