Abstract W P327: Defect-Free Stroke Care Results in Lower Hospitalization Costs

Background: Defect-free hospital care suggests greater quality and may provide better outcomes for acute ischemic stroke(AIS) patients. Previously we reported a 5-item stroke care bundle that was associated with an increased likelihood of favorable discharge status (home/acute rehabilitation). The effect of defect-free care on total cost of hospitalization remains unknown. Hypothesis: Defect-free compliance to a 5-item stroke care bundle will result in significant cost savings while improving clinical outcomes. Methods: A retrospective cohort study of hospitalized AIS patients 18 years or older was conducted at 6 Intermountain Healthcare facilities from 2009-2012. Defect-free care was defined as compliance with 5 care measures: ED arrival to head CT <25 minutes, DTN <60 minutes, discharge on an anti-platelet, anticoagulation for patients with atrial fibrillation, and statin medication at discharge. All patients who met eligibility criteria for any measure were included. Generalized Linear Mixed (GLIMMIX) ...