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:

Friday, September 16, 2016

'Bedless' hospitals grow as industry moves toward outpatient care

This is going to become more likely even for stroke survivors with results like these:

Rehabilitation after stroke with focus on early supported discharge and post-stroke fatigue

James Paget University Hospital wins high praise for stroke rehabilitation work

 This shouldn't even be attempted for stroke survivors until  the neuronal cascade of death by these 5 causes in the first week has been solved. Otherwise you are sending patients out there even as more of their neurons continue to die in the first week. This is a gross dereliction of duty.
The changing nature of healthcare and patients’ desire for convenience have given rise to nontraditional care formats such as stand-alone emergency rooms and “micro-hospitals,” and now “bedless hospitals” are joining the push.
Such hospitals still have standard hospital features, including infusion suites, emergency rooms, helipads and operating areas, but no overnight space, according to STAT. For example, MetroHealth System recently opened a $48 million bedless facility in the Cleveland area. CEO Akram Boutros, M.D., said staff is expecting to serve around 3,000 patients during this first year.
“It reduces cost, and it reduces the risk of infection,” Boutros told the publication. “People go home to a less-risky environment, where they tend to get better faster.”
In addition to patients’ desire for speedier, more convenient care models, the growth of such facilities is also due to growth in outpatient care within the industry. While experts say increased use of outpatient services offsets the cost of pricier inpatient care, others question whether the increase of bedless facilities mean fewer resources for patients with complex treatment needs that require beds and overnight stays, according to STAT.
Some healthcare leaders have worked to streamline complex treatments along with these developments. For example, Memorial Sloan Kettering Cancer Center designed the 16-story Josie Robertson Surgery Center, an outpatient cancer center that has 28 short-stay beds but mostly performs surgeries for which patients leave within hours.
Similarly, Mercy Hospital’s Virtual Care Center in Missouri places video calls to patients, saving time and money even for patients with complex, chronic conditions, according to CNN Money. It's especially beneficial for patients who may live far from the nearest healthcare facility. "You have to break that whole clinic kind of thinking with nursing: 'Oh my gosh, he needs to go to the ER," Dan Milner, a navigator for the care center, said. "[There's] an antiquated idea of how people think healthcare should be."

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