Quality Indicators of Ischemic Stroke Service Classified by Hospital Group

Target quality of service indicators: Ischemic Stroke

IndicatorTarget
S: Standard
S01Mean time (Minute) to intravenous thrombolytic therapy (Door to Needle Time)< 60
S02Percentage of mortality of acute ischemic stroke patients who receive intravenous thrombolytic therapy within 4.5 hours≤ 3%
S03Percentage of ischemic stroke patients who receive an antiplatelet for the treatment within 48 hours after the symptom onset≥ 85%
S04Percentage of ischemic stroke patients who are discharged home and receive antiplatelet or anticoagulant on discharge100%
S05Percentage of ischemic stroke patients discharged home who have high LDL and receive statin on discharge> 90%
S06Percentage of ischemic stroke patients who have time to intravenous thrombolytic therapy (Door to Needle Time) within 60 minutes> 75%
P: Process
P01Percentage of ischemic stroke patients who have blood sugar checked after being admitted to the hospital within 24 hours100%
P02Percentage of ischemic stroke patients who have EKG within 24 hours after symptom onset100%
P03Percentage of ischemic stroke patients who have CT scan and/or MRI/MRA brain within 24 hours100%
P04Percentage of acute ischemic stroke patients with duration of the symptoms not greater than 4.5 hours (Stroke Fast Track) who have CT scan and/or MRI/MRA brain within 1 hours100%
P05Percentage of acute ischemic stroke patients with fever (≥ 37.5°C) who receive appropriate fever management100%
P06Percentage of ischemic stroke patients who receive care following the planned guideline (Care Map/Path Way)100%
P07Percentage of ischemic stroke patients with duration of the symptoms within 72 hours who receive care in Stroke Unit≥ 70%
P08Percentage of ischemic stroke patients who receive appropriate patient instruction before discharge100%
P09Percentage of ischemic stroke patients who have swallowing evaluation within 72 hours of admission100%
P10Percentage of ischemic stroke patients who was evaluated/ rehabilitation and/or physical therapy/Occupational therapy/ Speech-Language therapy within 72 hours of admission100%
P11Percentage of ischemic stroke patients who receive therapy/instructions about smoking cessation> 70%
P12Percentage of ischemic stroke patients who receive EKG monitoring within 24 hours of admission≥ 80%
O: Outcome
O01Percentage of readmission within 28 days of stroke patients< 1.5%
O02Percentage of ischemic stroke patients with reduced (BIdischarge– BIadmission> 0 point)> 70%
O03Mean length of stay of ischemic stroke patients≤ 10
O04Mean expense (Baht) of ischemic stroke patients≅36,776.0
O05Percentage of mortality of ischemic stroke patients< 3%
O06Percentage of ischemic stroke patients who have reduced (mRSdischarge– mRSadmission< 0 point)≥ 50%
O07Percentage of ischemic stroke patients who have reduced severity of stroke
(NIHSSdischarge– NIHSSadmission< 0 point)
≥ 50%
C: Complication
C01Percentage of incidence of pneumonia in ischemic stroke patients≤ 5%
C02Percentage of incidence of urinary tract infection in ischemic stroke patients≤ 5%
C03Percentage of incidence of pressure sore/skin break< 0.5%
C04Percentage of incidence of falls in ischemic stroke patients0%
C05Percentage of incidence of deep vein thrombosis (DVT) in ischemic stroke patients< 5%

