The stroke navigator: meaningful use of the electronic health record to efficiently report inpatient stroke care quality

Jay K Nathan; Jenevra Foley; Tiffany Hoang; Jim Hiner; Stephanie Brooks; Julian L Gendreau; William J Meurer; Aditya S Pandey; Eric E Adelman

doi:10.1093/jamia/ocy102

The stroke navigator: meaningful use of the electronic health record to efficiently report inpatient stroke care quality

J Am Med Inform Assoc. 2018 Nov 1;25(11):1534-1539. doi: 10.1093/jamia/ocy102.

Authors

Jay K Nathan¹, Jenevra Foley^{2

3}, Tiffany Hoang^{2

3}, Jim Hiner⁴, Stephanie Brooks⁴, Julian L Gendreau⁵, William J Meurer^{2

3

6

7}, Aditya S Pandey^{1

3}, Eric E Adelman⁸

Affiliations

¹ Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.
² Department of Neurology, University of Michigan, Ann Arbor, Michigan, USA.
³ Comprehensive Stroke Center, University of Michigan, Ann Arbor, Michigan, USA.
⁴ Health Information & Technology Services, University of Michigan, Ann Arbor, Michigan, USA.
⁵ School of Medicine, Mercer University, Macon, Georgia, USA.
⁶ Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.
⁷ Stroke Program, University of Michigan, Ann Arbor, Michigan, USA.
⁸ Department of Neurology, University of Wisconsin, Madison, Wisconsin, USA.

Abstract

To facilitate high-quality inpatient care for stroke patients, we built a system within our electronic health record (EHR) to identify stroke patients while they are in the hospital; capture necessary data in the EHR to minimize the burden of manual abstraction for stroke performance measures, decreasing daily time requirement from 2 hours to 15 minutes; generate reports using an automated process; and electronically transmit data to third parties. Provider champions and support from the EHR development team ensured that we balanced the needs of the hospital with those of frontline providers. This work summarizes the development and implementation of our stroke quality system.

MeSH terms

Data Collection / methods
Electronic Health Records*
Hospitalization
Humans
Information Dissemination
Meaningful Use*
Organizational Case Studies
Quality of Health Care*
Stroke / therapy*