Deans' stroke musings: Why Stroke Programs Fail: Identifying Leaders to Turn a Team Around

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, January 9, 2013

Why Stroke Programs Fail: Identifying Leaders to Turn a Team Around

These are only implementing the status quo. And that status quo is a failure. Ask your stroke center what is the percentage of patients getting tPA that recover completely. Anything less than 100% proves that innovative hyperacute treatments are needed.
http://www.beckershospitalreview.com/hospital-key-specialties/why-stroke-programs-fail-identifying-leaders-to-turn-a-team-around.html
Many hospitals are developing or enhancing their stroke programs to better coordinate care and meet quality standards.(Notice they don't say anything about recovery) There have been many examples of success, such as Palm Drive Hospital in Sebastopol, Calif., which received a Superior Performance award from the Healthcare Facilities Accreditation Program in May — only the second hospital to do so — and the stroke center of Palo Alto, Calif.-based Stanford Hospital & Clinics, which in November became the first hospital in the country to receive the Disease-Specific Care Comprehensive Stroke Center Certification from The Joint Commission.

However, many hospital stroke programs fail, and the primary reason is they lack a strong stroke coordinator, according to Timothy Shephard, PhD, vice president of Bon Secours Virginia Health System's Neuroscience Institute. "Almost universally, programs that fail or backslide in performance are those [that] lost a stroke coordinator or did not have one and tried to tack it on to someone else's job," he says. "Having seen a few hundred stroke programs, I can unequivocally make this statement."