Quality of Service Dictionary: Ischemic Stroke

Fiscal Year 2022

IndicatorStroke Network
n=52,292
High-level Expertise
n=4,961
Tertiary Level
n=25,705
Secondary Level
n=20,078
Private Hospital
n=1,548
S0149.143.146.753.358.7
S025.12.36.44.32.5
S0394.395.894.094.294.4
S0499.799.799.699.799.7
S0598.999.598.998.898.3
S0678.887.381.773.661.7
P0197.898.397.897.897.3
P0297.498.197.197.695.5
P0398.298.998.198.297.4
P0492.696.292.292.289.2
P0596.998.996.596.795.8
P0697.999.197.697.898.3
P0792.796.092.591.697.7
P0898.098.798.397.697.8
P0999.799.899.899.798.6
P1098.899.998.699.197.0
P1188.979.793.886.566.2
P1294.899.294.893.993.4
O010.70.60.70.81.0
O0265.869.066.464.663.0
O034.76.54.44.65.1
O0441,329.552,923.838,030.036,160.7157,989.3
O052.61.52.92.51.5
O0649.858.349.847.750.8
O0759.561.959.259.062.1
C011.30.71.21.61.4
C020.70.30.61.01.0
C030.40.20.30.50.3
C041.31.21.11.52.7
C050.10.10.10.10.1

Fiscal Year 2021

IndicatorStroke Network
n=52,412
High-level Expertise
n=4,822
Tertiary Level
n=25,540
Secondary Level
n=20,869
Private Hospital
n=1,162
S0150.443.451.651.960.7
S025.42.76.13.73.1
S0394.193.393.895.093.9
S0499.699.798.999.399.6
S0599.098.699.598.598.7
S0677.486.475.672.963.0
P0197.497.897.497.496.0
P0296.996.396.897.393.5
P0397.998.098.095.6
P0494.691.792.682.4
P0599.096.796.996.7
P0697.598.197.596.1
P0794.393.494.984.6
P0898.698.297.897.9
P0999.699.199.197.8
P1099.497.398.387.5
P1179.488.481.965.3
P1298.093.197.791.0
O010.80.81.21.2
O0265.665.170.758.0
O034.87.34.54.55.7
O0437,711.860,194.440,599.614,448.038,422.9
O052.62.13.02.21.6
O0649.452.449.848.443.4
O0760.355.761.260.459.9
C011.20.61.21.41.1
C020.70.50.60.90.8
C030.30.20.30.40.1
C041.31.11.21.60.9
C050.10.10.10.00.1

Fiscal Year 2020

IndicatorHigh-level Expertise
n=4,721
Tertiary Level
n=28,138
Secondary Level
n=17,004
Private Hospital
n=1,257
S0140.752.453.661.3
S023.15.72.32.1
S0391.193.594.592.9
S0499.698.999.598.9
S0597.997.797.591.8
S0687.773.669.557.7
P0197.797.697.396.2
P0296.996.697.192.7
P0398.598.098.095.5
P0494.791.892.884.4
P0598.096.596.996.0
P0698.298.296.895.4
P0798.193.297.288.2
P0899.198.397.494.9
P0999.998.999.288.7
P1099.696.698.884.3
P1176.489.374.565.4
P1297.992.394.988.7
O010.81.01.32.4
O0266.966.773.163.6
O03
O04
O05
O06
O07
C01
C02
C03
C04
C05

Fiscal Year 2019

IndicatorHigh-level Expertise
n=4,494
Tertiary Level
n=25,366
Secondary Level
n=14,099
Private Hospital
n=1,192
S0141.652.959.458.6
S022.05.12.74.9
S0391.893.495.191.6
S0499.298.999.597.4
S0597.598.097.890.1
S0688.172.767.160.7
P0195.797.597.396.0
P0295.795.697.589.8
P0397.997.797.997.3
P0492.591.193.486.7
P0596.296.797.881.4
P0699.098.294.890.7
P0798.189.697.178.7
P0898.998.098.596.0
P0999.797.699.390.1
P1099.495.799.082.1
P1169.588.983.059.9
P1294.288.493.578.8
O011.20.71.11.5
O0264.766.675.964.8
O03
O04
O05
O06
O07
C01
C02
C03
C04
C05

Source: Neurological Information Center, Neurological Institute of Thailand. Processing Date November 29, 2023.

Note: n = number of ischemic stroke patients