2023
Insurance-Based Disparities in Stroke Center Access in California: A Network Science Approach
Zachrison K, Hsia R, Schwamm L, Yan Z, Samuels-Kalow M, Reeves M, Camargo C, Onnela J. Insurance-Based Disparities in Stroke Center Access in California: A Network Science Approach. Circulation Cardiovascular Quality And Outcomes 2023, 16: e009868. PMID: 37746725, PMCID: PMC10592016, DOI: 10.1161/circoutcomes.122.009868.Peer-Reviewed Original ResearchConceptsInsurance-based disparitiesStroke centersEmergency departmentHospital clustersInitial emergency departmentIschemic stroke admissionsHospital emergency departmentClusters of hospitalsLogistic regression modelsStroke admissionsUninsured patientsPatient insuranceLower oddsPatientsLess strokeCenter accessOddsCenter transferHospitalLikelihood of transferInsurance groupsRegression modelsLower proportionDepartmentAssociation
2021
Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities From the Prehospital Stroke System of Care Consensus Conference: A Consensus Statement From the American Academy of Neurology, American Heart Association/American Stroke Association, American Society of Neuroradiology, National Association of EMS Physicians, National Association of State EMS Officials, Society of NeuroInterventional Surgery, and Society of Vascular and Interventional Neurology: Endorsed by the Neurocritical Care Society
Jauch E, Schwamm L, Panagos P, Barbazzeni J, Dickson R, Dunne R, Foley J, Fraser J, Lassers G, Martin-Gill C, O’Brien S, Pinchalk M, Prabhakaran S, Richards C, Taillac P, Tsai A, Yallapragada A, Conference O. Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities From the Prehospital Stroke System of Care Consensus Conference: A Consensus Statement From the American Academy of Neurology, American Heart Association/American Stroke Association, American Society of Neuroradiology, National Association of EMS Physicians, National Association of State EMS Officials, Society of NeuroInterventional Surgery, and Society of Vascular and Interventional Neurology: Endorsed by the Neurocritical Care Society. Stroke 2021, 52: e133-e152. PMID: 33691507, DOI: 10.1161/strokeaha.120.033228.Peer-Reviewed Original ResearchConceptsAmerican Heart Association/American Stroke AssociationSociety of VascularAmerican Stroke AssociationNeurocritical Care SocietyState EMS OfficialsInterventional NeurologyStroke AssociationStroke systemsConsensus statementConsensus conferenceNeurointerventional surgeryAmerican AcademyEMS physiciansAmerican SocietyNeurologyAssociationNational AssociationUrban communitiesSurgeryVascular
2017
American Heart Association’s Call to Action for Payment and Delivery System Reform
Bufalino V, Berkowitz S, Gardner T, Piña I, Konig M, Bauman M, Barbouche M, Creager M, Fonarow G, Gibbons R, Meltzer D, Meltzer N, Schwamm L, Warner J. American Heart Association’s Call to Action for Payment and Delivery System Reform. Circulation 2017, 136: e162-e171. PMID: 28696250, DOI: 10.1161/cir.0000000000000516.Peer-Reviewed Original ResearchConceptsAmerican Heart AssociationHeart AssociationDelivery system reformPatient-centered medical homeExpert panelDelivery system transformationAccountable care organizationsMedical homeHealth professionalsPatient careMedical careInterests of patientsBaseline reviewHealthcare systemCare organizationsParticular medicinePrivate payersAssociationPayment modelsCareDelivery modelAlternative deliverySystem reformFurther involvementPatientsThe American Heart Association’s Get With the Guidelines (GWTG)-Stroke development and impact on stroke care
