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.

Monday, July 18, 2016

UVA Stroke Program Honored with 2 National Quality Awards - Charlottesville, VA

A great stroke association leader would be contacting these hospitals and tell them to stop putting out these false puffery articles and just focus on their factual results. But that is a pipe dream of mine.
 These are NOT result awards so they don't tell you anything about how good the program is. Call the leadership

President, University of Virginia

Richard P. Shannon, MD

Executive Vice President for Health Affairs, University of Virginia
Dean, UVA School of Medicine
CEO, UVA Medical Center



Tel: 434.924.0211 (Operator).

  and demand to know what the RESULTS are; 30 day deaths, 100% recovery, tPA efficacy?
There is absolutely nothing in here that tells me that the RESULTS are better in this hospital than other hospitals. I don't give a crap about how well you do processes.
Big fucking whoopee.
Guidelines here: You can see how this is nothing to be impressed about. This is all indirect action, not results.
http://www.heart.org/HEARTORG/HealthcareResearch/GetWithTheGuidelinesHFStrokeResus/GetWithTheGuidelinesStrokeHomePage/Get-With-The-Guidelines-Stroke-Overview_UCM_308021_Article.jsp

The puffery article here:
http://www.nbc29.com/story/32468778/uva-stroke-program-honored-with-2-national-quality-awards
Release from the University of Virginia Health System:

CHARLOTTESVILLE, Va., July 18, 2016 - For meeting national guidelines to provide fast, high-quality stroke care, the University of Virginia Health System’s stroke program received two national awards from the American Heart Association and American Stroke Association.

UVA earned the 2016 Get With The Guidelines-Stroke Gold Plus Quality Achievement Award and was also named to the Target: Stroke Honor Roll Elite. According to the American Heart Association, the awards recognize UVA’s commitment to providing stroke care using nationally recognized guidelines based on the most recent research.

Exceeding National Quality Standards

To receive the Gold Plus Achievement Award, UVA demonstrated a compliance rate of 85 percent or more for 24 consecutive months with the core standard levels of care outlined by the American Heart Association and the American Stroke Association. UVA also demonstrated a compliance rate of 75 percent or more with five of eight stroke quality measures in the most recent 12-month period.

Some of the measures met or exceeded by UVA include:
  • 95 percent of patients who arrived at the hospital within two hours of their stroke symptoms beginning received tPA - a clot-busting stroke treatment drug - within three hours of their symptoms beginning. Treatment with tPA is most effective when given within three hours of the start of stroke symptoms.
  • 99 percent of patients were given medications to help prevent blood clots, which are often the cause of a stroke.
  • 99 percent of patients with hyperlipidemia (excess cholesterol and fat in their blood) - a risk factor for stroke and heart disease - were given statins, a group of medications designed to lower cholesterol.
  • 99 percent of patients were assessed for stroke rehabilitation services before being released from the hospital.
UVA earned the Target: Stroke Honor Roll Elite award by having 75 percent or more of stroke patients who should receive tPA get the drug within 60 minutes of arriving at the hospital, which is key to improving patient outcomes.

Quality Stroke Care Takes a Team

Excellent stroke care requires help from a large team, said UVA stroke program coordinator Beth Hundt. It begins with a family member or friend who recognizes stroke symptoms and calls 911, followed by the rescue squads that assess patients and transport them to UVA, where care begins in the Emergency Department and encompasses a large team.

“Nurses and physicians, pharmacists, radiology technicians, social workers, speech therapists, occupational therapists, and physical therapists all work together to provide the best possible care to our stroke patients,” Hundt said. “At UVA, we care about our patients. That’s why we’ve made a commitment to turn treatment guidelines into lifelines.”

My response:
There is nothing here that tells you if the results are any good. tPA efficacy? 100% recovery? 30-day deaths? All compared to other stroke hospitals.  Processes and guidelines do not guarantee results.

No comments:

Post a Comment