This is the whole problem in stroke enumerated in one word; 'care'; NOT RECOVERY!
If your hospital is following this it means they are a failure because they are delivering 'care'; NOT RECOVERY! I would never go to a failed hospital!
YOU have to get involved and change this failure mindset of 'care' to 100% RECOVERY! Survivors want RECOVERY, NOT 'CARE'!
I see nothing here that states going for 100% recovery! You need to create EXACT PROTOCOLS FOR THAT!
ASK SURVIVORS WHAT THEY WANT, THEY'LL NEVER RESPOND 'CARE'! This tyranny of low expectations has to be completely rooted out of any stroke conversation! I wouldn't go there because of such incompetency as not having 100% recovery protocols!
RECOVERY IS THE ONLY GOAL IN STROKE! GET THERE!
American Heart Association Standards for Postacute Stroke Rehabilitation Care
Metrics
Abstract
Evidence-based
rehabilitation and secondary prevention interventions improve
poststroke functional recovery and reduce secondary complications.
However, stroke rehabilitation expertise, processes of care(NOT RECOVERY!), and
educational resources vary among sites where postacute care(NOT RECOVERY!) (PAC) is
delivered. The American Heart Association developed quality standards
based on the American Heart Association 2016 Guidelines for Adult Stroke
Rehabilitation and Recovery to address these gaps. An interdisciplinary
PAC standards writing committee identified key areas for PAC: quality
improvement, medical management, care(NOT RECOVERY!) coordination, patient/caregiver
and personnel education, and program management. Subgroups developed
draft standards, combining results from a national landscape survey of
PAC sites with clinical practice guidelines. The committee then refined
the draft standards using a consensus-based process. American Heart
Association staff and PAC sites in Montana convened a learning
collaborative to gather feedback and provide gap analyses of the
standards relative to current practices. Qualitative input from beta
testing in Montana and quantitative results from the nationwide survey
and Montana sites were analyzed and used to refine the standards
further. The national landscape survey demonstrated that most sites do
not meet the proposed standards: stroke program oversight structure (78%
fall short), stroke rehabilitation leadership (70%), stroke-specific
order sets/protocols (61%), and policies requiring staff stroke
education (66%). Regarding Montana findings, 41% of the PAC sites have
no mechanisms to identify areas of quality improvement specific to their
stroke rehabilitation programs, and 59% do not use standardized tools
to ensure that performance improvement initiatives are followed.
However, with adequate support and resources, most Montana sites stated
that they would be able to meet the proposed standards. We conclude that
the Stroke PAC Quality Standards are applicable in PAC settings and
provide a pathway to improving access to high-quality care(NOT RECOVERY!) for stroke
survivors. Outcome studies are needed to confirm anticipated
improvements in medical and functional outcomes.
Evidence-based
rehabilitation and secondary prevention interventions improve
poststroke functional recovery and reduce secondary complications.
However, stroke rehabilitation expertise, processes of care(NOT RECOVERY!), and
educational resources vary among sites where postacute care(NOT RECOVERY!) (PAC) is
delivered. The American Heart Association developed quality standards
based on the American Heart Association 2016 Guidelines for Adult Stroke
Rehabilitation and Recovery to address these gaps. An interdisciplinary
PAC standards writing committee identified key areas for PAC: quality
improvement, medical management, care(NOT RECOVERY!) coordination, patient/caregiver
and personnel education, and program management. Subgroups developed
draft standards, combining results from a national landscape survey of
PAC sites with clinical practice guidelines. The committee then refined
the draft standards using a consensus-based process. American Heart
Association staff and PAC sites in Montana convened a learning
collaborative to gather feedback and provide gap analyses of the
standards relative to current practices. Qualitative input from beta
testing in Montana and quantitative results from the nationwide survey
and Montana sites were analyzed and used to refine the standards
further. The national landscape survey demonstrated that most sites do
not meet the proposed standards: stroke program oversight structure (78%
fall short), stroke rehabilitation leadership (70%), stroke-specific
order sets/protocols (61%), and policies requiring staff stroke
education (66%). Regarding Montana findings, 41% of the PAC sites have
no mechanisms to identify areas of quality improvement specific to their
stroke rehabilitation programs, and 59% do not use standardized tools
to ensure that performance improvement initiatives are followed.
However, with adequate support and resources, most Montana sites stated
that they would be able to meet the proposed standards. We conclude that
the Stroke PAC Quality Standards are applicable in PAC settings and
provide a pathway to improving access to high-quality care(NOT RECOVERY!) for stroke
survivors. Outcome studies are needed to confirm anticipated
improvements in medical and functional outcomes.
Get full access to this article
View all available purchase options and get full access to this article.
View all available purchase options and get full access to this article.
No comments:
Post a Comment