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.

Showing posts with label certification. Show all posts
Showing posts with label certification. Show all posts

Tuesday, June 10, 2025

Why Patient Leaders With Certification Are Being Taken More Seriously

I've been writing about how to solve stroke for 15 years. Never once in those years have I been contacted by any stroke association or stroke medical 'professional'. It is precisely as Amy Farber says: 'laboratory rat'.

We have to get past what Amy Farber had to say, For the past five years Amy Farber  has been battling not only her own disease but also the wall of resistance erected by those who believe that a patient can make about as much of a meaningful contribution to the process of scientific discovery as a laboratory rat. LAM, lymph-angiolio-myomatosis. She co-invented a revoluntionary web service with MIT Media Lab that enables patients to participate in the search for their own cures.
 

Very obviously nothing I've done in the past 15 years has made a bit of difference in stroke, but I'm persistent.  Hell, I'm worth more than any stroke association leader out there, they do nothing to solve stroke! Contact me at oc1dean@gmail.com if you're willing to listen to a survivor.  Not sure I want to do this, I have a life to live since I'm retired.

Why Patient Leaders With Certification Are Being Taken More Seriously

Wednesday, March 8, 2017

Stroke certified hospitals

Not that this does you one damn bit of good. Certification means absolutely nothing as far as getting you 100% recovered. None of the certification schemes I've seen require measurement of results to get certified. They only have the doctor check boxing that then have done this test or process.  You could have 100% on the processes and still die. Good for the doctor being rated but not good for you.
https://www.qualitycheck.org/data-download/certification-data-download/

Tuesday, December 29, 2015

NeuroRecovery Training Institute Announces Stroke Specialty Certification

Before your therapist goes to this, these questions should be asked of the instructors. 'What percentage of your patients get to 100% recovery?'  'What guarantees of recovery will be able to be provided to survivors from use of this course?'
This ought to be really interesting since the only evidence based therapy is CIMT. Hell, therapists don't even have a common protocol to get patients walking. 

NeuroRecovery Training Institute Announces Stroke Specialty Certification


The NeuroRecovery Training Institute (NeuroRTI) is proud to announce they will be offering a Stroke Specialty Certification beginning March 2016.
This 11-15 month program of post-professional clinical and didactic education is designed to translate evidence into practice, providing both physical and occupational therapists with the tools to deliver best practice management to the post-stroke population. The evidence-based curriculum will guide participants through the full spectrum of stroke rehabilitation, from neuroanatomy and pathology to examination and treatment, with the ultimate goal of facilitating recovery of function and improved reported quality of life. This program will be led by Jill Seale, PT, PhD, NCS, and Rachelle Studer-Byrnes, PT, DPT, NCS.
“We are thrilled to be launching the Stroke Specialty Certification and are eager to introduce the course material to students come March,” said Seale.
“We look forward to empowering students who are passionate about working with stroke survivors and providing them with the tools to promote recovery post-stroke and improve their patients’ outcomes and quality of life,” added Studer-Byrnes.
Cohorts will launch in March, July, and September of 2016. For admission requirements, curricula details, and total hours and credits, please visit http://www.neurorti.com.
About The NeuroRecovery Training Institute
The NeuroRecovery Training Institute (NeuroRTI) is on a mission to create and promote a culture of evidence-based practice (EBP) within neurological clinical practice. Through transformational education efforts, with an emphasis on recovery NeuroRTI has created a full continuum of neurologic training programs including a large nationally-scaled physical therapy Neuro Residency, Postprofessional DPT, Certification, and online Continuing Education (CE) course work for the neurologic interdisciplinary team that includes various topics in the treatment of spinal cord dysfunction, acquired brain injury, and other neurologic disorders. A course on the Pediatric Neuromuscular Recovery Scale, a recovery based outcomes tool will launch in early 2016.

