{"id":"https://openalex.org/W2298896579","doi":"https://doi.org/10.1161/str.43.suppl_1.a3197","title":"Abstract 3197: Hospital Financial Health And Variation In Rates Of IV tPA Adherence In Ma","display_name":"Abstract 3197: Hospital Financial Health And Variation In Rates Of IV tPA Adherence In Ma","publication_year":2012,"publication_date":"2012-02-01","ids":{"openalex":"https://openalex.org/W2298896579","doi":"https://doi.org/10.1161/str.43.suppl_1.a3197","mag":"2298896579"},"language":"en","primary_location":{"id":"doi:10.1161/str.43.suppl_1.a3197","doi":"https://doi.org/10.1161/str.43.suppl_1.a3197","is_oa":false,"landing_page_url":"https://doi.org/10.1161/str.43.suppl_1.a3197","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029188560","display_name":"Katrina D\u2019Amore","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1337960435","display_name":"Massachusetts Department of Public Health","ror":"https://ror.org/050c9qp51","country_code":"US","type":"government","lineage":["https://openalex.org/I1337960435","https://openalex.org/I402481858"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katrina D'Amore","raw_affiliation_strings":["Massachusetts Dept of Public Health, Boston, MA","Katrina D'Amore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts Dept of Public Health, Boston, MA","institution_ids":["https://openalex.org/I1337960435"]},{"raw_affiliation_string":"Katrina D'Amore","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062778696","display_name":"Erin R. Kulick","orcid":"https://orcid.org/0000-0001-8650-5357","observed_orcids":["https://orcid.org/0000-0001-8650-5357"]},"institutions":[{"id":"https://openalex.org/I1337960435","display_name":"Massachusetts Department of Public Health","ror":"https://ror.org/050c9qp51","country_code":"US","type":"government","lineage":["https://openalex.org/I1337960435","https://openalex.org/I402481858"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin Kulick","raw_affiliation_strings":["Massachusetts Dept of Public Health, Boston, MA","Erin Kulick"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts Dept of Public Health, Boston, MA","institution_ids":["https://openalex.org/I1337960435"]},{"raw_affiliation_string":"Erin Kulick","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Laura Coe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1337960435","display_name":"Massachusetts Department of Public Health","ror":"https://ror.org/050c9qp51","country_code":"US","type":"government","lineage":["https://openalex.org/I1337960435","https://openalex.org/I402481858"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura Coe","raw_affiliation_strings":["Massachusetts Dept of Public Health, Boston, MA","Laura Coe"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts Dept of Public Health, Boston, MA","institution_ids":["https://openalex.org/I1337960435"]},{"raw_affiliation_string":"Laura Coe","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088527297","display_name":"Lee H. Schwamm","orcid":"https://orcid.org/0000-0003-0592-9145","observed_orcids":["https://orcid.org/0000-0003-0592-9145"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lee H Schwamm","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA","Lee H Schwamm"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Lee H Schwamm","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"43","issue":"suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.8496000170707703,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.8496000170707703,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.06459999829530716,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.03400000184774399,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intravenous-tpa","display_name":"intravenous tPA","score":0.8429999947547913},{"id":"https://openalex.org/keywords/hospital-financial-health","display_name":"hospital financial health","score":0.8119999766349792},{"id":"https://openalex.org/keywords/acute-ischemic-stroke","display_name":"acute ischemic stroke","score":0.8730000257492065},{"id":"https://openalex.org/keywords/stroke-care-quality","display_name":"stroke care quality","score":0.4880000054836273},{"id":"https://openalex.org/keywords/hospital-performance-indicators","display_name":"hospital performance indicators","score":0.4729999899864197},{"id":"https://openalex.org/keywords/massachusetts-hospitals","display_name":"Massachusetts hospitals","score":0.6190000176429749},{"id":"https://openalex.org/keywords/financial-margin","display_name":"financial margin","score":0.3580000102519989},{"id":"https://openalex.org/keywords/operating-margin","display_name":"return on sales","score":0.4620000123977661},{"id":"https://openalex.org/keywords/cash-on-hand","display_name":"cash on hand","score":0.6320000290870667},{"id":"https://openalex.org/keywords/teaching-hospitals","display_name":"teaching hospitals","score":0.656000018119812},{"id":"https://openalex.org/keywords/stroke-volume","display_name":"stroke