Projects Minnesota Stroke Registry

Projects
Minnesota Stroke Registry

The Minnesota Stroke Registry (MSR) is Minnesota’s statewide stroke registry operated by the Minnesota Stroke Program at the Minnesota Department of Health (MDH). Data are submitted via the Minnesota Stroke Registry Tool, a free data collection and reporting platform available to all Minnesota hospitals. Real-time reports on core measures, performance measures, and quality of care indicators are available at no charge. Hospitals participating in the American Heart Association’s Get With The Guidelines-Stroke® program can participate in the MSR through an automatic download of data performed by MDH. All hospitals meet stroke measure data submission requirements for the Minnesota Statewide Quality Reporting and Measurement System (SQRMS) by submitting data to the Minnesota Stroke Registry.

Participation Levels

There are three tracks of participation in the Minnesota Stroke Registry. All acute treatment hospitals* must participate at one of these levels.

Track 1: Quality - Submit minimum (SQRMS) data on emergency department care, for statewide quality reporting

Track 2: Emergency Stroke Care (ESC) - Submit SQRMS data plus limited data on emergency department care

Track 3: Coverdell - Submit full panel of data on emergency and inpatient care. Data are submitted to the CDC Paul Coverdell National Acute Stroke Registry.

*Exempted: Federal and Indian Health Service hospitals, children’s hospitals, and facilities designed primarily for specialty services.

Data Submission Schedule

Members can log in at Minnesota Stroke Central to submit data.

  • Q1 (Jan - Mar) due August 15
  • Q2 (Apr - Jun) due November 15
  • Q3 (Jul - Sep) due February 15
  • Q4 (Oct - Dec) due May 15

Case definition

Ischemic stroke, hemorrhagic stroke, and Transient Ischemic Attack (TIA) patients presenting to the emergency department (admitted or transferred to another acute treatment facility). An ICD-10 code list is provided by MDH. Certain exclusions apply.

Training

MDH provides a one-hour training session for abstractors. Training webinars are offered regularly to provide updates on data and abstraction issues. Technical assistance is available upon request.

Recommended Stroke Program Components and Opportunities

Program Coordinator

All hospitals must have a stroke program coordinator who is responsible for being the primary point of contact with MDH. This person coordinates the development of the hospital’s stroke program work.

Stroke Committee

All hospitals should have a stroke committee which may include representatives from the emergency department, radiology, lab, pharmacy, nursing, quality, and patient care services. This committee should meet to review data, discuss care process issues, and identify areas for performance improvement.

Quality Improvement

We encourage hospitals to be engaged in continuous quality improvement. Participation in the MSR goes beyond data collection; the goal is to improve stroke outcomes and delivery of care to your patients. We ask that you implement at least one quality improvement project per year.

Education Opportunities

We host the annual statewide Minnesota Stroke Conference, Regional Stroke Workshops, and web/phone-based learning opportunities for providers. We encourage participation in these free and low-cost education opportunities.

Networking

We convene the Minnesota Stroke Coordinators Group quarterly. Members of this group share lessons and resources to improve stroke care in their facilities. Contact MDH for details on participation.

For questions, email: health.stroke@state.mn.us  or call: (651) 201-5436.