Friday, January 9, 2015

Why Maintenance of Certification Is Bad for Doctors and Patients

As a patient I can see no reason why I shouldn't expect my doctor to be up-to-date on all the latest.  But read this doctor/apologist for the reasons why this is bad for you. Shit, I'm totally positive that my doctor hadn't read a single research article in the 25-30 years since medical school. I have probably referenced 10-15,000 articles in the last 5 years. I expect all stroke doctors to have at least the knowledge I have, if not better.
http://www.nejm.org/doi/full/10.1056/NEJMp1407422#t=article
This statement is f*cking appalling. At least every 5 years at a minimum. I wouldn't see any doctor who hadn't been up-to-date within the last month. Ask your doctor what practices they have changed in the last year and what research triggered that change.
Although some members of the medical community believe that it's not unreasonable to ask physicians to formally document their fund of knowledge every 10 years.

More articles on it although I doubt any of these take a patient view.
The Maintenance of Certification Fait Accompli Position and Why I Reject it
Focus Groups Say MOC Has Little Benefit for Doctors, Patients
MOC and the Physician Quality Reporting game hurts patients, physicians alike
MOC Requirements Don't Benefit Medicine



How the hell do we tell if our doctors are any good? Caveat emptor,  "Let the buyer beware".
That's not good enough for me.

Thursday, August 21, 2014

Mayo Clinic first in Florida to receive national comprehensive stroke center certification

Ok, maybe you are good at processes but that is meaningless if the results are not successful. The results to look at are 30 day deaths, 100% recovery and complete reversal of stroke effects using tPA. If you can't tout these then you are not a very good stroke center.
http://www.bizjournals.com/jacksonville/news/2014/08/20/mayo-clinic-first-in-florida-to-receive-national.html
 I personally believe the Joint Commissions  stuff on stroke is worthless.
You can check out Joint Commission standards here:
http://www.jointcommission.org/assets
I saw absolutely nothing about what should be done the first week or anything about measuring 30-day deaths and 100% recovery or tPA efficacy. 

Thursday, July 11, 2013

Florida Hospital Tampa Earns Advanced Certification for Heart Failure and Primary Stroke Center Certification from The Joint Commission

Big Whoopee. Look at the bolded lines and ask yourself if any of that objectively proves that they know how to get patients to 100% recovery? Ask what their expertise in stroke care translates to in 30-day deaths and 100% recovery. Nothing they are measuring is useful. You measure endpoints, not processes. Stupidity rules once again.
http://www.prweb.com/releases/2013/10/prweb11205601.htm 
Florida Hospital Tampa has earned advanced certification for heart failure and primary stroke center designation from The Joint Commission, in conjunction with the American Heart Association and the American Stroke Association, by demonstrating compliance with the Joint Commission’s national standards for quality care and safety in disease-specific care. The certification award recognizes Florida Hospital Tampa’s dedication to continuous compliance with the Joint Commission’s state-of-the-art standards. Florida Hospital Tampa earned these two distinctions after the Joint Commission, conducted an on-site review in July of 2013.
"In achieving Joint Commission advanced certification, Florida Hospital Tampa has demonstrated its commitment to the highest level of care for its patients. Certification is a voluntary process and I commend Florida Hospital Tampa for successfully undertaking this challenge to elevate its standard of care and instill confidence in the community it serves," said Jean Range, M.S., R.N., C.P.H.Q. Executive Director, Disease-Specific Care Certification, the Joint Commission. Florida Hospital Tampa is one of only five hospitals in the state of Florida to receive this advanced heart failure certification, through the efforts of the renowned Florida Hospital Pepin Heart Institute. The primary stroke center certification compliments Florida Hospital Tampa’s comprehensive stroke center designation from the Florida Agency for Health Care Administration (AHCA) in August of 2012. "Heart disease and stroke represent the #1 and #4 causes of death in the U.S., so achieving Joint Commission certification in our heart failure and stroke programs is a major step toward continually raising the bar for the care we provide to our community," said John Harding, President and CEO of Florida Hospital Tampa. "Joint Commission certification helps to affirm our expertise in heart and stroke care, as well as the state-of-the-art, advanced level of care our patients can expect at Florida Hospital Tampa."
The Joint Commission’s Advanced Certification in Heart Failure Program is designed to target methods of providing safe, successful transitions of care as the patient moves from the inpatient setting to an outpatient setting. The heart failure requirements were developed in consultation with an external task force of experts and organizations with expertise in heart failure care, including representatives from the American Heart Association. In order for a heart failure program to receive advanced certification, it must comply with the Joint Commission’s standards for disease-specific care and must include either a hospital-based and hospital-owned outpatient heart failure clinic or have a collaborative relationship with one of more attending cardiology practices. Advanced certification also requires that a program collect data on the four Joint Commission core measures for heart failure and use this information for ongoing performance improvement efforts.
The Joint Commission’s Primary Stroke Center Certification program was developed in collaboration with the American Stroke Association. It is based on the Brain Attack Coalition’s "Recommendations for the Establishment of Primary Stroke Centers." Achievement of certification signifies that the services Florida Hospital Tampa provides meet critical elements to achieve long-term success in improving outcomes. The Florida Hospital Tampa Stroke Program already carries the designation as a Comprehensive Stroke Center by AHCA, and this certification by the Joint Commission further solidifies Florida Hospital Tampa’s excellence and expertise in stroke care. The Joint Commission’s Disease-Specific Care Certification Program launched in 2002. It is designed to evaluate clinical programs across the continuum of care. Certification requirements address three core areas: compliance with consensus-based national standards; effective use of evidence-based clinical practice guidelines to manage and optimize care; and an organized approach to performance measurement and improvement activities.

