Stroke Data Analysis: Review the clinical data on stroke patient care for these three patients:

Stroke Data Collection Form
General Data Element Name
Case Number	John Doe	Catherine Brown	Bob Jones
Admission Date	1/27/xx	2/8/xx	1/10/xx
Discharge Date	1/30/xx	2/11/xx	1/15/xx
STK 1 Venous Thromboembolism (VTE) ProphylaxisIschemic or hemorrhagic stroke patients who received VTE prophylaxis (anti-platelet medication) or have documentation why not VTE prophylaxis was given on the day of or the day after hospital admission. (VTE = low-molecular-weight heparin (LMWH), low-dose unfractionated heparin (LDUH), or fondaparinux. Aspirin alone is not recommended.	Started patient on antiplatelet medication (found in consult and progress note)	Seen at another hospital prior to admission so this may have been prescribed but this is not documented in this record	Started on Aggrenox
STK-2 Discharged on Antithrombotic TherapyIschemic stroke patients prescribed antithrombotic therapy at hospital discharge	Aspirin prescribed at discharge (discharge summary)	Not prescribed	Discharged on Aggrenox
STK-3 Anticoagulation Therapy for Atrial Fibrillation/FlutterIschemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge	No atrial fibrillation or flutter documented	No atrial fibrillation or flutter documented	Suspected not diagnosed
STK-4 Thrombolytic TherapyAcute ischemic stroke patients who arrived at this hospital within 2 hours of time last known well and for whom IV alteplase was initiated at this hospital within 3 hours of time last known well	Alteplase not given because patient was out of the window (found in H&P)	Seen at another hospital prior to admission so this may have been prescribed but this is not documented in this record	not prescribed
STK-5 Antithrombotic Therapy by End of Hospital Day 2Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2.	Started patient on antiplatelet medication (found in consult and progress note)	Not prescribed	Aggrenox
STK-6 Discharged on Statin MedicationIschemic stroke patients who are prescribed statin medication at hospital discharge.	Patient prescribed Atorvastatin at discharge (discharge summary)	No statin prescribed on discharge	Zocor prescribed at discharge
STK-8 Stroke EducationIschemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke.	Stroke education provided per discharge summary	Stroke education provided per physician order	No documentation of stroke education
STK-10 Assessed for RehabilitationIschemic or hemorrhagic stroke patients who were assessed for rehabilitation services.	No residuals so patient did not need rehab	Patient refused rehab but will have home health PT (noted on progress note)	PT/OT will continue via home health (discharge summary

After reviewing the data, answer the following questions

1. Based on the abstracted data listed in the Stroke Data file, did the hospital providing this patient care meet the established criteria for STK 1 Venous Thromboembolism (VTE) Prophylaxis on all three patients?
2. Based on the abstracted data listed in the stroke data collection form, did the hospital providing this patient care meet the established criteria for STK-2 Discharged on Antithrombotic Therapy on all three patients?
3. Based on the abstracted data listed in the stroke data collection form, did the hospital providing this patient care meet the established criteria for STK-3 Anticoagulation Therapy for Atrial Fibrillation/Flutter on all three patients?
4. Based on the abstracted data listed in the stroke data collection form, did the hospital providing this patient care meet the established criteria for STK-4 Thrombolytic Therapy on all three patients?
5. Based on the abstracted data listed in the stroke data collection form, did the hospital providing this patient care meet the established criteria for STK-5 Antithrombotic Therapy by End of Hospital Day 2 on all three patients?
6. Based on the abstracted data listed in the stroke data collection form, did the hospital providing this patient care meet the established criteria for STK-6 Discharged on Statin Medication on all three patients?
7. Based on the abstracted data listed in the stroke data collection form, did the hospital providing this patient care meet the established criteria for STK-8 Stroke Education on all three patients?
8. Based on the abstracted data listed in the stroke data collection form, did the hospital providing this patient care meet the established criteria for STK-10 Assessed for Rehabilitation on all three patients?
9. What are the areas of concern in compliance with reporting this hospital's data?