Stroke Center Certification Is Associated With Improved Guideline Concordance

Adam S. Jasne, Heidi Sucharew, Kathleen Alwell, Charles J. Moomaw, Matthew L. Flaherty, Opeolu Adeoye, Daniel Woo, Jason Mackey, Simona Ferioli, Sharyl Martini, Felipe de los Rios la Rosa, Brett M. Kissela, Dawn Kleindorfer

Research output: Contribution to journalArticlepeer-review


Measurement of quality of stroke care has become increasingly important, but data come mostly from programs in hospitals that choose to participate in certification programs, which may not be representative of the care provided in nonparticipating hospitals. The authors sought to determine differences in quality of care metric concordance for acute ischemic stroke among hospitals designated as a primary stroke center, comprehensive stroke center, and non-stroke center in a population-based epidemiologic study. Significant differences were found in both patient demographics and in concordance with guideline-based quality metrics. These differences may help inform quality improvement efforts across hospitals involved in certification as well as those that are not.

Original languageEnglish (US)
Pages (from-to)585-589
Number of pages5
JournalAmerican Journal of Medical Quality
Issue number6
StatePublished - Nov 1 2019


  • certification
  • guideline concordance
  • guidelines
  • ischemic stroke
  • stroke

ASJC Scopus subject areas

  • Health Policy

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