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.

Tuesday, June 28, 2022

Robert Wood Johnson University Hospital’s Advanced Comprehensive Stroke Center Earns National Recognition from the American Heart Association for Efforts to Improve Stroke Treatment

'Efforts' What a crock of shit!

Big fucking whoopee.

 

 But you tell us NOTHING ABOUT RESULTS. They remind us they 'care' about us 18 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:

 

Robert Wood Johnson University Hospital’s Advanced Comprehensive Stroke Center Earns National Recognition from the American Heart Association for Efforts to Improve Stroke Treatment

NEW BRUNSWICK, NJ— Robert Wood Johnson University Hospital’s (RWJUH) Advanced Comprehensive Stroke Center has again earned the American Heart Association Get With The Guidelines®-Stroke Gold Plus with Target: Stroke Honor Roll Elite and Advanced Therapy with Target: Type 2 Diabetes Honor Roll recognition.

For stroke patients, this means RWJUH has met quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-busting medications and interventional procedures.

For patients with Diabetes, it means that RWJUH has met quality measures developed with more than 90% of compliance for 12 consecutive months for the “Overall Diabetes Cardiovascular Initiative Composite Score.”

Nearly half of all adults in the U.S. have experienced some form of vascular 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 vascular events. As a participant in the Get With The Guidelines program, RWJUH applied for the award recognitions by demonstrating how their organization has committed to improving quality care for patients.

“For our patients and communities, this recognition is evidence of our commitment to constant improvement in our critical interventions for ischemic strokes and in preventing strokes in vulnerable populations such as those who have diabetes,” said Bill Arnold, President and Chief Executive Officer of RWJUH. “As an academic medical center and a Joint Commission-certified Comprehensive Stroke Center, we remain committed to offering patients the most advanced therapies, technologies and expert care to our patients.”

“Earning this recognition again is the direct result of the dedication among all of our teams – neurology, neurosurgery, emergency care, emergency medical services, critical care, nursing, physical rehabilitation, and social work – to provide exceptional care to our stroke patients and return them to an active, healthy lifestyle. We are proud that the American Heart Association and American Stroke Association have recognized our team’s efforts and we are committed to continue providing residents of our state with the most advanced stroke care available,” said Kiwon Lee, MD, Chief of Neurology at RWJUH; Professor of Neurology and Neurosurgery at Rutgers Robert Wood Johnson Medical School; and Medical Director of the RWJUH’s Comprehensive Stroke Center.

Each year program participants apply for the award recognition by demonstrating how their organization has committed to providing quality care for stroke patients. In addition to following treatment guidelines, participants also provide education to patients to help them manage their health and rehabilitation once at home.

In April, RWJUH earned The Joint Commission’s (TJC) Gold Seal of Approval® for Advanced Certification in Comprehensive Stroke Center by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a health care organization’s commitment to providing safe and quality patient care. The Stroke Program underwent a rigorous virtual survey during which a team from TJC evaluated compliance with national standards, clinical guidelines and outcomes of care for stroke. The virtual visit spanned several areas including the Emergency Department, Radiology, Interventional Radiology, Neurocritical Care Unit, Neurology Intermediate Care Unit and Neurology floor. The program received a ‘perfect’ survey result from the visit, meaning there were no requirements for improvement cited.

The Advanced Comprehensive Stroke Center at RWJUH provides patients with rapid diagnosis and treatment, specialized inpatient care, and access to clinical research through a partnership with Rutgers Robert Wood Johnson Medical School. RWJUH received its first Advanced Certification in Comprehensive Stroke Center in 2013 from TJC. The 2022 certification marks the programs fifth consecutive re-certification and underscores the institution’s commitment to serve its communities with the highest levels of life-saving care.

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 tools and resources to increase adherence to 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 9 million patients since 2001. For more information, visit heart.org/quality.

About Robert Wood Johnson University Hospital
Robert Wood Johnson University Hospital (RWJUH) New Brunswick, an RWJBarnabas Health Facility, is a 600-bed academic medical center that serves as the principal teaching hospital of Rutgers Robert Wood Johnson Medical School and the flagship Cancer Hospital of Rutgers Cancer Institute of New Jersey. Its Centers of Excellence include cardiovascular care from minimally invasive heart surgery to transplantation, cancer care, stroke care, neuroscience, orthopedics, bariatric surgery and women’s and children’s care including The Bristol-Myers Squibb Children’s Hospital at Robert Wood Johnson University Hospital (www.bmsch.org). A Level 1 Trauma Center and the first designated Pediatric Trauma Center in the state, RWJUH’s New Brunswick campus serves as a national resource in its ground-breaking approaches to emergency preparedness. For more Information visit us online at www.rwjbh.org/newbrunswick

Contact: Peter Haigney
RWJUH Public Relations
732-937-8568

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