Target quality of service indicators: Ischemic Stroke
| Indicator | Target | |
|---|---|---|
| S: Standard | ||
| S01 | Mean time (Minute) to intravenous thrombolytic therapy (Door to Needle Time) | < 60 |
| S02 | Percentage of mortality of acute ischemic stroke patients who receive intravenous thrombolytic therapy within 4.5 hours | ≤ 3% |
| S03 | Percentage of ischemic stroke patients who receive an antiplatelet for the treatment within 48 hours after the symptom onset | ≥ 85% |
| S04 | Percentage of ischemic stroke patients who are discharged home and receive antiplatelet or anticoagulant on discharge | 100% |
| S05 | Percentage of ischemic stroke patients discharged home who have high LDL and receive statin on discharge | > 90% |
| S06 | Percentage of ischemic stroke patients who have time to intravenous thrombolytic therapy (Door to Needle Time) within 60 minutes | > 75% |
| P: Process | ||
| P01 | Percentage of ischemic stroke patients who have blood sugar checked after being admitted to the hospital within 24 hours | 100% |
| P02 | Percentage of ischemic stroke patients who have EKG within 24 hours after symptom onset | 100% |
| P03 | Percentage of ischemic stroke patients who have CT scan and/or MRI/MRA brain within 24 hours | 100% |
| P04 | Percentage 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 hours | 100% |
| P05 | Percentage of acute ischemic stroke patients with fever (≥ 37.5°C) who receive appropriate fever management | 100% |
| P06 | Percentage of ischemic stroke patients who receive care following the planned guideline (Care Map/Path Way) | 100% |
| P07 | Percentage of ischemic stroke patients with duration of the symptoms within 72 hours who receive care in Stroke Unit | ≥ 70% |
| P08 | Percentage of ischemic stroke patients who receive appropriate patient instruction before discharge | 100% |
| P09 | Percentage of ischemic stroke patients who have swallowing evaluation within 72 hours of admission | 100% |
| P10 | Percentage of ischemic stroke patients who was evaluated/ rehabilitation and/or physical therapy/Occupational therapy/ Speech-Language therapy within 72 hours of admission | 100% |
| P11 | Percentage of ischemic stroke patients who receive therapy/instructions about smoking cessation | > 70% |
| P12 | Percentage of ischemic stroke patients who receive EKG monitoring within 24 hours of admission | ≥ 80% |
| O: Outcome | ||
| O01 | Percentage of readmission within 28 days of stroke patients | < 1.5% |
| O02 | Percentage of ischemic stroke patients with reduced (BIdischarge– BIadmission> 0 point) | > 70% |
| O03 | Mean length of stay of ischemic stroke patients | ≤ 10 |
| O04 | Mean expense (Baht) of ischemic stroke patients | ≅36,776.0 |
| O05 | Percentage of mortality of ischemic stroke patients | < 3% |
| O06 | Percentage of ischemic stroke patients who have reduced (mRSdischarge– mRSadmission< 0 point) | ≥ 50% |
