Deans' stroke musings: HMC’s Stroke Program Receives International Patient Safety and Quality Recertification

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.

Tuesday, November 28, 2017

HMC’s Stroke Program Receives International Patient Safety and Quality Recertification - Doha, Qatar

You'll notice that nowhere in here do they refer to RESULTS. Excellent stroke care means absolutely nothing. We don't give a shit about care, care and service doesn't solve any of the problems in stroke or get you to 100% recovery. Call that hospital president and demand to know what the RESULTS are; tPA efficacy, 30 day deaths, 100% recovery, rehab protocol efficacy.
Big fucking whoopee.

You can check out Joint Commission standards here:

http://www.jointcommission.org/assets

I saw absolutely nothing about what should be done the first week or anything about measuring 30-day deaths and 100% recovery. God, these people are worse than worthless. Complacent good-for-nothings.

The puffery article here:
https://www.albawaba.com/business/pr/hmc%E2%80%99s-stroke-program-receives-international-patient-safety-and-quality-recertification-1
Hamad Medical Corporation’s (HMC) Stroke Program has become the first of its kind in the Middle East to be recertified by the Joint Commission International (JCI). This latest achievement was confirmed following an extensive review under JCI’s Clinical Care Program Certification (CCPS) Third Edition. The HMC Stroke Program operates under Hamad General Hospital (HGH).
“JCI certification is based on quality and safety across all clinical and management functions and is considered the gold standard in global healthcare,” explained Professor Ashfaq Shuaib, Director of HMC’s Neurosciences Institute.
Recertification of the Stroke Program is a significant achievement for HMC. It independently endorses the quality of care the service has consistently delivered since first gaining JCI certification in 2014. The number of stroke patients treated at HGH’s dedicated stroke ward has increased year on year since 2014, as Dr. Naveed Akhtar, Director of HMC's Stroke Ward, explained: “Due to the high prevalence in Qatar’s population of many risk factors for stroke – including diabetes, obesity, high cholesterol, hypertension, and inactivity – the incidence of stroke is high. In 2014, we treated around 900 stroke patients, a number that has risen to 1,390 in 2017 and ongoing.”

To receive the recertification, HMC’s Stroke Program team successfully met the JCI inspection’s strict criteria, which assessed the quality and safety of the full spectrum of services involved in caring for stroke patients, including HMC’s ambulance, emergency, radiology and rehabilitation teams.
“I would like to thank our key partners in Qatar, including the Ministry of Public Health, as well as HMC’s senior leadership and all staff and teams involved in making this happen. I look forward to working together to raise the quality of care we offer even further,” Professor Shuaib added.
HMC’s Stroke Program team has continued to improve care outcomes for patients, despite increasing volumes. Recent improvements in care outcomes include:

Increased public knowledge of stroke, boosted by HMC’s national stroke awareness campaign. The campaign’s key objective was to educate people on how to recognize the signs and symptoms of stroke and the correct action to take if they suspect a stroke. The campaign has contributed to an increase in the number of stroke patients calling for an ambulance, rather than driving themselves to hospital - rising from 50 percent in 2014 to 66 percent at present.
Reduced average length of stay in hospital for stroke patients. Time of stay has steadily decreased from 8.9 days in 2013 to 5.9 days in 2017. This demonstrates the effective nature of care being provided by the service.
In addition to thrombolysis - internationally recognized as a very effective treatment in acute ischemic stroke, which must be given within 4.5 hours of the onset of symptoms - the HMC stroke team now regularly utilizes interventional thrombectomies, the retrieval of blocked vessel clots through a catheter.

“The number of IV thrombolysis and interventional thrombectomy treatments we carry out at HMC has increased threefold since 2014. Both these treatments must be given quickly following a stroke. This requires effective and timely assessment, diagnosis, and treatment of stroke patients by everyone involved in the care process,” said Dr. Akhtar.