Yeah for Australians. You'll have to go to the link to see a non-understandable picture of what it looks like. Have your therapist report back to you on its feasibility.
http://www.newsmaker.com.au/news/18497
SMART Arm Pty Ltd, the latest start-up enterprise from leading
Australian university commercialisation company UniQuest, has secured
investment from Townsville Mackay Medicare Local (TMML) to launch an
innovative device for improving recovery outcomes for people who have
experienced stroke and/or brain injury.
The Sensory-Motor Active
Rehabilitation Training (SMART) Arm is a portable, non-robotic
technology that enables stroke survivors with upper limb weakness to
drive their own rehabilitation.
With feedback on performance via
an interactive computer program and incremental increases in load and
reaching range, the SMART Arm reduces the degrees of freedom to be
controlled and provides a goal for movement. For stroke survivors with
very severe weakness, it can also be used with outcome-triggered
electrical stimulation to augment full-range reaching.
UniQuest
Managing Director, David Henderson, said SMART Arm Pty Ltd was formed to
further develop, manufacture and market the technology, which
originated from multi-disciplinary research at two Queensland
universities.
“SMART Arm the company is the culmination of more
than eight years of stroke rehabilitation research, design and testing
at James Cook University (JCU) and The University of Queensland (UQ),”
Mr Henderson explained.
“The SMART Arm technology was developed
by researchers across a number of disciplines, including physiotherapy,
neuroscience and engineering. We now have TMML on board, bringing to the
venture its commercial and community health acumen and access to
rehabilitation clinic and networks worldwide.
“This partnership
demonstrates how collaborations between universities, research
disciplines, and industry can translate into real and practical benefits
for the wider community,” Mr Henderson said.
While details of
the agreement between SMART Arm Pty Ltd shareholders and TMML remain
commercial-in-confidence, the transaction is expected to accelerate the
device’s manufacture so units could be available for distribution within
12 months.
Led by Dr Ruth Barker, an Adjunct Senior Lecturer
from JCU’s School of Public Health, Tropical Medicine and Rehabilitation
Sciences, the team which developed the SMART Arm included UQ
researchers Professor Richard Carson (Human Movement Studies), Associate
Professor Sandy Brauer (Physiotherapy), Dr David Lloyd (Human Movement
Studies) and Kate Hayward (Physiotherapy PhD student).
The
research team has demonstrated that a program of SMART Arm training
improved arm function, arm muscle activation and neural plasticity in
people with chronic stroke, with the last finding published in the July
2012 issue of Experimental Brain Research.
“We are thrilled to have a Queensland company like TMML back our innovation,” said Dr Barker.
“Stroke
is the leading cause of severe long term disability in the Western
world. Every year, over three million stroke survivors try to regain use
of their upper limbs. SMART Arm is one of the few interventions shown
to result in positive changes in neural plasticity in people with
chronic stroke, so we’re very keen to see the device become available to
as many as possible, as soon as possible,” Dr Barker said.
TMML
chairman, Dr Kevin Arlett, said TMML recognised the potential for SMART
Arm to address a major unmet need in the allied health care industry.
“We’re proud to be partnering with Dr Barker and her team to launch this technology commercially,” Dr Arlett said.
“The
SMART Arm will make a huge difference to stroke survivor outcomes
because it’s interactive and it allows patients to practise
independently and direct their own rehabilitation. And, because it’s
small enough to be used for clinical inpatient and outpatient settings
as well as in rehabilitation services, nursing homes and local area
health services, more people will benefit.”
Dr Barker recently
demonstrated the SMART Arm device at a workshop on driving neural
plasticity that was associated with this year’s International Society
for Electrophysiology and Kinesiology Congress (ISEK2012).
Tuesday, July 31, 2012
Predicting recovery after stroke
And I would argue that they are doing it wrong, looking at disabilities rather than the dead area location and the penumbra location. You don't look at secondary problems you go straight to the primary cause. White matter vs. gray matter. 12 weeks is a ridiculous time to consider checking on recovery.
http://www.voxy.co.nz/health/predicting-recovery-after-stroke/5/130441
http://www.voxy.co.nz/health/predicting-recovery-after-stroke/5/130441
In work that may revolutionise rehabilitation for stroke
patients, researchers from The University of Auckland and the Auckland
District Health Board have shown it is possible to predict an
individual's potential for recovery of hand and arm function after a
stroke.
The new approach can be used to personalise rehabilitation so that patients and therapists set realistic goals for recovery.(100% recovery is the only goal needed, nothing less,figure out how to get there) It may also improve outcomes of trials that evaluate new therapies, by identifying patients who are most likely to respond to specific treatments.
"One in six people worldwide will have a stroke in their lifetime," says principal investigator Professor Winston Byblow. "After stroke, impairment of the arm and hand is very common and has a major impact on independence and quality of life.
"Until now it has only been possible to group patients together according to their broad similarity to others who have already gone through upper limb rehabilitation, but this information cannot inform an individual patient's rehabilitation plan. We have developed the first clinical algorithm to actually predict the individual patient's potential for recovery based on information gathered before rehabilitation begins."
The lead author of the study, Dr Cathy Stinear explains: "The algorithm begins with a bedside test within three days of stroke. The test takes only a few minutes and requires no special equipment. This is sufficient to provide a prediction for many patients, but for others an additional test is required to measure the integrity of neural pathways from the brain to the arm. If this test gives no definitive result, an MRI assessment can be performed to better determine whether the pathways in the stroke-damaged side of the brain remain viable."
The research team have trialled the process in patients and followed their recovery. "When the tests are combined in our stepwise algorithm they accurately predict each patient's recovery at 12 weeks, which is around the time that therapy normally ends," says Dr Stinear.
