Stroke Coordinator: ROI. Author: Debbie Roper, RN, MSN (d.r. Stroke) Vice President of Roper Resources, Inc.
|
|
- Laura Rose
- 6 years ago
- Views:
Transcription
1 Stroke Coordinator: ROI Author: Debbie Roper, RN, MSN (d.r. Stroke) Vice President of Roper Resources, Inc
2 Disclosure Debbie Roper is a speaker for: Genentech Activase Chiesi - Nicardipine Debbie has no actual or potential conflict of interest in relation to this presentation.
3 Stroke Consulting Services Stroke Program Development Course (Six Month Recipe) Mock Stroke Surveys Certification Consulting Services Red Gate Inn, McKinney, TX Redgateinn.com
4 Objectives 1. Discuss the role of stroke coordinator on increasing inpatient stroke volumes 2. Discuss impact of decreasing length of stay on ROI 3. Understand the value of increasing Activase treatment rates 4. Rationalize the direct cost incurred for the role of a full time stroke coordinator.
5 Cost increase predictions from Total direct annual stroke related medical costs expected to increase from $71.55 billion to $ billion Real indirect annual costs projected to rise from $33.65 billion to $56.54 billion Overall annual costs of stroke projected to increase to $ billion by 2030 (129% increase) Stroke 2013; 44:
6 Aging population = Increase in prevalence of stroke Additional 3.4 million people with stroke in 2030 By 2030 nearly 4% of the US population is projected to have had a stroke Stroke 2013; 44:
7 Revised & Updated Recommendations for the Establishment of PSCs A Summary Statement From the Brain Attack Coalition Less disability associated with use of rt-pa Use of rt-pa increased in PSCs Less disability = less lifetime cost Stroke units (Class I, Level A) 17-28% reduction in death 7% increase in being able to live at home 8% reduction in length of stay 19% increase in good outcomes Stroke. 2011;(42):
8 Stroke Coordinator Role Commander Chief Educator Motivator Data Abstractor Data Analyzer Speaker Organizer Facilitator Detective Data Analyst
9 Stroke Coordinator Qualifications Registered Nurse Neurology Experience Critical Care Experience (ED/ICU) Public Speaking Experience Performance Improvement Experience Educating Experience BCLS + ACLS (per job description) NIHSS 8 hrs stroke CNE annually
10 What does a SUCCESSFUL Stroke Coordinator look Like? Achieved/Maintained Stroke Certification? No Recommendations for improvement on stroke survey? Longevity in stroke coordinator position? Stroke Core Measures are 100%
11 Four Elements of a Successful Stroke Coordinator Stroke Volumes Stroke Treatments Stroke Outcomes Stroke Length of Stays
12 Increase Stroke Volume
13 What does success look like? 60 Arrival within time window for stroke treatments Volume of In-Patient Strokes Yahoo! a steady increase in stroke volume What About? Mode of Arrival (EMS vs Pvt Vehicle) Inter-facility Transfers Denials Potential leakage to the competition Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2015 Stroke Volume Ischemic and Hemorrhagic
14 Total Percent Stroke Patient Mode of Arrival EMS Volumes by Provider? Ambulance Automobile
15 What does Success Look Like? EMS volume increases EMS is a participant on stroke committee EMS stroke protocols are reviewed annually EMS stroke protocols follow current CPGs EMS run sheets are provided on every patient Care provided by EMS is assessed to ensure protocol adherence EMS Feedback is provided by stroke center EMS attends stroke survey Main EMS Providers EMS 1 EMS 2 EMS 3 EMS 4
16 Total What does Success Look Like? Time of Arrival from LKN Acute vs Subacute Community education events increase (> 2/yr) Largest Employer Zip code origin Stroke Volume Acute stroke volume increases < 3 hours from LKN hours from LKN < 6/8 hours from LKN Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Acute Strokes Total Strokes
17 Increase Stroke Treatments
18 Increase Stroke Treatments What does Success Look Like? ED Physicians find a reason to treat with IV Activase Every acute stroke patient is screened for stroke treatments IV/IA Activase Thrombectomy Devices Clipping/Coiling Carotid Stents Intracranial Stents Percent of all Ischemic stroke patients who receive IV Activase increases (not just acute)
19 Are Your ED Physicians Finding a Reason to TREAT or NOT TO TREAT? What does Success Look Like? No missed opportunities ED Physicians discuss their concerns r/t Activase ED Physicians prescribe Activase without Neurologist Individual ED Physician Report Cards Increase number of patients receiving IV Activase Created by Genesis Lewis RN, BSN Dallas, Texas