volume","score":0.8960000276565552}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9155601263046265},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.7170635461807251},{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.5856883525848389},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5279561281204224},{"id":"https://openalex.org/C144301174","wikidata":"https://www.wikidata.org/wiki/Q7893852","display_name":"Univariate analysis","level":3,"score":0.47851574420928955},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.3334597945213318},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.28833889961242676},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.26265600323677063},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.13458770513534546},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/str.43.suppl_1.a3197","doi":"https://doi.org/10.1161/str.43.suppl_1.a3197","is_oa":false,"landing_page_url":"https://doi.org/10.1161/str.43.suppl_1.a3197","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9907000064849854}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3119284346","https://openalex.org/W4379376932","https://openalex.org/W2277726156","https://openalex.org/W2477483904","https://openalex.org/W2116469192","https://openalex.org/W2668899620","https://openalex.org/W4304845691","https://openalex.org/W3171742292","https://openalex.org/W2032208563","https://openalex.org/W2397173299"],"abstract_inverted_index":{"Introduction:":[0],"Stroke":[1,30],"is":[2],"the":[3,67,107,126,136,158,226,247,295,324,340,358],"3":[4],"rd":[5],"leading":[6],"cause":[7],"of":[8,59,66,129,155,269,292,297,311,328],"death":[9],"and":[10,46,82,112,163,177,221,273],"in":[11,70,74,125,157,183,194,232,303,326,336],"MA":[12,23,75,159],"over":[13,205,300],"17,000":[14],"residents":[15],"are":[16],"hospitalized":[17],"annually":[18],"for":[19,93,97,135,243,265],"stroke.":[20],"At":[21],"58/69":[22],"hospitals,":[24],"The":[25],"Paul":[26],"Coverdell":[27],"National":[28],"Acute":[29,43],"Registry":[31,108],"(PCNASR)":[32],"has":[33],"been":[34],"collecting":[35],"detailed":[36],"information":[37,104],"about":[38],"stroke":[39,44,117,150,160,216,353],"care":[40],"since":[41],"2005.":[42],"therapy":[45],"IV":[47,71,138],"thrombolysis":[48,329,354],"can":[49],"be":[50,346],"resource":[51],"intensive.":[52],"We":[53],"sought":[54],"to":[55,173,351],"determine":[56],"if":[57,278],"measures":[58,310],"hospital":[60,144,312,318,342],"financial":[61,85,103,165,229,275,313,337],"health":[62,276,314,338],"would":[63],"explain":[64,323],"any":[65],"observed":[68],"variability":[69,270,325],"tPA":[72,139,283,298],"adherence":[73,133],"Methods:":[76],"Hospital":[77],"PCNASR":[78,137],"performance":[79,86],"measure":[80,140],"data":[81,87],"publicly":[83],"available":[84],"(":[88,250],"www.mass.gov":[89],")":[90],"were":[91,120,181,192,201],"linked":[92],"58":[94],"participating":[95],"hospitals":[96,124,203,293],"FY":[98],"2006-2009.":[99],"Hospitals":[100],"with":[101,114,141,208,282],"missing":[102],"(n=3),":[105],"joined":[106],"after":[109,241],"2009":[110],"(n=3)":[111],"those":[113],"<20":[115],"annual":[116],"admissions":[118,217],"(n=2)":[119],"excluded,":[121],"leaving":[122],"50":[123,202],"analysis.":[127],"Association":[128],"4":[130,164,206,227,248,301],"yr":[131],"average":[132],"rates":[134,327],"5":[142],"traditional":[143,317],"characteristics":[145],"(teaching":[146],"status,":[147],"urban/rural":[148],"designation,":[149],"volume,":[151],"geographic":[152],"region,":[153],"years":[154,207,302],"participation":[156],"QI":[161],"collaborative)":[162],"variables":[166,187,230,249],"(total":[167],"margin,":[168,170],"operating":[169],"cash":[171,178],"flow":[172],"total":[174,236,257],"debt":[175],"ratio,":[176],"on":[179],"hand)":[180],"assessed":[182],"univariate":[184,233],"analyses.":[185],"All":[186],"significant":[188,231,239,260],"at":[189,339,357],"p<":[190],".10":[191],"tested":[193],"a":[195,266,349],"multivariable":[196],"regression":[197],"model.":[198],"Results:":[199],"There":[200],"analyzed":[204],"median":[209,215],"bed":[210],"size":[211],"194":[212],"[IQR":[213,219],"126,292],":[214],"219":[218],"94,365]":[220],"20%":[222],"teaching":[223],"hospitals.":[224],"Among":[225],"candidate":[228],"analysis,":[234],"only":[235,256],"margin":[237,258],"remained":[238,259],"(p=.04)":[240],"accounting":[242],"interaction":[244],"terms":[245],"among":[246],"Table":[251],"1).":[252],"In":[253,289],"multivariate":[254],"analyses,":[255],"(p=0.04)":[261],"but":[262],"it":[263],"accounts":[264],"negligible":[267],"amount":[268],"(r-square":[271],"0.08)":[272],"increasing":[274],"was":[277],"anything":[279],"inversely":[280],"associated":[281],"use":[284],"(Beta":[285],"Coefficient":[286],"-0.288).":[287],"Conclusions:":[288],"our":[290],"cohort":[291],"representing":[294],"majority":[296],"administration":[299],"MA,":[304],"we":[305],"found":[306],"that":[307,334],"standard":[308],"industry":[309],"or":[315],"other":[316],"level":[319,343],"factors":[320],"did":[321],"not":[322,345],"use.":[330],"These":[331],"findings":[332],"suggest":[333],"changes":[335],"global":[341],"should":[344],"perceived":[347],"as":[348],"barrier":[350],"successful":[352],"program":[355],"development":[356],"local":[359],"level.":[360]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2016-06-24T00:00:00"}