Neurologist Professor Alan Barber, a member of the research team and Head of the Auckland Hospital Stroke Service, says that the findings are very significant. "This is the first study to predict an individual's potential for motor recovery using measures obtained from that patient in the initial days after stroke. This information can be used to tailor rehabilitation before it begins."
The team is now involved in a three-year trial of the algorithm within the hospital. The results will show whether the algorithm leads to improved outcomes for patients and increases the efficiency of rehabilitation services.
The team's work was published in the journal "Brain" this week. It was funded by the Health Research Council of New Zealand.
The new approach can be used to personalise rehabilitation so that patients and therapists set realistic goals for recovery.(100% recovery is the only goal needed, nothing less,figure out how to get there) It may also improve outcomes of trials that evaluate new therapies, by identifying patients who are most likely to respond to specific treatments.
"One in six people worldwide will have a stroke in their lifetime," says principal investigator Professor Winston Byblow. "After stroke, impairment of the arm and hand is very common and has a major impact on independence and quality of life.
"Until now it has only been possible to group patients together according to their broad similarity to others who have already gone through upper limb rehabilitation, but this information cannot inform an individual patient's rehabilitation plan. We have developed the first clinical algorithm to actually predict the individual patient's potential for recovery based on information gathered before rehabilitation begins."
The lead author of the study, Dr Cathy Stinear explains: "The algorithm begins with a bedside test within three days of stroke. The test takes only a few minutes and requires no special equipment. This is sufficient to provide a prediction for many patients, but for others an additional test is required to measure the integrity of neural pathways from the brain to the arm. If this test gives no definitive result, an MRI assessment can be performed to better determine whether the pathways in the stroke-damaged side of the brain remain viable."
The research team have trialled the process in patients and followed their recovery. "When the tests are combined in our stepwise algorithm they accurately predict each patient's recovery at 12 weeks, which is around the time that therapy normally ends," says Dr Stinear.
Neurologist Professor Alan Barber, a member of the research team and Head of the Auckland Hospital Stroke Service, says that the findings are very significant. "This is the first study to predict an individual's potential for motor recovery using measures obtained from that patient in the initial days after stroke. This information can be used to tailor rehabilitation before it begins."
The team is now involved in a three-year trial of the algorithm within the hospital. The results will show whether the algorithm leads to improved outcomes for patients and increases the efficiency of rehabilitation services.
The team's work was published in the journal "Brain" this week. It was funded by the Health Research Council of New Zealand.
Monday, July 30, 2012
Full list: Is there a primary stroke center near you?
From USA Today so the list is copied here;
http://www.usatoday.com/news/health/2008-08-10-stroke-list_N.htm#
Before you take the Joint Commissions rating call up the hospital and ask what percentage of strokes get tPA within the prescribed time. Then ask what percentage of that percentage get full recovery. If your hospital doesn't know the answer ask them how many patients they lose track of. I don't trust anything the Joint Commission does, they don't tell what the criteria is to get certified. You can email them and try to find out what they are hiding but you won't succeed. So we can't even tell how up-to-date the hospitals are with the latest research.
http://www.usatoday.com/news/health/2008-08-10-stroke-list_N.htm#
Before you take the Joint Commissions rating call up the hospital and ask what percentage of strokes get tPA within the prescribed time. Then ask what percentage of that percentage get full recovery. If your hospital doesn't know the answer ask them how many patients they lose track of. I don't trust anything the Joint Commission does, they don't tell what the criteria is to get certified. You can email them and try to find out what they are hiding but you won't succeed. So we can't even tell how up-to-date the hospitals are with the latest research.
| Health care organization | City | State |
 |
||
| Scripps Memorial Hospital - Encinitas | Encinitas | CA |