20 Are You Screening Every Acute Stroke Patient for Eligibility for Endovascular Treatments? What does Success Look Like? Transfer agreement with CSC CSC provides all PSC and ASR facilities with screening criteria LKN is < 6hrs NIHSS > 8/10 or higher NIHSS < 4 with aphasia CTA = large vessel infarct Every Activase patient is screened for Thrombectomy prior to admission to ICU All ED Practitioners are knowledgeable about CSC screening criteria
21 Collaborate with EMS PSC vs CSC for Stroke Treatments What does Success Look Like? State EMS transfer protocols - CSC vs PSC EMS screen from scene for PSC vs CSC EMS participate in IRB studies to validate screening
22 Improve Stroke Outcomes
23 How Do You Measures Stroke Outcomes? What does Success Look Like? Patient Disposition increase of patient discharged to home and/or rehab Compare Initial and Discharge NIHSS decrease in NIHSS or return to baseline at discharge mrs at 90 days able to perform activities of daily living No Stroke readmissions within 30 days
24 Don t forget the financial impact of improved outcomes Calculate complication rates (pneumonia 3%) Calculate cost/case of complication rates Pneumonia, DVT, PE (Increase of $33,155) Effective dysphagia screening at bedside can reduce aspiration pneumonia by 50% (Hinchey, et al. Stroke 2005;36) 3% of 340= 10.2 patients with pneumonia ($338,181) 50% reduction = $169,090 in cost avoidance
25 Decrease Length of Stay
26 The DRG system is in place to incentivize hospital efficiency Strategies for decreasing cost revolve largely around the formation of stroke units Savings of ~$55 million per 1000 patients Stroke 2012; 43:
27 Decrease Length of Stay (Ischemic, Hemorrhagic, TIA) What does Success Look Like? Ischemic stroke LOS = Hemorrhagic stroke LOS TIA LOS
28 A Successful Stroke Coordinator s ROI Using Four Elements Stroke Volumes Increase Year over Year Stroke Treatments Increase Stroke Outcomes Improve Stroke Length of Stays Decrease
29 Questions
The Importance of Stroke Programs in an Acute Care Setting by Debbie Estes, RN, BSN Stroke Program Coordinator, Medical City of Dallas
The Importance of Stroke Programs in an Acute Care Setting by Debbie Estes, RN, BSN Stroke Program Coordinator, Medical City of Dallas Objectives Describe the road to the gold Discuss the importance of
More informationAntithrombotics: Percent of patients with an ischemic stroke or TIA prescribed antithrombotic therapy at discharge. Corresponding
Get With The Guidelines -Stroke is the American Heart Association s collaborative performance improvement program, demonstrated to improve adherence to evidence-based care of patients hospitalized with
More informationAcute Stroke Systems of Care Optimizing Patient Care and Improving Outcomes
Acute Stroke Systems of Care Optimizing Patient Care and Improving Outcomes Laurie Paletz, BSN PHN RN-BC SCRN Cedars-Sinai Medical Center Stroke Program Coordinator Disclosures Speaker s Bureau: Genentech
More informationReducing COPD Exacerbation Readmissions in a Community-Based Teaching Hospital
Reducing COPD Exacerbation Readmissions in a Community-Based Teaching Hospital Dawn Waddell, PharmD, BCPS Clinical Pharmacy Manager Lisa Kingdon, PharmD, BCPS Clinical Pharmacy Specialist Dawn Waddell
More informationNebraska Medicine Stroke and Neurovascular Center Outcomes
Nebraska Medicine Stroke and Neurovascular Center Outcomes Stroke Procedure/Treatment Our Performance Joint Commission Benchmark Diagnostic Cerebral Angiogram Stroke within 24 hours post procedure Death
More informationTRANSFORMING STROKE CARE IN THE CAPITAL: THE LONDON STROKE STRATEGY
TRANSFORMING STROKE CARE IN THE CAPITAL: THE LONDON STROKE STRATEGY LUCY GROTHIER Director South London Cardiac and Stroke Network lucy.grothier@slcsn.nhs.uk 27 th May 2011 Gaps in London stroke care GAPS
More informationDISCLOSURES. Learning Objectives. David Lee Gordon, MD, FAHA Update in Stroke 2007 FINANCIAL DISCLOSURE UNLABELED/UNAPPROVED USES DISCLOSURE
Acute Stroke Care and the Role of EMS Ryan Hakimi, DO, MS April 30, 2015 Assistant Professor Director, Critical Care Neurology Department of Neurology University of Oklahoma Health Sciences Center DISCLOSURES
More informationStroke Systems of Care
Comprehensive Stroke and Cerebrovascular Center Stroke Systems of Care Dana Stradling RN MSN CNRN UC Irvine Stroke Manager dstradli@uci.edu Why Stroke Systems? No. 4 th 5 th cause of death in the U.S.