Ormseth CH, Sheth KN, Saver JL, Fonarow GC, Schwamm LH. The American Heart Association’s Get With the Guidelines (GWTG)-Stroke development and impact on stroke care. Stroke And Vascular Neurology 2017, 2: 94. PMID: 28959497, PMCID: PMC5600018, DOI: 10.1136/svn-2017-000092.Peer-Reviewed Original ResearchConceptsStroke care deliveryAmerican Heart AssociationHeart AssociationCare deliveryEvidence-based careContinuous quality improvement initiativesQuality improvement initiativesInpatient outcomesStroke ProgramPatient characteristicsStroke outcomeStroke careStroke developmentVoluntary registryPatient outcomesHospital adherenceImprovement initiativesOutcomesCareGuidelinesAssociationGWTGDeliveryRegistry
2014
Strategies Used by Hospitals to Improve Speed of Tissue-Type Plasminogen Activator Treatment in Acute Ischemic Stroke
Xian Y, Smith E, Zhao X, Peterson E, Olson D, Hernandez A, Bhatt D, Saver J, Schwamm L, Fonarow G. Strategies Used by Hospitals to Improve Speed of Tissue-Type Plasminogen Activator Treatment in Acute Ischemic Stroke. Stroke 2014, 45: 1387-1395. PMID: 24713527, DOI: 10.1161/strokeaha.113.003898.Peer-Reviewed Original ResearchConceptsShorter DTN timesAcute ischemic strokeTissue-type plasminogen activatorDTN timeIschemic strokePlasminogen activatorIntravenous tissue-type plasminogen activatorTissue-type plasminogen activator treatmentTissue-type plasminogen activator administrationGuidelines-Stroke hospitalsMedian DTN timePlasminogen activator treatmentHospital strategiesNeedle timeSymptom onsetMultivariable analysisBaseline useEmergency departmentRapid doorActivator treatmentHospitalStrokeActivation systemAssociationActivator
2011
Stroke Quality Metrics
Parker C, Schwamm L, Fonarow G, Smith E, Reeves M. Stroke Quality Metrics. Stroke 2011, 43: 155-162. PMID: 21980213, DOI: 10.1161/strokeaha.111.635011.Peer-Reviewed Original ResearchConceptsPatient-centered outcomesQuality of carePublic reportingStroke metricsAcute hospital settingHigh-quality studiesPositive associationQuality improvement activitiesStroke outcomeStroke unitEmbase databasesEligible studiesPatient outcomesHospital settingEligibility criteriaSystematic reviewReported associationsHospital certificationProvider reimbursementOutcomesAssociationLimited associationCareQuality improvementCompliance
2010
Hospital Certification for Optimizing Cardiovascular Disease and Stroke Quality of Care and Outcomes
Fonarow G, Gregory T, Driskill M, Stewart M, Beam C, Butler J, Jacobs A, Meltzer N, Peterson E, Schwamm L, Spertus J, Yancy C, Tomaselli G, Sacco R. Hospital Certification for Optimizing Cardiovascular Disease and Stroke Quality of Care and Outcomes. Circulation 2010, 122: 2459-2469. PMID: 21098429, DOI: 10.1161/cir.0b013e3182011a81.Peer-Reviewed Original ResearchConceptsAmerican Heart Association/American Stroke AssociationAmerican Stroke AssociationCardiovascular diseaseStroke AssociationStroke qualityEvidence-based careStroke patientsLeading causeCurrent evidenceHospital accreditationStrokeDiseaseHealthcare expendituresHospital certificationCareOutcomesPatientsFuture strategiesAssociationHealthcare organizationsHospitalMixed findingsMortalityDefining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction
Lloyd-Jones D, Hong Y, Labarthe D, Mozaffarian D, Appel L, Van Horn L, Greenlund K, Daniels S, Nichol G, Tomaselli G, Arnett D, Fonarow G, Ho P, Lauer M, Masoudi F, Robertson R, Roger V, Schwamm L, Sorlie P, Yancy C, Rosamond W. Defining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction. Circulation 2010, 121: 586-613. PMID: 20089546, DOI: 10.1161/circulationaha.109.192703.Peer-Reviewed Original ResearchConceptsCardiovascular health promotionCardiovascular health statusAmerican Heart AssociationCardiovascular healthHeart AssociationCardiovascular diseaseHealth promotionHealth statusIdeal health behaviorsIdeal health factorsIdeal cardiovascular healthImpact goalsStroke mortalityHealth behaviorsDisease preventionHealth factorsPublic healthDiseaseAdvocacy programsWhole populationHealthTask ForceAssociationStatusCommittee