Giving you and your family
the highest quality care
is our first priority
Having reliable and understandable information about the quality of care our hospitals provide can help you make the best healthcare decisions possible.
At Novant Health, we support the nationwide effort to establish national benchmarks for care. These benchmarks help ensure that patients coming into the hospital with specific conditions receive recommended care based on medical research and consensus of opinion of physician experts.
Below are examples of the performance measures that we monitor and report in order to improve the care and the outcomes of our stroke patients at Novant Health Presbyterian Medical Center, a comprehensive stroke center:
- Arrival to stroke treatment with Alteplase (tPA) time
- Carotid artery stenting
- Aneurysm coiling
A quality measure is medical information from patient records converted into a rate of percentage that shows how well hospitals care for their patients. You can use this quality information to help you compare hospitals. We encourage you to discuss the benefits and risks of these procedures with your provider.
Arrival to stroke treatment with Alteplase (tPA)
Treating patients with ischemic stroke as quickly as possible is critical in order to achieve better neurologic outcomes. Alteplase, also known as tPA (tissue plasminogen activator), the clot-busting drug used to treat ischemic stroke, can only be administered within 4.5 hours of stroke symptom onset in order to be effective, and the sooner it is administered, the better. In 2018, Novant Health Presbyterian Medical Center administered tPA as follows:
A lower number is better
Top hospitals in the country administer tPA to patients with ischemic stroke within 60 minutes from the time they arrived at the hospital. At Presbyterian Medical Center, the stroke team administered tPA in under 45 minutes 76 percent of the time, as compared with 42.8 percent at other North Carolina hospitals and 46 percent at other recognized Primary Stroke Centers in the US.
For more information on core measures, please see Medicare.gov.
Carotid artery stenting
Stroke patients may show blockages or narrowing of the carotid arteries, which are the arteries in the neck that supply blood to the brain. Carotid artery stenting (CAS) is a procedure where a stent is placed into the artery to keep it open and keep blood flowing in order to reduce the risk of stroke or even prevent a second stroke.
A major stroke is defined as a stroke that results in death or moderate to severe disability. A minor stroke is defined as a stroke that results in mild disability but does not cause the patient to need help with self-care after discharge from the hospital.
A lower percentage is better.
Nationally-accepted benchmarks for the incidence of stroke with carotid stenting through the Intersocietal Commission for the Accreditation of Carotid Stenting Facilities ICACSF are 6 percent for patients who have already had symptoms of stroke and 3 percent for patients who have not.
An aneurysm is a bulge or weakening of the artery wall. Depending on a patient’s need, physicians use a minimally invasive procedure called “coiling,” or a surgical procedure called “clipping,” to block the blood flow through the aneurysm to prevent it from rupturing (bleeding). A ruptured aneurysm may lead to a life-threatening stroke or death. The purpose of treating an unruptured aneurysm is to prevent the bleeding in the first place. In 2018, Presbyterian Medical Center had no deaths related to unruptured aneruysms.
A lower number is better.