Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Thursday, August 4, 2016

Under a new population health program, CMS will pay providers to reduce the absolute risk for heart disease or stroke among high-risk Medicare beneficiaries.

Once again going down the lazy prevention route. ARE YOU THAT GODDAMNED CHICKENSHIT THAT YOU YOU WILL WAIT UNTIL HELL FREEZES OVER BEFORE EVEN ATTEMPTING TO SOLVE ALL THE PROBLEMS IN STROKE?  WAITING ONCE AGAIN FOR SOMEONE ELSE TO SOLVE THE PROBLEM?
http://www.healthleadersmedia.com/finance/medicares-million-hearts-initiative-aims-reduce-cardiac-disease 
With the help of 516 inaugural participating healthcare providers nationwide, federal officials are harnessing data to rise to a pair of crucial population health challenges: reducing rates of cardiovascular disease and stroke.
Launched on July 21, the Million Hearts Cardiovascular Disease Risk Reduction Model is a data-driven effort designed to reduce the risk of cardiovascular disease and stroke among Medicare beneficiaries, federal officials said in a statement.
Participating providers will work with Medicare beneficiaries individually "to identify the best approach or approaches to reducing their risk of having a heart attack or stroke." Factors that will be considered include smoking cessation interventions, blood pressure management, and the use of cholesterol-lowering drugs or aspirin.
"Each beneficiary will receive a personalized risk modification plan that will target their specific risk factors. Organizations in the intervention group will be paid for reducing the absolute risk for heart disease or stroke among their high-risk beneficiaries," according to CMS.
The Million Hearts Campaign aligns well with the population health goals at Danville, PA-based Geisinger Health System, says Sanjay Doddamani, MD, system director of advanced cardiac disease and heart failure.
"We have gone from Baby Boomers, to Generation X, to Millennials carrying modifiable risks for heart attacks and strokes. As a steward for healthcare in the communities we serve, we are interested to see that our communities are smoke-free, physically on the move, eating right, and controlling blood pressure and cholesterol and lipids by diet, exercise, and medications. The Million Hearts initiative aligns well with these goals," he says.

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