Stroke Volumes and Outcomes
Expert stroke care makes a difference. Henry Ford Hospital achieved Comprehensive Stroke Center certification from The Joint Commission in 2016 – the first hospital to do so in Detroit and the fifth in the state of Michigan. We monitor our data and outcomes on a regular basis to ensure we are meeting quality and performance standards, and working to identify ways to continue to improve care. Anywhere you go to receive stroke care within Henry Ford Health System, you will be connected with stroke experts.
At Henry Ford Hospital, we are experienced in treating every type of stroke and working with patients to prevent future strokes. We treated 1,215 stroke patients in 2017. To learn about different types of stroke, click here.Henry Ford Hospital Stroke Patient Volumes by Diagnosis, 2017 (Total = 1,215 patients)
Ischemic Stroke Transient Ischemic Attack Intracerebral Hemorrhage
Subarachnoid Hemorrhage Elective Carotid Intervention Only HFH Stroke Diagnosis 2017 72% 8% 11% 5% 4%
IV alteplase (referred to as tPA) is a "clot-busting" drug that can be administered to patients experiencing an acute ischemic stroke up to 4.5 hours from when the patient was last known to be normal. The faster IV tPA can be administered, the better. At Henry Ford Hospital we continue to treat more patients each year.
For patients who are experiencing an acute stroke due to a large vessel occlusion, they may be eligible for endovascular treatment where a cather is inserted through the groin up to the brain to remove the clot mechanically. Henry Ford Hospital is a TJC-certified Comprehensive Stroke Center and continues to treat more patients each year with this procedure.
Stroke Discharge Locations
When patients with stroke are discharged from Henry Ford Hospital, a higher percentage return home compared to other Comprehensive Stroke Centers, and a lower percentage die during their hospital stay or need to enter hospice care programs.Henry Ford Hospital Stroke Patient Discharge Disposition, 2017
Where Stroke Patients Went After Discharge 2017 Home Inpatient Rehab Facility Skilled Nursing Facility
Long Term Care Hospital Acute Care Facility Hospice Death Henry Ford Hospital 48.2%
4.7% 6.8% Other Comprehensive Stroke Centers 47.3% 20% 15.3% 1.5% 1.8% 4.7% 8.1%
Stroke Program Performance
As a Joint Commission-certified Comprehensive Stroke Center, Henry Ford Hospital monitors 16 measures of performance, and many others that align with the American Stroke Association or with internal measures of success. Compared to other Comprehensive Stroke Centers across the country, we perform the same or better on most measures. For more information on The Joint Commission Primary and Comprehensive Stroke Performance Measures, click here.
Henry Ford Hospital Other Comprehensive Stroke Centers 2017 Primary Stroke (STK) Performance Measures VTE Prophylaxis 99.6 98.1 Antithrombotics at Discharge 99.4 99.5 Anticoagulation 96.1 97.8 IV Thrombolytics 100 94.5 Early Anithrombotics 97 97.8 Statins 98.1 98.3 Stroke Education 97.1 96.8 Assessed for Rehabilitation 99.7 99.4 Henry Ford Hospital Other Comprehensive Stroke Centers 2017 Comprehensive Stroke (CSTK) Performance Measures NIH Stroke Scale 89.5 84.3 Modified Rankin Score 100 89.2 Severity Score 84.4 63 Procoagulant Reversal 81.8 88 Hemorrhagic Transformation Rate* 2.8 5.7 Nimodipine Treatment 87.8 84.4 TICI 2b or 3 84 85.6
*Lower is better for this measure.
Stroke Program Outcomes
When it comes to acute stroke, time is brain! Once you arrive to our emergency room, we focus on delivering care as fast as possible in order to provide the best possible outcome for our patients. We participate in the American Stroke Association Target: Stroke initiative. To learn more about Target: Stroke Measures, click here. To learn about our Emergency Department: click here.
2017 Timeliness of Treatment
Henry Ford Hospital
Other Michigan Hospitals (if known)
Door to CT Times, when patient arrives < 3 hours from Last Known Well (median)
< 20 minutes
Door to lab times, when patient arrives < 4.5 hours from Last Known Well (median)
< 40 minutes
% Door to IV tPA in < 60 minutes
% Door to IV tPA in < 45 minutes
Procedures to prevent a stroke or a future stroke may include carotid endarterectomy (CEA) or carotid artery stenting (CAS) to open up the carotid artery if it becomes narrow. We monitor our complications from these procedures to ensure we are providing the safest, most appropriate care for our patients. Our 2017 outcomes are as follows. To learn more about carotid procedures, click here. To learn about our Departments of Vascular Surgery and Neurosurgery, click here.
2016 - 2017 Carotid Procedure Outcomes
Henry Ford Hospital
30-day stroke & death rate following symptomatic carotid endarterectomy & carotid artery stenting
1/77 = 1.3%
30-day stroke & death rate following asymptomatic carotid endarterectomy & carotid artery stenting
1/50 = 2.0%
Diagnostic cerebral angiographies are frequently performed to evaluate problems related to blood vessels of the brain, when a non-invasive CT or MRI scan is not adequate. They are invasive, radiological procedures that may result in serious complications (stroke or death), even in patients with no prior stroke. To learn about our Department of Radiology, click here.
2016 - 2017 Diagnostic Cerebral Angiograms
Henry Ford Hospital
24-hour stroke & death rate following diagnostic cerebral angiogram
2/1,118 = 0.2%