Deans' stroke musings: NABH(National Accreditation Board for Hospitals and Healthcare Providers - India) seeks public and stakeholders suggestions on first edition draft standards for stroke centres

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.

Wednesday, June 14, 2023

NABH(National Accreditation Board for Hospitals and Healthcare Providers - India) seeks public and stakeholders suggestions on first edition draft standards for stroke centres

Get involved and ask for 100% recovery protocols. And don't acknowledge their whining when they say it can't be done. Swearing may be required. DO NOT BACK DOWN!

NABH seeks public and stakeholders suggestions on first edition draft standards for stroke centres

Shardul Nautiyal, Mumbai
Wednesday, June 14, 2023, 08:00 Hrs [IST]

The National Accreditation Board for Hospitals and Healthcare Providers (NABH) has sought suggestions and feedback from public at large, including the stakeholders like hospitals, clinical establishments, industry and consumer groups on first edition draft standards for stroke centres.

NABH standards for stroke centres have been drafted in collaboration with World Stroke Organization (WSO). “The comments may be shared on the form within 20 days of publication of this notice on the website. Last date for receiving suggestions and feedback is June 20, 2023,” according to a NABH circular.

According to the draft standards for stroke centres, “The stroke centre shall define and display the services that it provides. The services provided at the stroke centre shall be defined and be in consonance with the needs of the community. Each defined service shall have diagnostic and treatment services with suitably qualified personnel who provide out-patient, in-patient and emergency cover.”

The draft standards further stipulate that the stroke centre’s defined services shall be prominently displayed. The stroke centre shall have a well-defined registration and admission process. The stroke centre shall use written guidance for registering and admitting patients.

A unique identification number shall be generated at the end of registration. There shall be an appropriate mechanism for transfer out or referral of patients to a higher level of care. Transfer out or referral of patients to a higher level of care shall be done appropriately.

If the stroke centre does transfer patients for neurosurgical emergencies, there shall be a written guidance for urgent transfer. The stroke centre shall have a written transfer protocol, transfer agreement or a memorandum of understanding (MoU) with at least one hospital being capable of providing timely and essential stroke related services immediately.

The stroke centre shall give a summary of the patient’s condition and the treatment given. Patients in the stroke centre shall be appropriately assessed and documented. Assessments shall include initial assessment and periodic re-assessment as applicable and shall be appropriate for each patient. All patients (emergency and in-patients) shall undergo an assessment based on their needs. All assessments shall be documented and signed appropriately by staff.

“The doctor and nursing staff shall develop a documented care plan for the admitted stroke patient, which includes identification of individual needs for the patient, based on their condition and the family’s needs,” as per the draft standards.