Stroke QI · 2026-1Q

Stroke Transports

1,112

2026-1Q · all agencies

Positive Stroke Scales

922

LVO screening n/a

Pre-Alert Compliance

86.0%

702 of 816 qualifying patients alerted

▼ Below 95% target

Stroke Center Destination

0.0%

0 of 922 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

922

any assessment positive

Non-Conclusive

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	97.9%	95%	✓
Blood Glucose Documented	100.0%	95%	✓
Onset / Last Known Well Documented	96.2%	95%	✓
Pre-Alert Compliance (+scale, in window)	86.0%	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	114 cases	0	✗
Alert Type Mismatches (verify docs)	0 cases	0	✓
Over-Alerts	53 cases	Minimize	!

Alert Analysis

Missed Alerts

114

positive scale in window, no pre-alert

Over-Alerts

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	Non-SC
Anytown Fire District	234	98.3%	100.0%	97.4%	184	164	122	74.4%	42	7	184
Lakeside EMS	559	97.9%	100.0%	96.1%	475	423	390	92.2%	33	30	475
Metro Ambulance Service	319	97.8%	100.0%	95.6%	263	229	190	83.0%	39	16	263
SYSTEM TOTAL	1112	97.9%	100.0%	96.2%	922	816	702	86.0%	114	53	922

Destinations by Stroke Scale Result — 2026-1Q

Hospital	Code	Designation	+Scale	Total
Code 29901	29901	Non-SC	160	196
Code 29902	29902	Non-SC	130	159
Code 29903	29903	Non-SC	116	141
Code 29904	29904	Non-SC	91	112
Code 29905	29905	Non-SC	76	87
Code 29906	29906	Non-SC	74	91
Code 29908	29908	Non-SC	69	81
Code 29907	29907	Non-SC	66	79
Code 29909	29909	Non-SC	47	55
Code 29910	29910	Non-SC	37	44
Code 29911	29911	Non-SC	35	42
Code 29912	29912	Non-SC	21	25

⚠ = 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) · 978 of 1112 inside the 24h window · 0 call(s) used multiple scale types

Pre-Alert Trend — qualifying vs alerted

690

559

2025-2Q

786

621

2025-3Q

679

558

2025-4Q

816

702

2026-1Q

Should pre-alert (positive, in window)

Pre-alert given

Case inclusion: 1,112 of 1,112 records qualify (emergency response · ED destination · transported by this unit · specialty primary impression)
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