TY  - JOUR
AU  - Daudelin, Denise H.
AU  - Kulick, Erin R.
AU  - D'Amore, Katrina
AU  - Lutz, Jennifer S.
AU  - Barrientos, Mirian T.
AU  - Foell, Kathy
PY  - 2013
TI  - The Massachusetts Emergency Medical Service Stroke Quality Improvement Collaborative, 2009-2012
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E161
VL  - 10
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Quality improvement collaboratives are a popular model used to address gaps between evidence-based practice and patient care. Little is known about use of such collaboratives in emergency medical services, particularly for improving prehospital stroke care. To determine the feasibility of using this approach to improve prehospital stroke care, we conducted a pilot study of the Emergency Medical Services Stroke Quality Improvement Collaborative. METHODS  Seventeen Massachusetts emergency medical service agencies participated in the quality improvement collaborative pilot project. We identified 5 prehospital stroke performance measures to assess the quality of prehospital care, guide collaborative activities, and monitor change in performance over time. During learning sessions, participants were trained in quality improvement and performance measurement, analyzed performance measure results, and shared successes and challenges. Focus groups were conducted to understand participants' experiences with the collaborative. RESULTS  Participating emergency medical service agencies collected stroke performance measures on 3,009 stroke patients during the pilot study. Adherence to 4 of 5 performance measures increased significantly over time. Participants acknowledged that the collaborative provided them with an efficient and effective framework for stroke quality improvement and peer-learning opportunities. CONCLUSION  As evidenced in Massachusetts, quality improvement collaboratives can be an effective tool to improve prehospital stroke care. The data collected, improvements made, participation of emergency medical service agencies, and positive experiences within the collaborative support the continued use of this approach.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd10.130126
DO  - 10.5888/pcd10.130126
ER  - 
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