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 27, 2023

Avera McKennan Certified as Comprehensive Stroke Center

When you tell me three statistics I might consider you a comprehensive stroke center. Until then, touting 'care' means nothing for survivors. They want 100% recovery and nothing here suggests they get it. 

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 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 both these certs 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 guidelines yourself.

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


 The latest invalid chest thumping here:

Avera McKennan Certified as Comprehensive Stroke Center

Avera McKennan Hospital & University Health Center has received certification as a Comprehensive Stroke Center, reflecting the highest level of competence for treatment of serious stroke events.

Through certification awarded by DNV GL Healthcare, Avera McKennan is the only Comprehensive Stroke Center in South Dakota and the wider region and one of only 306 Comprehensive Stroke Centers in the United States.

The DNV Comprehensive Stroke Center Certification is based on standards set forth by the Brain Attack Coalition and the American Stroke Association, and affirms that Avera McKennan addresses the full spectrum of stroke care — diagnosis, treatment, rehabilitation and education — and establishes clear metrics to evaluate outcomes.

A Comprehensive Stroke Center is a facility that has the personnel, infrastructure and expertise to diagnose and treat stroke patients who require intensive medical and surgical care, specialized tests or interventional therapies. A Comprehensive Stroke Center delivers the highest quality of care to the most complex cases.

This is a three-year certification and DNV will perform an annual survey of Avera McKennan stroke services in order to maintain certification.

“Avera McKennan’s stroke protocols offer evidence-based approaches across the entire timeline of stroke diagnosis and treatment,” said Ronald Place, MD, Avera McKennan Regional President and CEO. “This elite certification reflects the extensive training and collaboration of Avera’s multidisciplinary team in performing exceptional care for patients suffering a stroke.”

In the case of stroke symptoms, the first step is often arrival in the Emergency Department when timely CT imaging takes place to diagnose what type of stroke happened in the brain and where. Those crucial images then direct timely treatment for lesser long-term effects to the brain.

Treatment may involve drug therapy such as tissue plasminogen activator (tPA) known as clot busters, or tenecteplase.

If indicated, Avera offers interventional neuro-endovascular procedures that allow for a minimally invasive approach to neurovascular conditions including stroke. Via microcatheters, tiny equipment is navigated through blood vessels via an incision in the wrist or groin. At the site of the stroke, instruments are used to open an occluded critical vessel, repair an abnormality or retrieve the clot.

Avera offers a specialized neuro unit for stroke recovery as well as inpatient rehabilitation where a wide range of therapies are used to restore mobility, balance and cognitive function. Avera McKennan opened its state-of-the-art rehab unit on the fifth floor of the Prairie Center in 2018.

“This certification means that patients who experience an acute stroke or an acute vascular neurologic event, as well as their loved ones, can have the confidence that Avera McKennan is providing the region with the top level of sophistication and care for all forms of acute stroke management,” said William Rossing, MD, Avera Medical Group neurologist and stroke specialist.

Comprehensive Stroke Centers are typically among largest and best-equipped hospitals within a given geographical area that can treat any kind of stroke or stroke complication. In a growing number of states, stroke center certification determines to which facility a patient should be taken for the most appropriate care.

“Achieving certification shows commitment to excellence,” says Kelly Proctor, President of DNV Healthcare USA Inc. “And it helps demonstrate to your community that you are performing at the highest level.”

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