|
||
| Emory Eastside Medical Center | Snellville | GA |
|
||
| Lehigh Valley Hospital | Allentown | PA |
|
||
| Memorial Hospital West | Pembroke Pines | FL |
|
||
| CHW Dominican Hospital | Santa Cruz | CA |
|
||
| Regional Medical Center Bayonet Point | Hudson | FL |
|
||
| Oak Hill Hospital | Brooksville | FL |
|
||
| Memorial Hermann Southwest Hospital | Houston | TX |
|
||
| Firelands Regional Medical Center | Sandusky | OH |
|
||
| Kaiser Foundation Hospital - South Sacramento | Sacramento | CA |
|
||
| Albert Einstein Medical Center | Philadelphia | PA |
|
||
| Holy Redeemer Health System | Meadowbrook | PA |
|
||
| The Chester County Hospital | West Chester | PA |
|
||
| The Reading Hospital and Medical Center | Reading | PA |
|
||
| The Williamsport Hospital and Medical Center | Williamsport | PA |
|
||
| York Hospital | York | PA |
|
||
| Anne Arundel Medical Center | Annapolis | MD |
|
||
| Franklin Square Hospital Center | Baltimore | MD |
|
||
| Greater Baltimore Medical Center | Baltimore | MD |
|
||
| Good Samaritan Hospital of Maryland, Inc. | Baltimore | MD |
|
||
| The Johns Hopkins Hospital | Baltimore | MD |
|
||
| Mercy Medical Center, Inc. | Baltimore | MD |
|
||
| St. Agnes Hospital | Baltimore | MD |
|
||
| St. Joseph Medical Center | Towson | MD |
|
||
| Sinai Hospital of Baltimore | Baltimore | MD |
|
||
| Harbor Hospital | Baltimore | MD |
|
||
| The Union Memorial Hospital | Baltimore | MD |
|
||
| University of Maryland Medical Center | Baltimore | MD |
|
||
| Suburban Hospital | Bethesda | MD |
|
||
| St. Mary Medical Center | Langhorne | PA |
|
||
| MedStar Georgetown University Medical Center | Washington | DC |
|
||
| The George Washington University Hospital | Washington | DC |
|
||
| Inova Alexandria Hospital | Alexandria | VA |
|
||
| Lancaster General Hospital | Lancaster | PA |
|
||
| Inova Fairfax Hospital | Falls Church | VA |
|
||
| Penn State Milton S. Hershey Medical Center | Hershey | PA |
|
||
| Saint Vincent Health Center | Erie | PA |
|
||
| Hamot Medical Center | Erie | PA |
|
||
| Bon Secours-St. Mary's Hospital | Richmond | VA |
|
||
| Ephrata Community Hospital | Ephrata | PA |
|
||
| Delaware County Memorial Hospital | Drexel Hill | PA |
|
||
| Winchester Medical Center, Inc. | Winchester | VA |
|
||
| Geisinger Medical Center | Danville | PA |
|
||
| Butler Healthcare Providers | Butler | PA |
|
||
| St. Luke's Hospital and Health Network | Bethlehem | PA |
|
||
| Altoona Regional Health System | Altoona | PA |
|
||
| Mission Hospitals, Inc. | Asheville | NC |
|
||
| Lehigh Valley Hospital - Muhlenberg | Bethlehem | PA |
|
||
| Carolinas Medical Center | Charlotte | NC |
|
||
| Novant Health, Inc/Southern Piedmont Region/Presbyterian Hea | Charlotte | NC |
|
||
| Abington Memorial Hospital | Abington | PA |
|
||
| St. Francis Medical Center | Trenton | NJ |
|
||
| High Point Regional Health System | High Point | NC |
|
||
| Community Medical Center | Toms River | NJ |
|
||
| Holy Name Hospital | Teaneck | NJ |
|
||
| Overlook Hospital | Summit | NJ |
|
||
| Somerset Medical Center | Somerville | NJ |
|
||
| Forsyth Medical Center and its Affiliates | Winston Salem | NC |
|
||
| North Carolina Baptist Hospital | Winston Salem | NC |
|
||
| Shore Memorial Hospital | Somers Point | NJ |
|
||
| Medical University of South Carolina Medical Center | Charleston | SC |
|
||
| Roper Hospital | Charleston | SC |
|
||
| Valley Health System | Ridgewood | NJ |
|
||
| Riverview Medical Center | Red Bank | NJ |
|
||
| Forrest S. Chilton III Memorial Hospital, Inc. | Pompton Plains | NJ |
|
||
| Robert Wood Johnson University Hospital | New Brunswick | NJ |
|
||
| Blake Medical Center | Bradenton | FL |
|
||
| Manatee Memorial Hospital | Bradenton | FL |
|
||
| Brandon Regional Hospital | Brandon | FL |
|
||
| Saint Barnabas Medical Center | Livingston | NJ |
|
||
| Seven Rivers Regional Medical Center | Crystal River | FL |
|
||
| Halifax Health | Daytona Beach | FL |
|
||
| Jersey Shore University Medical Center | Neptune | NJ |
|
||
| Broward General Medical Center | Fort Lauderdale | FL |
|
||
| Holy Cross Hospital Ministries | Fort Lauderdale | FL |
|
||
| Lee Memorial Health System | Fort Myers | FL |
|
||
| Lawnwood Regional Medical Center & Heart Institute | Fort Pierce | FL |
|
||
| Fort Walton Beach Medical Center, Inc | Fort Walton Beach | FL |
|
||
| Memorial Regional Hospital | Hollywood | FL |
|
||
| Morristown Memorial Hospital | Morristown | NJ |
|
||
| Monmouth Medical Center | Long Branch | NJ |
|
||
| Memorial Hospital Jacksonville | Jacksonville | FL |
|
||
| Lakeland Regional Medical Center | Lakeland | FL |
|
||
| JFK Medical Center Limited Partnership | Atlantis | FL |
|
||
| Largo Medical Center | Largo | FL |
|
||
