Stroke Program Outcomes

Providence Little Company of Mary Medical Center was the first hospital to receive Los Angeles County EMS designation as a Comprehensive Stroke Center. This designation identifies facilities that provide a special procedure called thrombectomy—used to treat patients experiencing a stroke caused by a blockage of a large blood vessel of the brain. As of January 8, 2018, LA County EMS policy allows EMS providers to transport patients having symptoms of this types of stroke directly to a Designated Comprehensive Stroke Center.

The Joint Commission and the American Stroke Association measure eight standards of inpatient stroke care. These standards are uses as measures which evaluate the care provided to stroke patients admitted to the facility. The table below demonstrates how our stroke program’s care of our patients measures up to other hospitals that participate in these programs.

Stroke Center Composite Measures

January 2017 – December 2017
Providence Little Company of Mary Medical Center Torrance All California Hospitals LA County Stroke Centers
98.9% 98.4% 98.5%

National Hospital Standards of Inpatient Stroke Care

  1. Patients with an ischemic stroke or a hemorrhagic stroke and who are non-ambulatory should start receiving DVT prophylaxis by end of hospital day two.
  2. Patients with an ischemic stroke prescribed antithrombotic therapy at discharge.
  3. Patients with an ischemic stroke with atrial fibrillation/flutter discharged on anticoagulation therapy.
  4. Acute ischemic stroke patients who arrive at the hospital within 120 minutes (2 hours) of time last known well and for whom IV t-PA was initiated at this hospital within 180 minutes (3 hours) of time last known well.
  5. Patients with ischemic stroke who receive antithrombotic therapy by the end of hospital day two.
  6. Ischemic stroke patients with LDL greater than or equal to 100 mg/dL, or LDL not measured, or who were on a lipid-lowering medication prior to hospital arrival are prescribed statin medication at hospital discharge.
  7. Ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all of the following: activation of emergency medical system, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke.
  8. Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services.

Ischemic Stroke Therapies

January 2017 – December 2017
IV tPA
(Clot Buster Medication)
Endovascular Treatment (Thrombectomy)
Number of Patients Percent Treated among all Ischemic Strokes Number of Patients Percent Treated among all Eligible Patients
79 17.8% 17 100%
National Average** 11.8% National Average** 81.2%

Quality achievements

Providence Little Company of Mary Medical Center has received the Gold Plus Achievement Award from the American Heart Association and the American Stroke Association (AHA/ASA) for 2018.Providence Little Company of Mary Medical Center has received the Gold Plus Achievement Award from the American Heart Association and the American Stroke Association (AHA/ASA) for 2018.

The American Heart Association and American Stroke Association recognize this hospital for achieving 85% or higher compliance with all Get With The Guidelines®-Stroke Achievement Measures and 75% or higher compliance with five or more Get With The Guidelines®-Stroke Quality Measures for two or more consecutive years and achieving Time to Intravenous Thrombolytic Therapy ≤ 60 minutes in 75% or more of applicable acute ischemic stroke patients treated with IV tPA to improve quality of patient care and outcomes.

Preventive stroke procedures

Often, strokes occur as the result of a blockage in one of the carotid arteries (two main arteries in the neck that supply blood to the brain). In order to prevent a stroke caused by a blocked artery, patients may undergo a procedure to remove the blockage—either carotid artery stenting or carotid endarterectomy.

Number of Carotid Artery Stenting and Carotid Endarterectomy Procedures Performed and the Associated Complication Rate

January 2018 – May 2018
Number of Procedures Performed Number of Complications Complication Rate National Benchmark**
Carotid Endarterectomy 2 <0 0.0% <6 %
Carotid Artery Stent 23 1 4.34% <6%

*Complications include in-hospital stroke, myocardial infarction (MI) or death
**Established by the Joint Commission

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