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.

Thursday, October 26, 2017

RMC listed award-winning hospital in U.S. News and World Report - Orangeburg, SC

Stroke award is fucking worthless, nothing on results, just adherence to processes and guidelines. You could get 100% process adherence and still die. Good for the goals and objectives for your doctor but bad for you. 
1. Nothing on 100% recovery statistics.
2. Nothing on 30-day deaths compared to other hospitals.
3. Nothing on the efficacy of their stroke rehab protocols.
4.  Nothing on tPA full efficacy.
5. Nothing on their misdiagnosis percentage of strokes, especially young strokes.
Guidelines prove nothing.


You can't get better at anything unless you measure it. You don't measure processes you measure results. 
Guidelines prove nothing.
You'll want to know results so Call that 

Interim RMC President and CEO

(  Bert Whitaker)
general number   (803) 533-2200 and demand to know what the RESULTS are; tPA efficacy, 30 day deaths, 100% recovery, misdiagnosis percentage.
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://thetandd.com/news/rmc-listed-award-winning-hospital-in-u-s-news-and/article_906a4de7-9cc0-53a1-b6e3-839082c4f162.html
The Regional Medical Center has been recognized by the American Heart Association and the American Stroke Association for excellence in Heart Failure, Stroke and Resuscitation in U.S. News & World Report’s national listing of award-winning hospitals, “The Hospital Around the Corner.”
“RMC is dedicated to quality patient care and positive patient outcomes. These awards reflect that dedication, and the community can be proud that RMC has received national recognition from both the American Heart Association and the American Stroke Association,” Interim RMC President & CEO Bert Whitaker said.
Each year, the AHA/ASA recognize participating hospitals that demonstrate high commitment to following guidelines shown to improve patient outcomes. In 2017, RMC received the Heart Failure GOLD PLUS Achievement Award, the Stroke GOLD PLUS Achievement Award and the Resuscitation SILVER Achievement Award. RMC also received the Target: Heart Failure Honor Roll and the Target: Stroke Honor Roll Elite designations.
Get With The Guidelines®-Heart Failure is a quality improvement program that helps hospital teams follow the most up-to-date, research-based standards with the goal of speeding recovery and reducing hospital re-admissions for heart failure patients. According to the AHA, about 5.7 million adults in the United States suffer from heart failure, with the number expected to rise to 8 million by 2030.
RMC earned the GOLD PLUS recognition by meeting specific quality achievement measures for the diagnosis and treatment of heart failure patients. These measures include evaluation of the patient, proper use of medications and aggressive risk-reduction therapies, such as ACE inhibitors/ARBs, beta-blockers, diuretics, anticoagulants and other appropriate therapies. Before patients are discharged, they receive education on managing their heart failure and overall health, and are scheduled for follow-up appointments. 2017 marks the fifth consecutive year that RMC has received the Heart Failure GOLD PLUS Achievement Award.
RMC also received the association’s Target: Heart FailureSM Honor Roll. Target: Heart Failure is an initiative that provides hospitals with educational tools, prevention programs and treatment guidelines designed to reduce the possibility of heart failure patients ending up back in the hospital. Hospitals are required to meet criteria that improves medication adherence, provides early follow-up care and coordination and enhances patient education. The goal is to reduce hospital re-admissions and help patients improve their quality of life in managing this chronic condition. RMC has received this designation for four consecutive years.
In addition to the heart failure award, RMC also received recognition from the ASA for stroke care for a fifth year. The Get With The Guidelines®-Stroke GOLD PLUS Quality Achievement Award recognizes the hospital’s commitment to providing the most appropriate stroke treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. Hospitals must achieve 85 percent or higher of all Get With The Guidelines-Stroke achievement standards for two or more consecutive 12-month periods and achieve 75 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures to earn the GOLD PLUS recognition.
The RMC stroke care program also qualified for the Target: Stroke Honor Roll Elite for the second year in a row. To earn this designation, RMC met quality measures(So what? Results? Full recovery?) developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. If given intravenously within the first three hours after the start of stroke symptoms, tPA can significantly reduce the effects of stroke and lessen the chance of permanent disability.
RMC received a new award for 2017, the Get With The Guidelines®-Resuscitation Silver Award, for implementing specific quality improvement measures outlined by the AHA for the treatment of patients who suffer cardiac arrests in the hospital.
“This program helps us save lives by using evidence-based guidelines for inpatient CPR and allows us to track and measure our continuous quality improvement in resuscitation,” said Indun Whetsell, RN, director of Quality Management and Medical Staff Services at RMC.
More than 200,000 adults and children have an in-hospital cardiac arrest each year, according to the AHA. The Get With The Guidelines®-Resuscitation program was developed with the goal to save lives of those who experience in-hospital cardiac arrests through consistently following the most up-to-date research-based guidelines for treatment. Guidelines include following protocols for patient safety, medical emergency team response, effective and timely resuscitation (CPR) and post-resuscitation care.
RMC received the resuscitation award for meeting specific measures in treating adult patients who suffer in-hospital cardiac arrests. To receive this award, a hospital must comply with the quality measures for one year.

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