Why Stroke Programs Fail: Identifying Leaders to Turn a Team Around

These are only implementing the status quo. And that status quo is a failure.  Ask your stroke center what is the percentage of patients getting tPA that recover completely. Anything less than 100% proves that innovative hyperacute treatments are needed.
http://www.beckershospitalreview.com/hospital-key-specialties/why-stroke-programs-fail-identifying-leaders-to-turn-a-team-around.html
Many hospitals are developing or enhancing their stroke programs to better coordinate care and meet quality standards.(Notice they don't say anything about recovery) There have been many examples of success, such as Palm Drive Hospital in Sebastopol, Calif., which received a Superior Performance award from the Healthcare Facilities Accreditation Program in May — only the second hospital to do so — and the stroke center of Palo Alto, Calif.-based Stanford Hospital & Clinics, which in November became the first hospital in the country to receive the Disease-Specific Care Comprehensive Stroke Center Certification from The Joint Commission.

However, many hospital stroke programs fail, and the primary reason is they lack a strong stroke coordinator, according to Timothy Shephard, PhD, vice president of Bon Secours Virginia Health System's Neuroscience Institute. "Almost universally, programs that fail or backslide in performance are those [that] lost a stroke coordinator or did not have one and tried to tack it on to someone else's job," he says. "Having seen a few hundred stroke programs, I can unequivocally make this statement."