ASC Stroke Program Certification & Standards Flashcards
6 cards from real ASC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ASC Stroke Program Certification & Standards flashcards as text
Under TJC stroke certification, which term describes the written description of how clinical care is delivered, including pathways and order sets?
Answer: Evidenced-based care protocol
TJC certifications evaluate evidenced-based care protocols — documented processes demonstrating that care is grounded in current clinical guidelines.
Which performance measure captures the proportion of ischemic stroke patients discharged on antithrombotic therapy and is tracked by GWTG-Stroke?
Answer: Antithrombotic therapy at discharge
Antithrombotic therapy at discharge is a core GWTG-Stroke measure reflecting guideline-concordant secondary prevention prescribing.
A stroke coordinator notices the hospital's tPA rate for eligible patients dropped to 4%. According to certification standards, what is the expected next step?
Answer: Conduct a root cause analysis and document corrective actions
Certification standards require that performance gaps trigger a documented performance improvement process including root cause analysis and corrective action planning.
Which stroke certification standard specifically addresses the requirement for a designated stroke program coordinator or champion?
Answer: Leadership standard requiring an identified program director or coordinator role
TJC stroke certification requires designated leadership accountability, typically through an identified medical director and program coordinator role.
Which element is required in a stroke center's written transfer agreement to meet certification standards?
Answer: Defined transfer criteria and receiving facility capabilities
Transfer agreements must specify clinical criteria triggering transfer and document the receiving facility's capabilities to accept and treat transferred stroke patients.
A stroke coordinator is conducting annual competency assessments. Under TJC standards, who is primarily responsible for ensuring staff competency in stroke care is maintained?
Answer: The hospital's leadership and stroke program director
TJC holds organizational leadership accountable for establishing and maintaining staff competency programs, not individual practitioners alone.