| O07 | Percentage of ischemic stroke patients who have reduced severity of stroke (NIHSSdischarge– NIHSSadmission< 0 point) | ≥ 50% |
| C: Complication | ||
| C01 | Percentage of incidence of pneumonia in ischemic stroke patients | ≤ 5% |
| C02 | Percentage of incidence of urinary tract infection in ischemic stroke patients | ≤ 5% |
| C03 | Percentage of incidence of pressure sore/skin break | < 0.5% |
| C04 | Percentage of incidence of falls in ischemic stroke patients | 0% |
| C05 | Percentage of incidence of deep vein thrombosis (DVT) in ischemic stroke patients | < 5% |
Quality of Service Dictionary: Ischemic Stroke
Fiscal Year 2022
| Indicator | Stroke 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 | HR 1 n=4,031 |
|---|---|---|---|---|---|---|
| S01 | 49.1 | 43.1 | 46.7 | 53.3 | 58.7 | 52.5 |
| S02 | 5.1 | 2.3 | 6.4 | 4.3 | 2.5 | 3.4 |
| S03 | 94.3 | 95.8 | 94.0 | 94.2 | 94.4 | 95.6 |
| S04 | 99.7 | 99.7 | 99.6 | 99.7 | 99.7 | 99.3 |
| S05 | 98.9 | 99.5 | 98.9 | 98.8 | 98.3 | 98.2 |
| S06 | 78.8 | 87.3 | 81.7 | 73.6 | 61.7 | 77.3 |
| P01 | 97.8 | 98.3 | 97.8 | 97.8 | 97.3 | 97.3 |
| P02 | 97.4 | 98.1 | 97.1 | 97.6 | 95.5 | 97.8 |
| P03 | 98.2 | 98.9 | 98.1 | 98.2 | 97.4 | 97.9 |
| P04 | 92.6 | 96.2 | 92.2 | 92.2 | 89.2 | 92.9 |
| P05 | 96.9 | 98.9 | 96.5 | 96.7 | 95.8 | 92.8 |
| P06 | 97.9 | 99.1 | 97.6 | 97.8 | 98.3 | 97.0 |
| P07 | 92.7 | 96.0 | 92.5 | 91.6 | 97.7 | 87.8 |
| P08 | 98.0 | 98.7 | 98.3 | 97.6 | 97.8 | 98.1 |
| P09 | 99.7 | 99.8 | 99.8 | 99.7 | 98.6 | 99.6 |
| P10 | 98.8 | 99.9 | 98.6 | 99.1 | 97.0 | 97.8 |
| P11 | 88.9 | 79.7 | 93.8 | 86.5 | 66.2 | 91.3 |
| P12 | 94.8 | 99.2 | 94.8 | 93.9 | 93.4 | 91.0 |
| O01 | 0.7 | 0.6 | 0.7 | 0.8 | 1.0 | 0.6 |
| O02 | 65.8 | 69.0 | 66.4 | 64.6 | 63.0 | 71.1 |
| O03 | 4.7 | 6.5 | 4.4 | 4.6 | 5.1 | 4.9 |
| O04 | 41,329.5 | 52,923.8 | 38,030.0 | 36,160.7 | 157,989.3 | 36,562.9 |
| O05 | 2.6 | 1.5 | 2.9 | 2.5 | 1.5 | 2.1 |
| O06 | 49.8 | 58.3 | 49.8 | 47.7 | 50.8 | 48.9 |
| O07 | 59.5 | 61.9 | 59.2 | 59.0 | 62.1 | 58.9 |
| C01 | 1.3 | 0.7 | 1.2 | 1.6 | 1.4 | 1.5 |
| C02 | 0.7 | 0.3 | 0.6 | 1.0 | 1.0 | 1.0 |
| C03 | 0.4 | 0.2 | 0.3 | 0.5 | 0.3 | 0.3 |
| C04 | 1.3 | 1.2 | 1.1 | 1.5 | 2.7 | 1.4 |
| C05 | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 |
Fiscal Year 2021
| Indicator | Stroke 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 |
|---|---|---|---|---|---|
| S01 | 50.4 | 43.4 | 51.6 | 51.9 | 60.7 |
| S02 | 5.4 | 2.7 | 6.1 | 3.7 | 3.1 |
| S03 | 94.1 | 93.3 | 93.8 | 95.0 | 93.9 |
| S04 | 99.6 | 99.7 | 98.9 | 99.3 | 99.6 |
| S05 | 99.0 | 98.6 | 99.5 | 98.5 | 98.7 |
| S06 | 77.4 | 86.4 | 75.6 | 72.9 | 63.0 |
| P01 | 97.4 | 97.8 | 97.4 | 97.4 | 96.0 |
| P02 | 96.9 | 96.3 | 96.8 | 97.3 | 93.5 |
| P03 | 97.9 | 98.0 | 98.0 | 95.6 | |
| P04 | 94.6 | 91.7 | 92.6 | 82.4 | |
| P05 | 99.0 | 96.7 | 96.9 | 96.7 | |
| P06 | 97.5 | 98.1 | 97.5 | 96.1 | |
