Joint Commission core measure on stroke

Joint Commission's Core Measure on Stroke
Institutional Affiliation
Joint Commission's Core Measure on Stroke
The joint commission core measures act as standardized action plans for the amount of
care given to patients in particular disease fields. The Joint Commission suggests ten core
measures for stroke to improve the quality of care given to patients that present with this
condition. However, each hospital or medical center applies the core measures differently,
although it outlines goals and quality guidelines. The differences in application occur due to the
variations in familiarity with the guidelines, provider training, and the systems and tools for
providing proper care (Panezai, Gezmu, Kirmani, Bitra, Mammo & Gizzi, 2013). Explained are
the reasons that prompted the instituting of Core Measures by the Joint Commission, plus a
literature review on the disease which guides a better understanding of acceptable stroke patient
care guidelines.
Prompting Reason
Stroke is one of the most severe illnesses in the world today accounting for several
hospitalizations daily. It is upon this background that the justifies its prompt concern for the
institutionalization of the critical core measures on stroke to enhance the quality of care given to
patients battled with stroke (Masica, Richter, Convery & Haydar, 2009). Findings by Poisson
and Josephson (2011) indicate that it is the existing gaps in the practice and required guidelines
for stroke care that pressed the institution of quality measures on stroke. Indeed, the alarming
number of patients admitted in hospitals daily with stroke cannot leave the healthcare sector the
same as quality care for these patients is necessary. Therefore, the prevalence of the severity of
the stroke and the gaps in the quality of healthcare guidelines prompted the institution of core
measures on stroke by the Joint Commission.
Literature Review
Prevalence of Stroke
Stroke is a common ailment that most hospitals deal with on a daily basis. US hospitals
register more than 795000 stroke cases annually, which accounts for up to 889000
hospitalizations (Poisson et al. 2011). Different organizations like the Joint Commission, Centers
for Disease Control and others have collaboratively come up with stroke core measures to put
forward quality metrics for providing care to patients. Giuseppe and Amantea (2014) state that
there are many patients with stroke in remote areas, but do not receive the same type of care as in
urban stroke centers. They show the importance of obligatory procedures for all stroke centers in
improving the care given to stroke patients (Giuseppe et al. 2014). Therefore, this underlines the
essence of following quality care guidelines among all medical centers in the quest of improving
the quality of life for stroke patients.
Compliance with Guidelines
The core measures by the Joint Commission serve as a national standard practice and
performance measurement system that assesses the healthcare delivery for stroke. The Joint
Commission sets hospital-based measures which all health and stroke centers must adhere to for
quality care provision. Masica et al. (2009) reveal that some hospitals do not follow the
guidelines as required, which impairs the dispensation of adequate care to stroke patients. In a
similar view, findings reveal that despite the awareness of core measures, care provider
limitations like lack of tools and training in applying the metrics exist (Panezai et al. 2013). With
this, the effect of the core measures is still limited, especially in remote stroke health centers.
Thus, compliance with the guidelines still faces challenges, although, for those who apply them,
the results are positive.
It is the severity and prominence of Stroke in the public that the Joint Commission in
conjunction with other organizations was prompted in the formulation of the Core Measure
guidelines. The Joint Commission looks at people’s health and presents guidelines on how to
best care for patients with stroke and other conditions. Every year, thousands of patients report in
hospitals with a stroke which is why the guidelines are essential to direct nurses and physicians
in handling these individuals. However, studies show that the adherence to the nationally
standardized metrics is very low, meaning the quality of care to stroke patients still lacks. As it
flows from the essays, the prevalence and gaps in care provision for stroke conditions prompted
the institution of the core measures and compliance with these results in quality care in hospitals.
Giuseppe, M., & Amantea, D. (2014). Rational Basis for Clinical Translation in Stroke
Therapy. New York: CRP Press.
Masica, A. L., Richter, K. M., Convery, P., & Haydar, Z. (2009). Linking Joint Commission
Inpatient Core Measures and National Patient Safety Goals with Evidence. Baylor
University Medical Center Proceedings, 22(2), 103-111.
Panezai, S., Gezmu, T., Kirmani, J., Chukwuneke, F., Bitra, R., Mammo, A., & Gizzi, M.
(2013). Compliance with joint commission measures in state-designated stroke
centers. Journal of Hospital Medicine, 9(2), 88-93. doi:10.1002/jhm.2133.
Poisson, S. N., & Josephson, S. A. (2011). Quality Measures in Stroke. The
Neurohospitalist, 1(2), 71-77. Doi: 10.1177/1941875210392052.

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