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.

Thursday, June 30, 2022

Excela Health continues to earn national recognition for exemplary care of heart, stroke patients

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?

Anytime I see the word 'care' in stroke I know that we don't have the right goals anywhere in stroke. 100% recovery is the only goal in stroke. NOT 'care'.

 

Three measurements will tell me if the stroke hospital is possibly not completely incompetent; DO YOU MEASURE ANYTHING?  I would start cleaning the hospital 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(Whoever 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 Get With the Guidelines 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 'Get With the 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 the guidelines yourself here:  You'll see they say they improve outcomes but give no proof that it is happening. I find nothing in here that states they are even measuring results or recovery. Since neither seems to occur, it is in my opinion invalid recognition.

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

Get With The Guidelines® Stroke

 The latest invalid chest thumping here:

Excela Health continues to earn national recognition for exemplary care of heart, stroke patients

Excela Health through its three member hospitals once again has received multiple American Heart Association Achievement Awards for demonstrated commitment to ensuring cardiovascular patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, ultimately leading to more lives saved, shorter recovery times and fewer returns to the hospital.

Every 40 seconds, someone in the United States has a stroke or heart attack, with heart disease and stroke \the No. 1 and No. 5 causes of death in the U.S., respectively. Studies show patients can recover better when providers consistently follow treatment guidelines. Nearly half of all adults in the United States have experienced some form of cardiovascular disease – including heart attack, stroke and heart failure. For patients with conditions that are severe enough to be transported or admitted to a hospital, time is critical. The American Heart Association’s Mission: Lifeline® and Get With The Guidelines® programs help reduce barriers to prompt treatment for cardiovascular events. As a participant in both programs, Excela Health earned award recognitions by demonstrating how the health system has committed to delivering quality care for patients.

“Excela Health is honored to be recognized by the American Heart Association for our dedication to helping our patients have the best possible chance of survival after cardiovascular events,” said Chief Medical Officer Carol Fox, MD, FAAFP. “Mission: Lifeline and Get With The Guidelines programs give our teams evidence-based knowledge and clinical tools to use on a daily basis to improve outcomes. The recognitions clearly demonstrate our ongoing commitment to putting the needs of our patients first on a daily basis. And while we are gratified that the consistency of our efforts is note-worthy, it is our patients who are most grateful for the exemplary care.”

For the second consecutive year, all Excela Health hospitals received the American Heart Association’s Gold Plus Get With The Guidelines®-Stroke Quality Achievement Award. To earn this distinction, Excela Frick Hospital, Excela Latrobe Hospital and Excela Westmoreland Hospital each met aggressive clinical goals for treating patients in seven core standard levels of care as outlined by American Heart Association/American Stroke Association, as well as compliance with stroke quality measures during the specific 12-month evaluation period. Gold Plus Quality Awards are advanced levels of recognition acknowledging hospitals for consistent adherence to quality measures.

Excela Latrobe Hospital also achieved the Gold Plus with Target: Stroke Honor Roll distinction. To qualify for this recognition, Latrobe met specific criteria that reduced the time between an eligible patient’s arrival at the hospital and treatment with the clot-buster alteplase. Excela Health hospitals are already recognized as Primary Stroke Centers, which features a comprehensive system for rapid diagnosis and treatment of stroke patients admitted to the emergency department.

Separately, Excela Westmoreland Hospital was awarded the Mission: Lifeline® Receiving Silver Plus Achievement Award for implementing specific quality improvement measures to treat patients who suffer severe heart attacks.

Each year, more than 250,000 people experience an ST elevation myocardial infarction (STEMI), the deadliest type of heart attack, caused by a blockage of blood flow to the heart that requires timely treatment. To prevent death, it is critical to restore blood flow as quickly as possible, either by mechanically opening the blocked vessel or by providing clot-busting medication.

The American Heart Association’s mission: Lifeline program helps reduce barriers to prompt treatment for heart attacks – starting from when 9-1-1 is called, to EMS transport and continuing through hospital treatment and discharge. Optimal care for heart attack patients takes coordination between the individual hospital, EMS and healthcare system.

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