| P07 | 94.3 | 93.4 | 94.9 | 84.6 | |
| P08 | 98.6 | 98.2 | 97.8 | 97.9 | |
| P09 | 99.6 | 99.1 | 99.1 | 97.8 | |
| P10 | 99.4 | 97.3 | 98.3 | 87.5 | |
| P11 | 79.4 | 88.4 | 81.9 | 65.3 | |
| P12 | 98.0 | 93.1 | 97.7 | 91.0 | |
| O01 | 0.8 | 0.8 | 1.2 | 1.2 | |
| O02 | 65.6 | 65.1 | 70.7 | 58.0 | |
| O03 | 4.8 | 7.3 | 4.5 | 4.5 | 5.7 |
| O04 | 37,711.8 | 60,194.4 | 40,599.6 | 14,448.0 | 38,422.9 |
| O05 | 2.6 | 2.1 | 3.0 | 2.2 | 1.6 |
| O06 | 49.4 | 52.4 | 49.8 | 48.4 | 43.4 |
| O07 | 60.3 | 55.7 | 61.2 | 60.4 | 59.9 |
| C01 | 1.2 | 0.6 | 1.2 | 1.4 | 1.1 |
| C02 | 0.7 | 0.5 | 0.6 | 0.9 | 0.8 |
| C03 | 0.3 | 0.2 | 0.3 | 0.4 | 0.1 |
| C04 | 1.3 | 1.1 | 1.2 | 1.6 | 0.9 |
| C05 | 0.1 | 0.1 | 0.1 | 0.0 | 0.1 |
Fiscal Year 2020
| Indicator | High-level Expertise n=4,721 | Tertiary Level n=28,138 | Secondary Level n=17,004 | Private Hospital n=1,257 |
|---|---|---|---|---|
| S01 | 40.7 | 52.4 | 53.6 | 61.3 |
| S02 | 3.1 | 5.7 | 2.3 | 2.1 |
| S03 | 91.1 | 93.5 | 94.5 | 92.9 |
| S04 | 99.6 | 98.9 | 99.5 | 98.9 |
| S05 | 97.9 | 97.7 | 97.5 | 91.8 |
| S06 | 87.7 | 73.6 | 69.5 | 57.7 |
| P01 | 97.7 | 97.6 | 97.3 | 96.2 |
| P02 | 96.9 | 96.6 | 97.1 | 92.7 |
| P03 | 98.5 | 98.0 | 98.0 | 95.5 |
| P04 | 94.7 | 91.8 | 92.8 | 84.4 |
| P05 | 98.0 | 96.5 | 96.9 | 96.0 |
| P06 | 98.2 | 98.2 | 96.8 | 95.4 |
| P07 | 98.1 | 93.2 | 97.2 | 88.2 |
| P08 | 99.1 | 98.3 | 97.4 | 94.9 |
| P09 | 99.9 | 98.9 | 99.2 | 88.7 |
| P10 | 99.6 | 96.6 | 98.8 | 84.3 |
| P11 | 76.4 | 89.3 | 74.5 | 65.4 |
| P12 | 97.9 | 92.3 | 94.9 | 88.7 |
| O01 | 0.8 | 1.0 | 1.3 | 2.4 |
| O02 | 66.9 | 66.7 | 73.1 | 63.6 |
| O03 | ||||
| O04 | ||||
| O05 | ||||
| O06 | ||||
| O07 | ||||
| C01 | ||||
| C02 | ||||
| C03 | ||||
| C04 | ||||
| C05 |
Fiscal Year 2019
| Indicator | High-level Expertise n=4,494 | Tertiary Level n=25,366 | Secondary Level n=14,099 | Private Hospital n=1,192 |
|---|---|---|---|---|
| S01 | 41.6 | 52.9 | 59.4 | 58.6 |
| S02 | 2.0 | 5.1 | 2.7 | 4.9 |
| S03 | 91.8 | 93.4 | 95.1 | 91.6 |
| S04 | 99.2 | 98.9 | 99.5 | 97.4 |
| S05 | 97.5 | 98.0 | 97.8 | 90.1 |
| S06 | 88.1 | 72.7 | 67.1 | 60.7 |
| P01 | 95.7 | 97.5 | 97.3 | 96.0 |
| P02 | 95.7 | 95.6 | 97.5 | 89.8 |
| P03 | 97.9 | 97.7 | 97.9 | 97.3 |
| P04 | 92.5 | 91.1 | 93.4 | 86.7 |
| P05 | 96.2 | 96.7 | 97.8 | 81.4 |
| P06 | 99.0 | 98.2 | 94.8 | 90.7 |
| P07 | 98.1 | 89.6 | 97.1 | 78.7 |
| P08 | 98.9 | 98.0 | 98.5 | 96.0 |
| P09 | 99.7 | 97.6 | 99.3 | 90.1 |
| P10 | 99.4 | 95.7 | 99.0 | 82.1 |
| P11 | 69.5 | 88.9 | 83.0 | 59.9 |
| P12 | 94.2 | 88.4 | 93.5 | 78.8 |
| O01 | 1.2 | 0.7 | 1.1 | 1.5 |
| O02 | 64.7 | 66.6 | 75.9 | 64.8 |
| O03 | ||||
| O04 | ||||
| O05 | ||||
| O06 | ||||
| O07 | ||||
| C01 | ||||
| C02 | ||||
| C03 | ||||
| C04 | ||||
| C05 |
Source: Neurological Information Center, Neurological Institute of Thailand. Processing Date March 6, 2024.
Note: n = number of ischemic stroke patients, HR = Health Region