| Florida Medical Center, Ltd. | Fort Lauderdale | FL |
|
||
| Munroe Regional Medical Center | Ocala | FL |
|
||
| Morton Plant North Bay Hospital | New Port Richey | FL |
|
||
| Hackensack University Medical Center | Hackensack | NJ |
|
||
| Englewood Hospital and Medical Center | Englewood | NJ |
|
||
| JFK Medical Center | Edison | NJ |
|
||
| West Florida Regional Medical Center, Inc. | Pensacola | FL |
|
||
| St. Lucie Medical Center | Port Saint Lucie | FL |
|
||
| Charlotte Regional Medical Center | Punta Gorda | FL |
|
||
| North Broward Medical Center | Deerfield Beach | FL |
|
||
| Wuesthoff Medical Center - Rockledge | Rockledge | FL |
|
||
| Flagler Hospital, Inc. | Saint Augustine | FL |
|
||
| Edward White Hospital | Saint Petersburg | FL |
|
||
| Bayfront Medical Center | Saint Petersburg | FL |
|
||
| Northside Hospital | Saint Petersburg | FL |
|
||
| Palms of Pasadena Hospital | South Pasadena | FL |
|
||
| St. Anthony's Health Care | Saint Petersburg | FL |
|
||
| St. Petersburg General Hospital | Saint Petersburg | FL |
|
||
| Central Florida Regional Hospital | Sanford | FL |
|
||
| Doctors Hospital of Sarasota | Sarasota | FL |
|
||
| Sarasota Memorial Hospital | Sarasota | FL |
|
||
| Martin Memorial Medical Center, Inc. | Stuart | FL |
|
||
| Capital Regional Medical Center, Inc. | Tallahassee | FL |
|
||
| St. Joseph's Hospital, Inc. | Tampa | FL |
|
||
| AtlantiCare Regional Medical Center | Atlantic City | NJ |
|
||
| Tampa General Hospital | Tampa | FL |
|
||
| Parrish Medical Center (North Brevard County Hospital Dst) | Titusville | FL |
|
||
| Indian River Memorial Hospital, Inc. | Vero Beach | FL |
|
||
| Columbia Hospital | West Palm Beach | FL |
|
||
| Good Samaritan Hospital | Suffern | NY |
|
||
| Akron General Medical Center | Akron | OH |
|
||
| Strong Memorial Hospital | Rochester | NY |
|
||
| St. Charles Hospital | Port Jefferson | NY |
|
||
| CSAHS/UHHS-Canton, Inc | Canton | OH |
|
||
| The University Hospital | Cincinnati | OH |
|
||
| The Mount Sinai Medical Center | New York | NY |
|
||
| Lutheran Medical Center | Brooklyn | NY |
|
||
| Grant Medical Center | Columbus | OH |
|
||
| Maimonides Medical Center | Brooklyn | NY |
|
||
| Riverside Methodist Hospital | Columbus | OH |
|
||
| Good Samaritan Hospital | Dayton | OH |
|
||
| Miami Valley Hospital | Dayton | OH |
|
||
| Albany Medical Center | Albany | NY |
|
||
| Kettering Medical Center | Kettering | OH |
|
||
| Norwalk Hospital | Norwalk | CT |
|
||
| The University of Toledo | Toledo | OH |
|
||
| Lawrence and Memorial Hospital | New London | CT |
|
||
| HMHP - St. Elizabeth Health Center | Youngstown | OH |
|
||
| Yale - New Haven Hospital | New Haven | CT |
|
||
| Bluffton Regional Medical Center | Bluffton | IN |
|
||
| Middlesex Hospital | Middletown | CT |
|
||
| Deaconess Hospital | Evansville | IN |
|
||
| Lutheran Hospital of Indiana | Fort Wayne | IN |
|
||
| Parkview Hospital | Fort Wayne | IN |
|
||
| Saint Francis Hospital and Medical Center | Hartford | CT |
|
||
| Greenwich Hospital | Greenwich | CT |
|
||
| St. Joseph Hospital & Health Center, INC. | Kokomo | IN |
|
||
| The Danbury Hospital | Danbury | CT |
|
||
| MacNeal Hospital | Berwyn | IL |
|
||
| OSF St. Joseph Medical Center | Bloomington | IL |
|
||
| University of Illinois Medical Center at Chicago | Chicago | IL |
|
||
| Loyola University Medical Center | Maywood | IL |
|
||
| Mercy Hospital and Medical Center | Chicago | IL |
|
||
| Rush University Medical Center | Chicago | IL |
|
||
| St. Vincent's Medical Center | Bridgeport | CT |
|
||
| Bridgeport Hospital | Bridgeport | CT |
|
||
| The Miriam Hospital | Providence | RI |
|
||
| Alexian Brothers Medical Center | Elk Grove Village | IL |
|
||
| Evanston Northwestern Healthcare | Evanston | IL |
|
||
| Caritas St. Elizabeth's Medical Center of Boston, Inc. | Boston | MA |
|
||
| Penobscot Bay Medical Center | Rockport | ME |
|
||
| Advocate Christ Medical Center | Oak Lawn | IL |
|
||
| Maine Medical Center | Portland | ME |
|
||
| The Methodist Medical Center of Illinois | Peoria | IL |
|
||
| OSF Saint Francis Medical Center | Peoria | IL |
|
||
| Bixby Medical Center | Adrian | MI |
|
||
| St. Joseph Mercy Hospital | Ann Arbor | MI |
|
||
| The University of Michigan Hospitals and Health Centers | Ann Arbor | MI |
|
||
| North Fulton Regional Medical Center, Inc | Roswell | GA |
|
||
| Henry Ford Health System | Detroit | MI |
|
||
| Detroit Receiving Hospital / University Health Center | Detroit | MI |
|
||
| Cypress Fairbanks Medical Center Hospital | Houston | TX |
|
||
| Saint Joseph Mercy Livingston Hospital | Howell | MI |
|
||
| Bronson Methodist Hospital | Kalamazoo | MI |
|
||
| Sparrow Health System | Lansing | MI |
|
||
| Delray Medical Center, Inc. | Delray Beach | FL |
