Abstract Body: Background: Efficient data management and escalation processes are crucial for facilitating continuous improvement initiatives. Stroke care necessitates quick identification of opportunities for improvement (OFIs) related to core measures and performance improvement initiatives (PI). This abstract presents an overview of a tailored data management and escalation process designed to enhance stroke team performance through the utilization of SharePoint™.

Methods: SharePoint™ list was configured to simultaneously capture OFIs identified by the stroke team. An automated email notification system triggers a prompt alert to the assigned parties, including unit department administrators and stroke champions, regarding the new entry. The assigned parties receive the email notification along with an audit link, granting them direct access to the corresponding audit form. Stakeholders then analyze the OFIs, develop action plans and assess trends in the data. This process supports continuous learning and adaptation, enabling the stroke team to refine strategies and optimizes compliance with The Joint Commission stroke standards.

Results: From October 2021 through July 2024, 2,292 escalations were issued. The mean number of escalations per unit was 134.82. Most departments (8 out of 17) have escalations between 0 and 50. The highest number of escalations were in the ICU 639 (28%), followed by Interventional Radiology 542 (24%), and PACU 226 (10%). There were a total of 22,668 site visits to the SharePoint™ site, with 210 unique viewers. Figure 1 shows the SharePoint™ entry form that is utilized for escalation and analysis. Figure 2 displays PowerBI™ visualization depicting the unit summary of escalations by month, unit, and OFI type. Figure 3 demonstrates the site usage traffic.

Conclusion: The data management and escalation process outlined in this abstract represents a paradigm shift in stroke team performance improvement strategies. By harnessing the capabilities of SharePoint™ and leveraging automated notifications, real-time data analytics, and collaborative action planning, healthcare organizations can effectively navigate the complexities of performance improvement in a rapidly evolving landscape. This process not only enhances operational efficiency but also empowers stakeholders to drive meaningful change, ultimately leading to improved patient outcomes and enhanced quality of care driven by sustainable PI.