Programmatic and Operational Measures
The achievement of key milestones, progress in operations, and implementation as measured by 22 programmatic and operational measures are laid out in our Operational Plan. Additional to the measures standard across all awardees, we selected measures uniquely applicable to our program:
- number of sites with ready THS in place;
- number of sites with trained THA;
- number of sites with trained HCPs;
- number of sites with trained radiology technicians;
- proportion of patients with neuro-emergent conditions enrolled per site;
- number of local follow-ups completed;
- percentage of satisfaction surveys completed;
- number of participants at monthly webinars;
- number of consults completed within 60 minutes;
- HCP satisfaction with THS at hub and spoke hospital;
- and HCP confidence at hub and spoke hospital.
From the suggested CMS measure list, we selected Hospital-Wide All-Cause Unplanned-Readmission measures. The readmission is an important operational and quality measure of our self-evaluation plan. If a patient is triaged to home via the THS only to check in at another ER, the purpose of our cost saving triage system is lost. Statewide collaboration and enrollment of hospitals in this model will make monitoring this measure feasible. CMS data on all readmission rates for all neuro-emergent patients will help to determine if a patient presented to another emergency room and to determine the overall readmission (representation rate).