|
||
| Northern Michigan Regional Hospital | Petoskey | MI |
|
||
| St. Joseph Mercy Oakland | Pontiac | MI |
|
||
| St. John West Shore Hospital | Westlake | OH |
|
||
| St. Mary's of Michigan Medical Center | Saginaw | MI |
|
||
| Lakeland Regional Health System | Saint Joseph | MI |
|
||
| Herrick Medical Center | Tecumseh | MI |
|
||
| Stony Brook University Hospital Medical Center | Stony Brook | NY |
|
||
| Sacred Heart Hospital | Eau Claire | WI |
|
||
| St. Alexius Medical Center | Hoffman Estates | IL |
|
||
| Lee's Summit Medical Center | Lees Summit | MO |
|
||
| Community Memorial Hospital of Menomonee Falls, Inc. | Menomonee Falls | WI |
|
||
| Columbia St. Mary's Hospital Milwaukee, Inc | Milwaukee | WI |
|
||
| California Pacific Medical Center | San Francisco | CA |
|
||
| St. Mary's Hospital Ozaukee, Inc. | Mequon | WI |
|
||
| Froedtert Memorial Lutheran Hospital | Milwaukee | WI |
|
||
| Mercy San Juan Medical Center | Carmichael | CA |
|
||
| Aurora Sinai Medical Center | Milwaukee | WI |
|
||
| Fawcett Memorial Hospital | Port Charlotte | FL |
|
||
| Jewish Hospital & St. Mary's HealthCare, Inc. | Louisville | KY |
|
||
| Baptist Hospital East | Louisville | KY |
|
||
| University Medical Center, Inc. | Louisville | KY |
|
||
| Westside Regional Medical Center | Plantation | FL |
|
||
| Erlanger Health System | Chattanooga | TN |
|
||
| Santa Clara Valley Medical Center | San Jose | CA |
|
||
| Leesburg Regional Medical Center, Inc. | Leesburg | FL |
|
||
| St. Mary's Health System | Knoxville | TN |
|
||
| The University of Tennessee Memorial Hospital | Knoxville | TN |
|
||
| Oakbend Medical Center | Richmond | TX |
|
||
| Baptist Hospital | Nashville | TN |
|
||
| Skyline Medical Center | Nashville | TN |
|
||
| Saint Thomas Hospital / Saint Thomas Health Services | Nashville | TN |
|
||
| La Porte Regional Health System, Inc. | La Porte | IN |
|
||
| Winter Haven Hospital, Inc. | Winter Haven | FL |
|
||
| Atlanta Medical Center | Atlanta | GA |
|
||
| Huntsville Hospital | Huntsville | AL |
|
||
| Northwest Community Hospital | Arlington Heights | IL |
|
||
| Decatur Memorial Hospital | Decatur | IL |
|
||
| Providence Saint Joseph Medical Center | Burbank | CA |
|
||
| Park Nicollet Health Services | Minneapolis | MN |
|
||
| Fairview Southdale Hospital | Edina | MN |
|
||
| North Memorial Health Care | Robbinsdale | MN |
|
||
| Saint Marys Hospital | Rochester | MN |
|
||
| Regions Hospital | Saint Paul | MN |
|
||
| United Hospital | Saint Paul | MN |
|
||
| BroMenn Healthcare Hospitals | Bloomington | IL |
|
||
| St. Luke's Methodist Hospital | Cedar Rapids | IA |
|
||
| Fisher-Titus Medical Center | Norwalk | OH |
|
||
| Southeast Missouri Hospital Association | Cape Girardeau | MO |
|
||
| Mercy Medical Center | Cedar Rapids | IA |
|
||
| The Hospital Authority of Habersham County | Demorest | GA |
|
||
| Menorah Medical Center | Overland Park | KS |
|
||
| Research Medical Center | Kansas City | MO |
|
||
| Saint Luke's Hospital | Kansas City | MO |
|
||
| Piedmont Hospital, Inc. | Atlanta | GA |
|
||
| St. Anthony Hospitals | Denver | CO |
|
||
| St. John's Regional Health Center | Springfield | MO |
|
||
| Tallahassee Memorial HealthCare, Inc. | Tallahassee | FL |
|
||
| Sanford USD Medical Center | Sioux Falls | SD |
|
||
| Johns Hopkins Bayview Medical Center | Baltimore | MD |
|
||
| Aurora Medical Center of Manitowoc County, Inc. | Two Rivers | WI |
|
||
| Via Christi Regional Medical Center | Wichita | KS |
|
||
| Geneva General Hospital | Geneva | NY |
|
||
| The MetroHealth System | Cleveland | OH |
|
||
| Great River Medical Center | West Burlington | IA |
|
||
| Benefis Healthcare System | Great Falls | MT |
|
||
| Grady Health System | Atlanta | GA |
|
||
| San Jacinto Methodist Hospital | Baytown | TX |
|
||
| Ellis Hospital | Schenectady | NY |
|
||
| Morton Plant Hospital Association | Clearwater | FL |
|
||
| St. Joseph's Hospital and Medical Center | Paterson | NJ |
|
||
| Hartford Hospital | Hartford | CT |
|
||
| Sierra Medical Center | El Paso | TX |
|
||
| Providence Memorial Hospital | El Paso | TX |
|
||
| Robert Wood Johnson University Hospital at Hamilton | Hamilton | NJ |
|
||
| Harris Methodist Fort Worth Hospital | Fort Worth | TX |
|
||
| Plaza Medical Center of Fort Worth | Fort Worth | TX |
|
||
| Lakewood Hospital Association | Lakewood | OH |
|
||
| Rochester General Hospital | Rochester | NY |
|
||
| The Methodist Hospital | Houston | TX |
|
||
| St. Mary's Health Care System, Inc. | Athens | GA |
|
||
| North Shore University Hospital | Manhasset | NY |
|
||
| Alta Bates Summit Medical Center | Berkeley | CA |
|
||
| The Medical Center, Inc. | Columbus | GA |
|
||
| UPMC Presbyterian Shadyside | Pittsburgh | PA |
|
||
