Specific audit filters will be established by the Stroke PI committee

Specific audit filters will be established by the Stroke PI committee a. In general, the following performance improvement processes should be performed by each Stroke Center. The results of these reviews shall be reported to the Stroke PI committee. i. Each Stroke Center assigns a PI person to oversee the process ii. Standards established iii. Determine audit filters iv. Collect data v. Evaluate data vi. Determine PI issues present vii. Develop corrective action plan viii. Re-evaluate to document results/effectiveness of CAP b. The following performance elements should be considered by each pre- hospital entity: i. Quality measure regarding response times (time to dispatch, EMS response, on-scene time, and transport time) will be collected and analyzed ii. Accuracy of patient assessment iii. Transport protocol adherence iv. Procedures initiated/completed v. Medical control interaction vi. Transport mode (air/ground) vii. Record/documentation viii. Inter-facility care/transport c. The following performance elements should be considered by each Stroke Center: i. Outcome review ii. Complications iii. Deaths iv. Achievement of time sensitive goals (CT completed/reporting times and Door to Alteplase administration times) v. Core stroke quality measures established for hospital stroke care will be entered into the approved national registry platform for blinded comparison between hospitals