QUALITY IMPROVEMENT PROGRAMS FOR STROKE IN ESTONIA

Abstract 0

Background. In 2015 quality improvement program with the aim to improve the management of stroke in Central and Eastern Europe was launched by ESO-EAST. On the same time, a national program in cooperation of the University of Tartu and Estonian National Health Insurance Fund (NHIF) was started in Estonia. Methods: The RES-Q database is a tool for prospective clinical data collection from participating hospitals for continuous monitoring, evaluation and improvement of health care quality in ESO-EAST countries. The data for the national quality indicators program derive from the NHIF database (data from bills for acute stroke services in all Estonian hospitals linked with national death registry and medication prescription database). The results for 2017 are presented.Results: According to the national quality indicators program, a total of 80% (95% CI 79-82%) of 3598 acute strokes were managed in 6 Estonian stroke-ready hospitals in 2017. Totally, 21% (95% CI 20-23%) of ischemic stroke patients in Estonia received acute recanalization therapies. However, inpatients rehabilitation services within 30 days after stroke were available only for 21% (95% CI 20-22%) of patients. Four of the stroke-ready hospitals have joined RES-Q and a total of 417 stroke cases from 4 centres are registered into the database by January 2019 during the annual 1-month collection period (March/April) since 2017. Conclusion: The data from national quality indicators project and RES-Q database jointly provide information for developing a national strategy of stroke management and certify stroke units. Permanent communication with the Ministry of Social Affairs and the NHIF is in progress.

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