Stroke QI Performance Dashboard

Stroke Transports

1,002

2026-1Q · all agencies

Positive Stroke Scales

831

LVO screening n/a

Pre-Alert Compliance

94.1%

16 of 17 qualifying patients alerted

▼ Below 95% target

Stroke Center Destination

0.0%

0 of 831 positives to stroke center

▼ Below 95% target

Scale Results Trend · LVO overlay · last 4 quarters

Positive

Non-Conclusive

Negative

Pert Neg

Not Recorded

LVO suspected (line)

Stroke Scale Classification

Positive

831

any assessment positive

Non-Conclusive

107

documented, indeterminate

Negative

scale completed, negative

Pert Neg / Unable

unable to complete

Not Recorded

no scale documented

Quality Indicators

Metric	Achievement	Target	Status
Stroke Scale Documented	98.9%	95%	✓
Blood Glucose Documented	97.5%	95%	✓
Onset / Last Known Well Documented	98.7%	95%	✓
Pre-Alert Compliance (+scale, in window)	94.1%	95%	✗
Stroke Center Destination	0.0%	95%	✗
LVO Suspected to LVO-Capable Center	n/a — eVitals.30/.34 not in this export (no version column to verify era)	—	—
Missed Stroke Alerts	1 cases	0	✗
Alert Type Mismatches (verify docs)	5 cases	0	✗
Over-Alerts	907 cases	Minimize	!

Alert Analysis

Missed Alerts

positive scale in window, no pre-alert

Over-Alerts

907

pre-alert without qualifying criteria

Alert Type Mismatches

pre-alert documented as a non-stroke condition (e.g. Trauma/STEMI) — verify documentation

LVO Suspected

—

n/a — eVitals.30/.34 not in this export (no version column to verify era)

Agency Performance — 2026-1Q

Agency	Total	SS Doc	BGL	Onset	Positive	Should Alert	Alerted	Compliance	Missed	Over	Mismatch	Non-SC
Cedar Valley EMS	435	98.6%	97.5%	97.0%	371	6	6	100.0%	0	406	1	371
Metro Ambulance Service	2	100.0%	100.0%	100.0%	2	0	0	N/A	0	2	0	2
Riverbend Fire	565	99.1%	97.5%	100.0%	458	11	10	90.9%	1	499	4	458
SYSTEM TOTAL	1002	98.9%	97.5%	98.7%	831	17	16	94.1%	1	907	5	831

Destinations by Stroke Scale Result — 2026-1Q

Hospital	Code	Designation	+Scale	Total
Fairmont Regional Medical Center	20286	Non-SC	154	177
Riverside Regional Hospital	20197	Non-SC	142	168
St. Mary's Medical Center	20205	Non-SC	122	143
Ashford Medical Center	20475	Non-SC	80	102
Westlake Memorial Hospital	20288	Non-SC	79	94
Sterling Memorial Hospital	20508	Non-SC	78	96
Demo County Medical Center	20196	Non-SC	48	56
Summit Ridge Medical Center	20280	Non-SC	46	56
Brookfield General Hospital	20282	Non-SC	45	60
Birchwood Community Hospital	20481	Non-SC	36	47
Hillside Regional Hospital	20533	Non-SC	1	1
Northgate Community Hospital	20247	Non-SC	0	1
Parkview Medical Center	20549	Non-SC	0	1

⚠ = LVO-suspected patient delivered to a facility not tagged LVO-capable · LVO centers configured in stroke_config.py

Stroke Scale Types Used (eVitals.30)

Counts are per documented scale — one call can use more than one type and appears under each.

No scale type documented this quarter

0 numeric scores documented (eVitals.34) · 17 of 1002 inside the 24h window · 0 call(s) used multiple scale types

Case inclusion: 1,002 of 4,997 records qualify (emergency response · ED destination · transported by this unit · specialty primary impression) — excluded: 3995 response type
Scale Result from eVitals.29, Type from eVitals.30, Score from eVitals.34 (NEMSIS 3.5.1) · Pre-alert window: 24h from onset/last-known-well · Targets and criteria editable in stroke_config.py · Generated by PCRTrend