Joint Commission Core Measure On Stroke

Running head: JOINT COMMISSION'S CORE MEASURE ON STROKE 1

Joint Commission's Core Measure on Stroke

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JOINT COMMISSION'S CORE MEASURE ON STROKE 2

Joint Commission's Core Measure on Stroke

Introduction

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.

JOINT COMMISSION'S CORE MEASURE ON STROKE 3

Literature Review

Prevalence of Stroke

Stroke is a common ailment that most hospitals deal with on a daily basis. US hospitals

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.

JOINT COMMISSION'S CORE MEASURE ON STROKE 4

Conclusion

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.

JOINT COMMISSION'S CORE MEASURE ON STROKE 5

References

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.

doi:10.1080/08998280.2009.11928486.

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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