| UPMC Mercy | Pittsburgh | PA |
|
||
| East Texas Medical Center Tyler | Tyler | TX |
|
||
| Trinity Mother Frances Health System | Tyler | TX |
|
||
| DeTar Healthcare System | Victoria | TX |
|
||
| St. Vincent Healthcare | Billings | MT |
|
||
| Allegheny General Hospital | Pittsburgh | PA |
|
||
| Swedish Medical Center | Englewood | CO |
|
||
| Nazareth Hospital | Philadelphia | PA |
|
||
| Thomas Jefferson University Hospitals, Inc. | Philadelphia | PA |
|
||
| Jeanes Hospital | Philadelphia | PA |
|
||
| Hospital of the University of Pennsylvania | Philadelphia | PA |
|
||
| Grand View Hospital | Sellersville | PA |
|
||
| Montgomery General Hospital | Olney | MD |
|
||
| University Health Care/Hospitals and Clinics | Salt Lake City | UT |
|
||
| Peninsula Regional Medical Center | Salisbury | MD |
|
||
| Valley Hospital Medical Center | Las Vegas | NV |
|
||
| Renown Regional Medical Center | Reno | NV |
|
||
| Holy Cross Hospital of Silver Spring, Inc. | Silver Spring | MD |
|
||
| Washington Hospital Center | Washington | DC |
|
||
| University of Virginia Health System | Charlottesville | VA |
|
||
| Providence St. Peter Hospital | Olympia | WA |
|
||
| Harborview Medical Center | Seattle | WA |
|
||
| Sentara Hospitals Norfolk | Norfolk | VA |
|
||
| Virginia Mason Medical Center | Seattle | WA |
|
||
| Sacred Heart Medical Center | Spokane | WA |
|
||
| Southwest Washington Medical Center | Vancouver | WA |
|
||
| Henrico Doctors' Hospital | Richmond | VA |
|
||
| Sentara Virginia Beach General Hospital | Virginia Beach | VA |
|
||
| Charleston Area Medical Center, Inc. | Charleston | WV |
|
||
| St. Mary's Medical Center | Huntington | WV |
|
||
| West Virginia University Hospitals, Inc. | Morgantown | WV |
|
||
| John Muir Medical Center Concord Campus | Concord | CA |
|
||
| Glendale Adventist Medical Center | Glendale | CA |
|
||
| Stanly Regional Medical Center | Albemarle | NC |
|
||
| University of North Carolina Hospitals | Chapel Hill | NC |
|
||
| Duke University Hospital | Durham | NC |
|
||
| El Camino Hospital | Mountain View | CA |
|
||
| Los Alamitos Medical Center,Inc. | Los Alamitos | CA |
|
||
| Moses Cone Health System | Greensboro | NC |
|
||
| Pitt County Memorial Hospital | Greenville | NC |
|
||
| Frye Regional Medical Center, Inc. | Hickory | NC |
|
||
| WakeMed Health and Hospitals | Raleigh | NC |
|
||
| Rowan Regional Medical Center | Salisbury | NC |
|
||
| University of California Irvine Medical Center | Orange | CA |
|
||
| Thomasville Medical Center | Thomasville | NC |
|
||
| AnMed Health | Anderson | SC |
|
||
| Sequoia Health Services | Redwood City | CA |
|
||
| Kaiser Foundation Hospital - Sacramento/Roseville | Sacramento | CA |
|
||
| Mercy General Hospital | Sacramento | CA |
|
||
| Spartanburg Regional Healthcare System | Spartanburg | SC |
|
||
| MCG Health, Inc. | Augusta | GA |
|
||
| Doctors Hospital of Augusta | Augusta | GA |
|
||
| Seton Medical Center | Daly City | CA |
|
||
| Saint Francis Memorial Hospital | San Francisco | CA |
|
||
| San Francisco General Hospital Medical Center | San Francisco | CA |
|
||
| UCSF Medical Center | San Francisco | CA |
|
||
| WellStar Cobb Hospital | Marietta | GA |
|
||
| Good Samaritan Hospital LP | San Jose | CA |
|
||
| O'Connor Hospital | San Jose | CA |
|
||
| Kaiser Foundation Hospital - San Jose | San Jose | CA |
|
||
| St. Francis Hospital, Inc. | Columbus | GA |
|
||
| Kaiser Foundation Hospital - Santa Clara | Santa Clara | CA |
|
||
| Hamilton Medical Center | Dalton | GA |
|
||
| John Muir Medical Center, Walnut Creek Campus | Walnut Creek | CA |
|
||
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek | CA |
|
||
| Emory University Hospital | Atlanta | GA |
|
||
| Gwinnett Hospital System, Inc. | Lawrenceville | GA |
|
||
| The Medical Center of Central Georgia, Inc. | Macon | GA |
|
||
| Floyd Healthcare Management, Inc | Rome | GA |
|
||
| Memorial Health University Medical Center, Inc. | Savannah | GA |
|
||
| Bethesda Memorial Hospital, Inc. | Boynton Beach | FL |
|
||
| Cape Canaveral Hospital, Inc. | Cocoa Beach | FL |
|
||
| North Austin Medical Center | Austin | TX |
|
||
| Mease Health Care | Dunedin | FL |
|
||
| Aventura Hospital and Medical Center | Aventura | FL |
|
||
| CJW Medical Center | Richmond | VA |
|
||
| Baptist Medical Center/ Wolfson Children's Hospital | Jacksonville | FL |
|
||
| Shands Jacksonville Medical Center | Jacksonville | FL |
|
||
| Mayo Clinic | Jacksonville | FL |
|
||
| Osceola Regional Medical Center | Kissimmee | FL |
|
||
| Northwest Medical Center | Margate | FL |
|
||
| Kendall Regional Medical Center | Miami | FL |
|
||
| United Regional Health Care System | Wichita Falls | TX |
|
||
| Holmes Regional Medical Center, Inc. | Melbourne | FL |
|
||
