WOW! A policy statement; NOT A STRATEGY TO GET TO 100% RECOVERY! This is precisely why I consider the ASA a fucking failure of a stroke association! All these supposedly smart people and still not one useable brain cell amongst them!
You do have stroke in your name; it should mean you're trying to solve stroke to 100% recovery! But alas! That's obviously too fucking hard for you. Wait until you're the 1 in 4 per WHO that has a stroke and there is nothing for 100% recovery, that will become your problem. And every single fucking failure of a stroke association IS RUNNING AWAY! COWARDS!
Send me personal hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? No excuses are allowed! You're medically trained; it should be simple to precisely state EXACTLY WHY you haven't worked at all on 100% recovery with NO EXCUSES! Your definition of competence in stroke is obviously much lower than stroke survivors' definition of your competence! Swearing at me is allowed, I'll return the favor. Don't even attempt to use the excuse that brain research is hard.
Yeah, this is a repeat post but I'm trying to get through to the brain-dead ASA! Not a single ASA president has contacted me; I can only assume they are afraid of me. My email address is directly above.
New AHA/ASA policy statement urges stroke rehab overhaul
The University of Cincinnati's Joseph Broderick spoke with Medscape about a new American Heart Association/American Stroke Association policy statement warning that stroke survivors across the US face steep barriers to rehabilitation, including insurance denials, geographic “care deserts,” and high out-of-pocket costs. The statement was coauthored by UC's Oluwole Awosika, MD.
The writing group called for enacting measures to ensure full transparency in payer databases on the rehabilitation services patients with stroke receive and their outcomes, as well as the rate of denials for postacute stroke care. They additionally advocated for advancing research that reflects real-world stroke recovery challenges by prioritizing patient-centered studies and addressing caregiving needs, mental health and long-term outcomes such as quality of life, return to work and community reintegration.
Broderick told Medscape the statement is "very important and timely," noting the problem with postacute care does not lie with acute care hospitals where care is standardized, mesaured and recognized by certification programs.
“The problem comes when the recommendation for inpatient rehab or skilled nursing facility is made to the insurance carrier and managed governmental programs. There is an incentive to not approve inpatient rehab and particularly long-term acute care — even when the patient meets the criteria,” said Broderick, professor in UC’s Department of Neurology and Rehabilitation Medicine in the College of Medicine, director of the UC Gardner Neuroscience Institute and a UC Health physician.
Another issue Broderick raised is insurers not approving, reviewing or interacting with postacute care plans for patients on weekends.
“So a key part of the health system for determining postacute care is not only delaying disposition but doesn’t function 2 days a week,” he said. “It would be like pilots in the airline industry not available to fly on the weekends and passengers piling up at the airport and surrounding hotels until Monday, when the pilots came back online and take them to their next destination."
