The Stroke Collaborative Reaching for Excellence (SCORE) is a quality improvement collaborative that supports Primary Stroke Service-designated (PSS) hospitals in Massachusetts. PSS designation requires a hospital to provide emergency diagnostic and therapeutic services 24 hours-a-day, seven days-a-week, to patients presenting with symptoms of acute stroke. Of the 72 acute care hospitals in Massachusetts, 69 are PSS-designated and 56 of those participate in SCORE.
SCORE is primarily funded by the Centers for Disease Control and Prevention (CDC) Paul Coverdell National Acute Stroke Registry. Massachusetts is one of six states funded by the CDC for this initiative. The Collaborative is a partnership among the Massachusetts Department of Public Health (MDPH), the American Stroke Association's Get With the Guidelines quality improvement program and the participating Primary Stroke Service-designated hospitals.
The Collaborative assists designated hospitals in monitoring and improving the quality of stroke care for acute, inpatient, and secondary prevention performance measures.