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, October 15, 2014

The ROI of mobile stroke units

These people pushing this are f*cking idiots if they don't see that these mobile stroke units will soon become obsolete. The Qualcomm Tricorder X Prize will make this totally obsolete. And with tPA having a 88% failure rate, it seems doubly stupid to go down this route. Does absolutely no one read any current news on stroke at all? This may be the best they can do for now but it seems they are determined to have a failed short term project. I really don't care how famous these hospitals are, they still are stupid.
http://www.healthcarefinancenews.com/news/roi-mobile-stroke-units
In stroke care, swift treatment is key to preventing death and disability, and health systems looking to get ahead on incentives for population health might consider new investing .
The Cleveland Clinic and University of Texas Health are using the nation’s first mobile stroke units to treat stroke patients sooner, and both show promise in preserving patients’ quality of life and saving a great deal of money for the U.S. healthcare system.
Currently, when someone experiencing stroke symptoms makes a 911 call, they are not fully evaluated until they enter the hospital, and if they’re suffering an ischemic stroke, it takes on average 62 minutes for them to receive the clot-busting, brain-saving tPA (tissue plasminogen activator) therapy, said Stephanie Parker, RN, project manager of UTHealth’s Mobile Stroke Unit in Houston.
In other words, that’s a loss of around one hundred and twenty million neurons, since two million die every minute during a stroke.
[See also: Mobile health vans' value proposition.]
In contrast, mobile stroke units can be dispatched to the scene and literally bring the ER to the patient’s driveway. Inside a unit, a portable CT scanner images the patient’s brain, providing immediate results for determination of whether the patient should be treated with tPA.
“We can bring a highly trained team of individuals with no other distractions directly to the scene,” said Peter Rasmussen, MD, director of Cleveland Clinic’s Cerebrovascular Center. And via telemedicine, "[the stroke unit] can bring a world caliber expert, a clinical neurologist, to the home, versus a patient going to the local hospital,” he added.
“The mobile stroke unit provides faster time-to-treatment and also reduces costs,” Rasmussen said. “Most of the cost is in the cost of caring, in rehabilitation. The best way to reduce the cost is to introduce treatment as quickly as possible.”
According to Rasmussen and Parker, mobile stroke units may be able to reduce the need and costs for acute care and improve outcomes to the extent that rehabilitation services become unnecessary or are significantly lessened.
If the Cleveland Clinic and UTHealth show that’s possible, mobile stroke units have the potential to save billions of dollars if they are incorporated into ambulance fleets throughout the country. And Rasmussen indicated that there is interest from many academic and non-academic healthcare centers throughout the United States.
Currently, the mobile stroke unit is undergoing a two-year study at UTHealth, the home of the nation’s first unit. The study aims to ascertain if administering tPA faster improves patient outcomes, and then measure cost effectiveness, Parker said.

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