Friday, November 16, 2012

Stanford Hospital & Clinics Awarded First Comprehensive Stroke Center Certification in the Nation

I know I should be glad they achieved this but the performance measures to meet them are hidden. They should really be publishing the % recovery rates, full and partial. That would be useful to know rather than they have processes in place that may or may not be effective.
http://stanfordhospital.org/newsEvents/newsReleases/2012/stroke-center-certification.html
The Joint Commission and the American Heart Association/American Stroke Association together announced that The Stanford Stroke Center at Stanford Hospital & Clinics in Palo Alto, California, is the first hospital in the country to meet The Joint Commission’s standards for Disease-Specific Care Comprehensive Stroke Center Certification. Comprehensive Stroke Certification is the third Disease-Specific Care program on which The Joint Commission and the American Heart Association/American Stroke Association are collaborating. The other programs include Primary Stroke Center Certification and Advanced Certification in Heart Failure.

The new level of certification recognizes hospitals that have state-of-the-art equipment, infrastructure, staff and training to diagnose and treat patients with the most complex strokes. Comprehensive Stroke Center Certification was derived from the Brain Attack Coalition’s “Recommendations for Comprehensive Stroke Centers,” (Stroke, 2005), andMetrics for Measuring Quality of Care in Comprehensive Stroke Centers,” (Stroke, 2011),and on recommendations from a multidisciplinary advisory panel of experts in complex stroke care.

A team of Joint Commission expert surveyors evaluated The Stanford Stroke Center on October 18 and 19, 2012, for compliance with the Comprehensive Stroke Center standards and requirements, including advanced imaging and treatment capabilities, 24/7 availability of specialized treatments, participation in research, and staff and physicians with the unique education and competencies to care for complex stroke patients. The surveyors found the hospital met or exceeded all required standards.

“The Joint Commission commends Stanford Hospital & Clinics for seeking and achieving certification as part of its commitment to focusing on the care processes that produce the best outcomes for complex stroke patients,” says Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president, The Joint Commission. “Stroke patients who are treated at Stanford can have added confidence that the hospital has put in place the critical elements necessary to meet their unique needs.”

Nothing in here  talks about recovery