1. Presented By Adowale Mulu Eiyirusalem Azeb Sharonne

2. Introduction History Mission, Vision and Values

3. Size of the Center The Center shares a 47 –acre (19ha) with National rehabilitation, The central branch of Children’s National Medical Center. In its 35 th, the Center admitted 34,000 patients annually. By its 50 th anniversary in 2008, 371,575 out patient, 46,209 inpatient admitted. Number of Stroke I/P Admissions ​ 781 Among the 50 largest hospita l.

4. In 2013 the Center has 440,470 Total number of inpatient and outpatient. Including 781 stroke admissions 1,719 Nurses 926 beds 376 physicians. 7872 other staff

5. Location of the Hospital Located at 110 Irving St. Nw, Washington, DC 20010 Boarded by Michigan Ave, NW, Irving Street NW, and First Street, NW.

6. Award and recognition The Joint Commission's Comprehensive Stroke Center Certification

7. Award and recognition

8. Stroke plus gold performance award by the AHA and ASA Five years in a row

9. Criteria For Award Diagnosis Treatment Rehabilitation of Stroke patient Evidence Based

10. Neuro-Imaging MRI vs CT Scan MRI 3.0 T Vs MRI 1.5T First in the nation to use MRI in the frontline diagnosis of stroke. 24hr Availability, located beside the ER

11. Door to Needle Less than 60 minutes Record broken twice last year ( 37 minutes) Continuous system review

12. Stroke National Performance Measures

13. Performance Measures 2013 AHA/ASA Get With The Guidelines Data for MedStar Washington Stroke Performance MeasuresCompliance Rate* Venous Thromboembolism Prophylaxis94.2 Antithrombotic Prescribed at Discharge98.9 Anticoagulant Prescribed at Discharge for Afib 100 tPA Given Within 3 hours for Acute Stroke 100 Antithrombotic Prescribed by Day 298.1 Statin Prescribed at Discharge97 Stroke Education95.6 Assessed for Rehabilitation99.1 *National Target Rate is greater than 85% Compliance

14. Tracer Methodology Evaluation method Active Patient record as roadmap Evaluate organization compliance with selected standard and organization system of providing care and services Trend Provide information about best practices from similar organization.

15. Availability of Performance areas MedStar Georgetown University Hospital MedStar National Rehabilitation Network MedStar Southern Maryland Hospital Center

16. Requirements Met… National standards and recommendation- Get with the guideline award Stroke National Performance Measure – Certified by Joint Commission

17. Achievement Awards According to the article “ Two High Achievement Awards For Stroke Center” Stroke Gold – Plus Quality Achievement Award Stroke Honor Roll Awards Clot- Busting Drug MRI Screening

18. Recommendations …. High charts, 71% compare to George Washington University Hospital 62% Georgetown University Hospital 68%.

19. References https://www.medstarhealth.org/Pages/Home.aspx (muna) https://www.medstarhealth.org/Pages/Home.aspx https://www.medstarhealth.org/washington/Pages/About- Us/Mission-Vision-and-Values.aspx https://www.medstarhealth.org/washington/Pages/About- Us/Mission-Vision-and-Values.aspx https://www.medstarhealth.org/washington/Pages/News%2 0Articles/MedStar-Washington-Hospital-Center-Named- Regions-First-Certified-Comprehensive-Stroke- Center.aspx(azeb) www.youtube.com/watch?v=MmzG93DNougJan 27, 2014 - 2 min - Uploaded by MedStar Washington Hospital Center Meet Amie Hsia, MD, who is the medical director of the Stroke Center at... Dr. William