(2021-11-30)
The Australian Stroke Coalition is pleased to announce, for the third year, the winners of its National Quality Stroke Service Awards.
These national awards have been established by the Australian Stroke Coalition to recognise high performing hospitals. This year the awards have been based on data submitted to the Australian Stroke Clinical Registry (AuSCR), and the Stroke Foundation National Acute Services Audit.
In 2021, there are two award categories based on:
- the provision of nine quality of stroke care metrics (in line with National Stroke Guidelines and national Acute Stroke Clinical Care Standards)
- the provision of timely reperfusion treatments.
Category 1: Provision of nine quality of stroke care metrics
This was awarded based on a composite score, derived from the following variables submitted to the AuSCR (1st July 2020 to 31st March 2021) or Stroke Foundation National Acute Services Audit (January 2020 to June 2021):
- Provision of stroke unit care.
- Ischaemic strokes treated with thrombolysis (tPA) OR endovascular clot retrieval (ECR, if offered by hospital).
- Ischaemic strokes treated with thrombolysis within 60 mins of hospital arrival.
- Ischaemic strokes treated with endovascular clot retrieval within 90 minutes of hospital arrival.
- Patients mobilised on the same day or day after hospital arrival.
- Provision of antihypertensive medication on discharge*
- Provision of antithrombotic medication on discharge*#
- Provision of lipid-lowering medication on discharge*#
- Provision of a discharge care plan, if discharged to the community.
* where not contraindicated
# excluding haemorrhagic strokes
Excellence Awards were given to hospitals that have:
- ≥30 episodes entered.
- composite score ≥80%.
- case ascertainment ≥70%.
- <10% missing data for award variables.
Merit Awards were given to hospitals that have:
- ≥30 episodes entered.
- composite score ≥70%.
- case ascertainment ≥70%.
- <10% missing data for award variables.
Honorable Mentions were given to hospitals that have:
- ≥30 episodes entered.
- composite score ≥80%.
- case ascertainment of ≥60% OR ≥10% missing data for 1 award variables.
NOTE: case ascertainment was not assessed in the Stroke Foundation audit
Category 1 Award winners based on data submitted to AuSCR
Excellence
- Peninsula Health – Frankston Hospital
- Redcliffe Hospital
- Townsville Hospital
- Cairns Hospital
- Queen Elizabeth II Jubilee Hospital
- Goulburn Valley Health
- Echuca Regional Health
- Wimmera Base Hospital
- Port Macquarie Hospital
Merit
- Austin Hospital
- Warrnambool Base Hospital
- Box Hill Hospital
- Rockhampton Hospital
- Caboolture Hospital
- Ipswich Hospital
- Princess Alexandra Hospital
- Mildura Base Hospital
- Maroondah Hospital
- Hamilton Base Hospital
- West Gippsland Hospital
- Canberra Health Service
Honorable Mention
- Royal Brisbane and Women’s Hospital
- Gold Coast University Hospital
- Royal Melbourne Hospital
- Calvary Health Care
Category 1 Award winners based on data submitted to the Stroke Foundation National Acute Services Audit
Excellence
- Shoalhaven District Memorial Hospital
- Sutherland Hospital
- Wagga Wagga Base Hospital
- Northern Beaches Hospital
Merit
- Bankstown Hospital
- Calvary Mater Hospital
- Campbelltown Hospital
- Concord Hospital
- Gosford Hospital
- Ryde Hospital
- Wyong Hospital
- Joondalup Health Campus
- Royal Perth Hospital
- St John of God Midland Public Hospital
Category 2: Provision of timely reperfusion treatments
These awards were given to hospitals that have provided thrombolysis within 60 minutes of hospital arrival, or endovascular clot retrieval (ECR) within 90 minutes of hospital arrival, based on data submitted to the AuSCR (1st July 2020 to 31st March 2021) or Stroke Foundation National Acute Services Audit (January 2020 to June 2021).
Merit Awards were given to hospitals that have:
- ≥15 episodes provided thrombolysis or endovascular clot retrieval (ECR).
- Median door-to-needle time for thrombolysis <60 mins OR median door-to-groin time for ECR <90 mins.
- Case ascertainment of ≥70% AND <10% missing data for the reperfusion time used for the award calculation.
Honorable Mentions were given to hospitals that have:
- ≥15 episodes provided thrombolysis or endovascular clot retrieval (ECR).
- Median door-to-needle time for thrombolysis <60 mins OR median door-to-groin time for ECR <90 mins.
- Case ascertainment between 60-69% OR ≥10% missing data for the reperfusion time variable used for the award calculation.
Category 2 Award (tPA) winners based on data submitted to AuSCR
Merit
- Box Hill Hospital
- Austin Hospital
- Royal Melbourne Hospital
Category 2 Award (ECR) winners based on data submitted to AuSCR
Merit
- Royal Melbourne Hospital
- Royal Adelaide Hospital
Honorable Mention
- Royal Brisbane and Women’s Hospital
- Westmead Hospital
NOTE: There were no winners in Category 2 based on data submitted to the Stroke Foundation Audit.