| Gulf Coast Medical Center | Panama City | FL |
|
||
| Bay Medical Center | Panama City | FL |
|
||
| Baptist Hospital, Inc. | Pensacola | FL |
|
||
| Sacred Heart Health System, Inc. | Pensacola | FL |
|
||
| Jupiter Medical Center | Jupiter | FL |
|
||
| Community Hospital | New Port Richey | FL |
|
||
| Summa Health System Hospitals | Akron | OH |
|
||
| Aultman Hospital | Canton | OH |
|
||
| Cleveland Clinic | Cleveland | OH |
|
||
| Aurora BayCare Medical Center | Green Bay | WI |
|
||
| Swedish Medical Center/Cherry Hill | Seattle | WA |
|
||
| University Hospitals-Case Medical Center | Cleveland | OH |
|
||
| The Ohio State University Hospital | Columbus | OH |
|
||
| Marymount Hospital | Garfield Heights | OH |
|
||
| Centura Health-Littleton Adventist Hospital | Littleton | CO |
|
||
| St. Joseph's/ Candler Health System | Savannah | GA |
|
||
| Atrium Medical Center | Franklin | OH |
|
||
| Bloomington Hospital | Bloomington | IN |
|
||
| Columbus Regional Hospital | Columbus | IN |
|
||
| Community Hospital East | Indianapolis | IN |
|
||
| St. Vincent Hospital and Health Care Services, Inc. | Indianapolis | IN |
|
||
| Saint Joseph Regional Medical Center South Bend Campus | South Bend | IN |
|
||
| Rush-Copley Medical Center | Aurora | IL |
|
||
| Northwestern Memorial Hospital | Chicago | IL |
|
||
| University of Chicago Medical Center | Chicago | IL |
|
||
| Ingalls Memorial Hospital | Harvey | IL |
|
||
| Edward Health Services Corporation | Naperville | IL |
|
||
| Advocate Lutheran General Hospital | Park Ridge | IL |
|
||
| OSF Saint Anthony Medical Center | Rockford | IL |
|
||
| St. John's Hospital | Springfield | IL |
|
||
| Central DuPage Hospital | Winfield | IL |
|
||
| Bay Regional Medical Center | Bay City | MI |
|
||
| Oakwood Hospital and Medical Center | Dearborn | MI |
|
||
| Providence Hospital and Medical Centers | Southfield | MI |
|
||
| Saint Mary's Health Care | Grand Rapids | MI |
|
||
| W.A. Foote Memorial Hospital | Jackson | MI |
|
||
| Borgess Medical Center | Kalamazoo | MI |
|
||
| Legacy Salmon Creek Hospital | Vancouver | WA |
|
||
| William Beaumont Hospital | Royal Oak | MI |
|
||
| Luther Hospital | Eau Claire | WI |
|
||
| Bellin Health | Green Bay | WI |
|
||
| St. Mary's Hospital Medical Center | Green Bay | WI |
|
||
| St. Vincent Hospital | Green Bay | WI |
|
||
| Gundersen Lutheran Medical Center, Inc. | La Crosse | WI |
|
||
| St. Mary's Hospital | Madison | WI |
|
||
| University of Wisconsin Hospitals and Clinics Authority | Madison | WI |
|
||
| Aurora St. Luke's Medical Center | Milwaukee | WI |
|
||
| Oconomowoc Memorial Hospital | Oconomowoc | WI |
|
||
| Aurora Health Care Central Inc | Sheboygan | WI |
|
||
| Waukesha Memorial Hospital, Inc. | Waukesha | WI |
|
||
| The St. Luke Hospitals, Inc. | Fort Thomas | KY |
|
||
| Central Baptist Hospital | Lexington | KY |
|
||
| University of Kentucky Hospital | Lexington | KY |
|
||
| Wellmont Bristol Regional Medical Center | Bristol | TN |
|
||
| Johnson City Medical Center | Johnson City | TN |
|
||
| Fort Sanders Regional Medical Center | Knoxville | TN |
|
||
| Middle Tennessee Medical Center, Inc. | Murfreesboro | TN |
|
||
| Vanderbilt University Hospital and The Vanderbilt Clinic | Nashville | TN |
|
||
| Decatur General Hospital | Decatur | AL |
|
||
| University of South Alabama Medical Center | Mobile | AL |
|
||
| Memorial Hospital at Gulfport | Gulfport | MS |
|
||
| Abbott Northwestern Hospital | Minneapolis | MN |
|
||
| Mercy Medical Center | Des Moines | IA |
|
||
| The University of Iowa Hospitals and Clinics | Iowa City | IA |
|
||
| Mercy Medical Center - Sioux City | Sioux City | IA |
|
||
| Saint Francis Medical Center | Cape Girardeau | MO |
|
||
| Saint Louis University Hospital | Saint Louis | MO |
|
||
| Barnes-Jewish Hospital | Saint Louis | MO |
|
||
| St. Anthony's Medical Center | Saint Louis | MO |
|
||
| Lester E. Cox Medical Centers | Springfield | MO |
|
||
| Avera McKennan Hospital & University Health Center | Sioux Falls | SD |
|
||
| Saint Elizabeth Regional Medical Center | Lincoln | NE |
|
||
| University of Kansas Hospital Authority | Kansas City | KS |
|
||
| Sparks Regional Medical Center | Fort Smith | AR |
|
||
| Baptist Health Medical Center - Little Rock | Little Rock | AR |
|
||
| West Jefferson Medical Center | Marrero | LA |
|
||
| Ochsner Clinic Foundation | New Orleans | LA |
|
||
| Mercy Health Center | Oklahoma City | OK |
|
||
| INTEGRIS Southwest Medical Center | Oklahoma City | OK |
|
||
| Arlington Memorial Hospital | Arlington | TX |
|
||
| Medical Center of Arlington | Arlington | TX |
|
||
| University Medical Center at Brackenridge | Austin | TX |
|
||
| St. David's Hospital | Austin | TX |
|
||
| Seton Medical Center Austin | Austin | TX |
