How to tell if your stroke hospital is incompetent by asking one question

Do you have a stroke support group?

Having one means they have not gotten their stroke patients anywhere near to 100% recovery.

That is my definition of competency.

Three measurements will tell me if the stroke hospital is possibly not completely incompetent;

1. tPA full recovery? Better than 12%?
2. 30 day deaths? Better than competitors?
3. rehab full recovery? Better than 10%?/

Their definition is probably the tyranny of low expectations/status quo.  Or the craptastic statement; 'All strokes are different, all stroke recoveries are different.'  Or maybe that they have met the Get With the Guidelines or Joint Commission standards on stroke.  Neither of which measures results, just whether they are following processes. You can follow processes 100% and the patient dies, good for the doctor, not so good for the patients.  You can't get better at anything unless you measure it. You don't measure processes you measure results.

Whoops Dean, you are challenging all the stroke doctors and hospitals in the world. Bring it on, show me your results and then we can discuss your competency.  I'm stroke-addled so it should be easy for you to bowl me over with your results.