Collecting and measuring specific quality measures provides the basis for evaluating and improving treatment of stroke patients. While LERN Level I and II Centers are held accountable by The Joint Commission or other Board approved credentialing agency through quarterly reports and on-site reviews, LERN seeks to develop a mechanism of confirming that LERN Level III Stroke Centers are functioning as Stroke Enabled Centers. To this end, the LERN Level III Data Collection Tool was developed.