|
||
| Memorial Hermann Baptist Hospital Beaumont | Beaumont | TX |
|
||
| St. Joseph Regional Health Center | Bryan | TX |
|
||
| Memorial Hermann The Woodlands Hospital | The Woodlands | TX |
|
||
| Baylor University Medical Center (BUMC) | Dallas | TX |
|
||
| Texoma Medical Center | Denison | TX |
|
||
| Las Palmas Medical Center | El Paso | TX |
|
||
| Tarrant County Hospital District | Fort Worth | TX |
|
||
| Valley Baptist Medical Center | Harlingen | TX |
|
||
| Memorial Hermann Hospital | Houston | TX |
|
||
| St. Luke's Episcopal Hospital | Houston | TX |
|
||
| West Houston Medical Center | Houston | TX |
|
||
| Medical Center of McKinney | McKinney | TX |
|
||
| Tomball Hospital Authority | Tomball | TX |
|
||
| Billings Clinic | Billings | MT |
|
||
| St. Patrick Hospital and Health Sciences Center | Missoula | MT |
|
||
| Saint Alphonsus Regional Medical Center | Boise | ID |
|
||
| University of Colorado Hospital Authority | Aurora | CO |
|
||
| St. Mary Corwin Medical Center | Pueblo | CO |
|
||
| Parkview Medical Center | Pueblo | CO |
|
||
| Exempla Lutheran Medical Center | Wheat Ridge | CO |
|
||
| Banner Baywood Medical Center | Mesa | AZ |
|
||
| St. Joseph's Hospital and Medical Center | Phoenix | AZ |
|
||
| McKay-Dee Hospital Center | Ogden | UT |
|
||
| Utah Valley Regional Medical Center/Orem Community Hospital | Provo | UT |
|
||
| Sunrise Hospital and Medical Center | Las Vegas | NV |
|
||
| Overlake Health Care Association | Bellevue | WA |
|
||
| Providence Everett Medical Center | Everett | WA |
|
||
| Evergreen Hospital Medical Center | Kirkland | WA |
|
||
| Valley Medical Center | Renton | WA |
|
||
| Northwest Hospital and Medical Center | Seattle | WA |
|
||
| Swedish Medical Center | Seattle | WA |
|
||
| Sacred Heart Medical Center | Eugene | OR |
|
||
| Rogue Valley Medical Center | Medford | OR |
|
||
| Providence Portland Medical Center | Portland | OR |
|
||
| Providence St. Vincent Medical Center | Portland | OR |
|
||
| Oregon Health & Science University | Portland | OR |
|
||
| Legacy Meridian Park Hospital | Tualatin | OR |
|
||
| San Joaquin Community Hospital | Bakersfield | CA |
|
||
| Mills-Peninsula Health Services | Burlingame | CA |
|
||
| Sharp Grossmont Hospital | La Mesa | CA |
|
||
| Scripps Green Hospital | La Jolla | CA |
|
||
| Long Beach Memorial Medical Center | Long Beach | CA |
|
||
| Ronald Reagan UCLA Medical Center | Los Angeles | CA |
|
||
| Mission Hospital Regional Medical Center | Mission Viejo | CA |
|
||
| Washington Hospital Healthcare System | Fremont | CA |
|
||
| Tri-City Medical Center | Oceanside | CA |
|
||
| Stanford Hospital and Clinics | Stanford | CA |
|
||
| Shasta Regional Medical Center, LLC | Redding | CA |
|
||
| Kaiser Foundation Hospital - Redwood City | Redwood City | CA |
|
||
| Alvarado Hospital | San Diego | CA |
|
||
| University of California San Diego Medical Center | San Diego | CA |
|
||
| Kaiser Foundation Hospital - San Francisco | San Francisco | CA |
|
||
| Regional Medical Center of San Jose | San Jose | CA |
|
||
| Kaiser Foundation Hospital - San Rafael | San Rafael | CA |
|
||
| Kaiser Foundation Hospital - South San Francisco | South San Francisco | CA |
|
||
| Woodland Memorial Hospital | Woodland | CA |
|
||
| Alaska Regional Hospital | Anchorage | AK |
|
||
| Providence Alaska Medical Center | Anchorage | AK |
|
||
| The Queen's Medical Center | Honolulu | HI |
|
||
| Genesis Medical Center, Davenport | Davenport | IA |
|
||
| Community Health Partners Regional Medical Center | Lorain | OH |
|
||
| Saint Clare's Hospital | Denville | NJ |
|
||
| Legacy Portland Hospitals | Portland | OR |
|
||
| Theda Care Hospitals | Neenah | WI |
|
||
| The Nebraska Medical Center | Omaha | NE |
|
||
| Clarian Health Partners, Inc. | Indianapolis | IN |
|
||
| OU MEDICAL CENTER | Oklahoma City | OK |
|
||
| Capital Health System | Trenton | NJ |
|
||
| Aurora Health Care Southern Lakes, Inc. | Kenosha | WI |
|
||
| Kaleida Health | Buffalo | NY |
|
||
| Hahnemann University Hospital | Philadelphia | PA |
|
||
| Mayo Clinic Hospital | Phoenix | AZ |
|
||
| St. Vincent Charity Hospital/Saint Luke's Medical Center | Cleveland | OH |
|
||
| Spectrum Health | Grand Rapids | MI |
|
||
| St. John's Hospital | Maplewood | MN |
|
||
| St. Joseph's Hospital | Saint Paul | MN |
|
||
| Virtua Health, Inc. | Marlton | NJ |
|
||
| Woodwinds Health Campus | Woodbury | MN |
|
||
| Wuesthoff Medical Center - Melbourne | Melbourne | FL |
|
||
| Metro Health Hospital | Grand Rapids | MI |
|
||
| Medical Center of Plano | Plano | TX |
|
||
| Our Lady of Lourdes | Camden | NJ |
|
||
| John C. Lincoln NM | Phoenix | AZ |
|
||
| BryanLGH Medical Center | Lincoln | NE |
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