Stroke QI · Medical director findings

Medical Director Summary — 2026-1Q

In 2026-1Q, Demo County EMS evaluated 1,112 stroke transports across 3 agencies. 922 patients (82.9%) had a positive stroke scale; LVO screening was not available for this export (eVitals.30/.34 absent). Pre-arrival alerts were documented for 702 of 816 qualifying patients (86.0%, below the 95% target). Documentation rates: stroke scale 97.9%, blood glucose 100.0%, onset/last-known-well 96.2%. Stroke-center destination compliance was 0.0% (below the 95% target). Compared with 2025-4Q, pre-alert compliance rose 3.8 points and LVO-suspected volume went from 0 to 0.

Focus Areas This Quarter

Action Items

114 missed stroke alert(s) — positive scale inside the 24h window with no pre-alert; itemized in Flagged Incidents by agency.

Pre-alert compliance (86.0%) is below the 95% target.

Destination compliance (0.0%) below target — 922 positive-scale patient(s) reached non-stroke centers.

Quarter-over-Quarter Change — 2025-4Q → 2026-1Q

Trend vs Prior Quarter

Pre-alert compliance improved ▲ 3.8 pts (82.2% → 86.0%)

Stroke-center destination held steady ▬ 0.0 pts (0.0% → 0.0%)

Scale documentation improved ▲ 1.0 pts (96.9% → 97.9%)

BGL documentation held steady ▬ 0.0 pts (100.0% → 100.0%)

Onset/LKW documentation improved ▲ 1.9 pts (94.3% → 96.2%)

Positive scales rose ▲ 145 (777 → 922)

Missed alerts fell ▼ 7 (121 → 114)

Alert type mismatches unchanged ▬ 0 (0 → 0)