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.

Friday, December 1, 2023

Healthcare providers across state recognized for stroke care performance - Arkansas

 Which means they are complete fucking failures since they talk about 'care'; NOT RESULTS OR RECOVERY!

Anytime I see 'care' in any stroke press release I know the stroke medical world is not willing to disclose actual results because they are so fucking bad, it wouldn't look good, so misdirection is used. Don't fall for that misdirection!

Big fucking whoopee.

 

 But you tell us NOTHING ABOUT RESULTS. They remind us they 'care' about us multiple times but never tell us how many 100% recovered.  You have to ask yourself why they are hiding their incompetency by not disclosing recovery results.  ARE THEY THAT FUCKING BAD?


Three measurements will tell me if the stroke medical world is possibly not completely incompetent; DO YOU MEASURE ANYTHING?  I would start cleaning the hospitals by firing the board of directors, you can't let incompetency continue for years at a time.

There is no quality here if you don't measure the right things.

  1. tPA full recovery? Better than 12%?
  2. 30 day deaths? Better than competitors?

  3. rehab full recovery? Better than 10%?

 

You'll want to know results so call that hospital president(whomever that is) RESULTS are; tPA efficacy, 30 day deaths, 100% recovery. Because there is no point in going to that hospital if they are not willing to publish results.

In my opinion this partnership allows stroke hospitals to continue with their tyranny of low expectations and justify their complete failure to get survivors 100% recovered. Prove me wrong, I dare you in my stroke addled mind. If your stroke hospital goal is not 100% recovery you don't have a functioning stroke hospital.

All you ever get from hospitals are that they are following guidelines; these are way too static to be of any use. With thousands of pieces of stroke research yearly it would take a Ph.D. level research analyst to keep up, create protocols, and train the doctors and therapists in their use. 

If your stroke hospital doesn't have that, you don't have a well functioning stroke hospital, you have a dinosaur. 

Read up on the guidelines yourself.

“What's measured, improves.” So said management legend and author Peter F. Drucker 

The latest invalid chest thumping here:

Healthcare providers across state recognized for stroke care performance - Arkansas

The Arkansas Department of Health (ADH) recognizes 39 hospitals, 48 ambulance services, two regional teams, and two individuals for excellence in stroke patient care.

The hospital awards are based on stroke care performance as documented in the Arkansas Stroke Registry for July 2022 and June 2023 patient discharges. They are given to hospitals based on the following measures: defect-free stroke care, documentation of stroke bands, and door to CT times.

Defect-free care is an aggregated metric based on the American Heart Association/American Stroke Association (AHA/ASA) Coverdell metrics to ensure stroke patients receive appropriate care. Stroke bands allow for improved data collection for quality improvement, and faster door to CT times improve the likelihood of better patient outcomes. To qualify for this award, a hospital must be designated through ADH or a national accreditation body.

The EMS awards are based on documentation of stroke bands and pre-notification. When hospital teams are alerted that a suspected stroke patient is enroute by EMS, this helps expedite the patient’s care upon arrival.

Regional recognition is awarded to those geographical areas in Arkansas in which healthcare teams demonstrate the highest level of performance for pre-notification, stroke band documentation, and door to CT times.

The transition of care award honors organizations or individuals for the exceptional work they did with stroke patients and their families as part of the transition of care for the patient.

“We are delighted to see the improvement in stroke care as demonstrated by these hospitals,” said Bala Simon, MD, DrPH, Deputy Chief Medical Officer and State Chronic Disease Director at the Arkansas Department of Health. “Through our work with the communities, EMS, and hospitals we hope to improve quality of stroke care among Arkansans with this devastating condition.”

Visit https://www.healthy.arkansas.gov/programs-services/topics/arkansas-stroke-registry for a complete listing of all award winners.

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