Bravata et al sought to identify processes of stroke care that are associated with patient outcomes (in-hospital mortality, discharge to hospice, or discharge to a skilled nursing facility) after adjustment for both patient characteristics and quality of care. Seven processes of care were evaluated: fever management, hypoxia management, blood pressure management, neurological evaluation, swallowing evaluation, deep vein thrombosis (DVT) prophylaxis, and early mobilization. The following patient characteristics were included in risk adjustment: age, medical history, concomitant medical illness, symptom course, prestroke functional status, code status, stroke severity, nonneurological status, modified APACHE (Acute Physiology, Age, Chronic Health Evaluation) III score, and brain imaging. Among the 1487 patients with ischemic stroke or transient ischemic attack, Bravata et al found that patients who received a swallowing evaluation, DVT prophylaxis, and oxygen for all episodes of hypoxia were less likely to have a poor outcome. The authors recommend that organizations that establish national performance measures add treatment of hypoxia to their assessment of stroke care quality and continue to measure DVT prophylaxis and swallowing assessment.