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.

Saturday, August 3, 2024

University hospitals nationally recognized for high-quality stroke care

 

I wouldn't go there if all they are offering is 'care'; NOT 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! By touting 'care' they are not telling you about results or recovery which survivors want! Survivors don't care about your 'care'; you FUCKING BLITHERING IDIOTS; they want 100% recovery! Why aren't you providing that?

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 'care' guidelines yourself. Survivors want RECOVERY not 'care'

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

The latest invalid chest thumping here:

University hospitals nationally recognized for high-quality stroke care

The American Heart Association presents Get With The Guidelines® - Stroke awards for proven dedication to ensuring all stroke patients have access to best practices and life-saving care(NOT REOVERY!)

Grant and Award Announcement

University Hospitals Cleveland Medical Center

CLEVELAND  University Hospitals (UH) has received numerous American Heart Association Get With The Guidelines® - Stroke quality achievement awards for ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, ultimately leading to more lives saved and reduced disability.

Stroke is the No. 5 cause of death and a leading cause of disability in the U.S. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When that happens, part of the brain cannot get the blood and oxygen it needs, so brain cells die. Early stroke detection and treatment are key to improving survival, minimizing disability and accelerating recovery times.

Get With The Guidelines puts the expertise of the American Heart Association and American Stroke Association to work for hospitals nationwide, helping ensure patient care(NOT REOVERY!) is aligned with the latest research- and evidence-based guidelines. Get With The Guidelines - Stroke is an in-hospital program for improving stroke care(NOT REOVERY!) by promoting consistent adherence to these guidelines, which can minimize the long-term effects of a stroke and even prevent death.

“University Hospitals has always been at the forefront of innovation, and is committed to improving and maintaining the excellent quality of care(NOT REOVERY!) we deliver while consistently adhering to the latest treatment guidelines,” said Amrou Sarraj, MD, FAHA, FSVIN, UH Neurological Institute and Director, Comprehensive Stroke Center and Stroke Systems, George M. Humphrey II Endowed Chair, and Professor of Neurology, Case Western Reserve University School of Medicine. “Our team is dedicated to delivering evidence-based care(NOT REOVERY!) to every patient, every time, and the Get With The Guidelines program has been instrumental in helping us achieve this goal. These recognitions are a testament to the tireless efforts of our physicians, nurses, and caregivers who strive for excellence in stroke care(NOT REOVERY!)."

Each year, participants qualify for the award by demonstrating how their organization has committed to providing quality care(NOT REOVERY!) for stroke patients. In addition to following treatment guidelines, Get With The Guidelines participants also educate patients to help them manage their health and recovery at home.

The following UH hospitals received levels of achievement this year:

Get With The Guidelines – Stroke Gold Plus and Target: Stroke Honor Roll Elite Plus
Gold recognizes performance of 24 consecutive months or more. Gold Plus awards are advanced levels of recognition acknowledging hospitals for consistent compliance with quality measures. Target: Stroke Honor Roll Elite Plus recognizes 75% of applicable patients experiencing door-to-needle times of 45 minutes or less, and 50% of applicable patients experiencing door-to-needle times of 30 minutes or less. (Door-to-needle times refer to the time between hospital arrival and intravenous thrombolytic therapy (IVT) administration.)

  • UH Ahuja Medical Center
  • UH Cleveland Medical Center
  • UH Parma Medical Center
  • UH Portage Medical Center

Get With The Guidelines – Stroke Gold Plus and Target: Stroke Honor Roll Elite
85% of applicable patients experiencing door to needle times of 60 minutes or less

  • UH Elyria Medical Center
  • UH Samaritan Medical Center
  • Southwest General Hospital (a joint-venture hospital)

Get With The Guidelines – Stroke Gold Plus and Target: Stroke Honor Roll
75% of applicable patients experiencing door to needle times of 60 minutes or less

  • UH Geauga Medical Center, a campus of UH Regional Hospitals
  • UH St. John Medical Center

Get With The Guidelines – Stroke Gold Plus 

  • UH Conneaut Medical Center
  • UH Geneva Medical Center
  • UH Lake Health Medical Centers
  • Western Reserve Hospital (a joint-venture hospital)

Get With The Guidelines – Rural Stroke Silver  
This award recognizes hospitals for their efforts toward acute stroke care(NOT REOVERY!) excellence demonstrated by composite score compliance to guideline-directed care(NOT REOVERY!) for intravenous thrombolytic therapy, timely hospital inter-facility transfer, dysphagia screening, symptom timeline and deficit assessment documentation, emergency medical services communication, brain imaging and stroke expert consultation.

  • UH Conneaut Medical Center
  • UH Geneva Medical Center
  • UH Samaritan Medical Center           

Target Stroke Advanced Therapy Honor Roll
UH Cleveland Medical Center also met specific scientific guidelines as a Comprehensive Stroke Center achieving Target Stroke Advanced Therapy Honor Roll for the fourth year for rapid diagnosis and treatment of severe stroke patients requiring thrombectomy procedure. For this award, hospitals successfully treated at least 50% of qualified stroke patients within 90 minutes of arriving directly to their facility and within 60 minutes of arriving by EMS transport.

UH Cleveland, Elyria, Geauga, Geneva, Parma, Portage, Samaritan, and St. John medical centers, as well as Southwest General Health Center received Target: Type 2 Diabetes Honor Roll awards. These awards recognize hospitals for providing the most up-to-date, evidence-based care(NOT REOVERY!) for patients with type 2 diabetes who are hospitalized with heart failure, heart attack or stroke.

“We are incredibly pleased to recognize University Hospitals for its commitment to caring for patients with stroke,” said Steven Messe, MD, volunteer chairperson of the American Heart Association Stroke System of Care(NOT REOVERY!) Advisory Group, and professor of neurology and director of fellowships of neurology at the Hospital of the University of Pennsylvania. “Participation in Get With The Guidelines is associated with improved patient outcomes, fewer readmissions and lower mortality rates – a win for health care systems, families and communities.”

###

About University Hospitals / Cleveland, Ohio
Founded in 1866, University Hospitals serves the needs of patients through an integrated network of more than 20 hospitals (including five joint ventures), more than 50 health centers and outpatient facilities, and over 200 physician offices in 16 counties throughout northern Ohio. The system’s flagship quaternary care, academic medical center, University Hospitals Cleveland Medical Center, is affiliated with Case Western Reserve University School of Medicine, Northeast Ohio Medical University, Oxford University, Taiwan University and the Technion Israel Institute of Technology. The main campus also includes the UH Rainbow Babies & Children's Hospital, ranked among the top children’s hospitals in the nation; UH MacDonald Women's Hospital, Ohio's only hospital for women; and UH Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center. UH is home to some of the most prestigious clinical and research programs in the nation, with more than 3,000 active clinical trials and research studies underway. UH Cleveland Medical Center is perennially among the highest performers in national ranking surveys, including “America’s Best Hospitals” from U.S. News & World Report. UH is also home to 19 Clinical Care Delivery and Research Institutes. UH is one of the largest employers in Northeast Ohio with more than 30,000 employees. Follow UH on LinkedIn, Facebook and Twitter. For more information, visit UHhospitals.org.

About Get With The Guidelines®
Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 14 million patients since 2001. For more information, visit heart.org.

No comments:

Post a Comment