More informationDr. Steve Ligertwood Dr. Roderick Tukker Dr. David Wilton
Dr. Steve Ligertwood Hospitalist Royal Columbian Hospital Regional Department Head-Hospitalist for Fraser Health Authority Project Lead BC Hospitalist VTE Collaborative Clinical Instructor, UBC School
More informationSTROKE COORDINATOR! RETURN ON INVESTMENT DEBBIE HILL, FAHA! PRINCIPAL! LOMBARDI HILL CONSULTING GROUP!
STROKE COORDINATOR! v! RETURN ON INVESTMENT DEBBIE HILL, FAHA! PRINCIPAL! LOMBARDI HILL CONSULTING GROUP! DISCLOSURES Principal, Lombardi Hill Consulting Group Member, Gerson Lehman Healthcare Council
More informationPrimary Stroke Center Quality & Performance Measures
Primary Stroke Center Quality & Performance Measures This section of the manual contains information related to the quality performance of Primary Stroke Centers. Brain Attack Coalition Definitions Recognition
More informationThe DAWN of a New Era for Wake-up Stroke
The DAWN of a New Era for Wake-up Stroke Alan H. Yee, D.O. Stroke and Critical Care Neurology Department of Neurology University of California Davis Medical Center Objectives Review Epidemiology and Natural
More informationND STROKE Coordinators Case Studies. STEMI and Stroke Conference, Fargo, ND, August 5, 2014
ND STROKE Coordinators Case Studies STEMI and Stroke Conference, Fargo, ND, August 5, 2014 STROKE Coordinator Case Study Essentia Health, Fargo Essentia Health Stroke Alert Process Within 24 hours of Last
More informationACUTE ISCHEMIC STROKE. Current Treatment Approaches for Acute Ischemic Stroke
ACUTE ISCHEMIC STROKE Current Treatment Approaches for Acute Ischemic Stroke EARLY MANAGEMENT OF ACUTE ISCHEMIC STROKE Rapid identification of a stroke Immediate EMS transport to nearest stroke center
More informationGet With the Guidelines Stroke PMT. Quality Measure Descriptions
Get With the Guidelines Stroke PMT Quality Measure s Last Updated July 2016 Print Measure s Dysphagia Screen Stroke Education Rehabilitation Considered Time to Intravenous Thrombolytic Therapy 60 min LDL
More informationJOURNEY TO ACUTE STROKE READY CERTIFICATION
JOURNEY TO ACUTE STROKE READY CERTIFICATION Bernie Oberrecht RN MSN NE-BC Director of Critical Care for St. Elizabeth Healthcare System Stroke Program Coordinator Currently @ St. Elizabeth Healthcare Edgewood
More informationTarget: STROKE. The Team-Based Approached
Target: STROKE The Team-Based Approached November 19, 2013 Tuesday 1300 1400 Thank you for joining today s webinar, the presentation will begin shortly. A special thank you to Cornerstone Therapeutics
More informationMark J. Alberts, MD. Turning the Wheels of Stroke Care
Mark J. Alberts, MD Vice-Chair, Clinical Affairs Professor of Neurology Department of Neurology and Neurotherapeutics University of Texas Southwestern Medical Center Dallas, Texas Turning the Wheels of
More informationStroke Systems of Care Claire Corbett, MMS, NRP Manager of Neurodiagnostics and Stroke Center New Hanover Regional Medical Center. What do we know?
Stroke Systems of Care Claire Corbett, MMS, NRP Manager of Neurodiagnostics and Stroke Center New Hanover Regional Medical Center What do we know? Stroke: Time is Brain Shorter onset to treatment times
More information12/4/2017. Disclosures. Study organization. Stryker Medtronic Penumbra Viz Route 92. Data safety monitoring board Tudor G.
12/4/2017 Update on Stroke Trials:Extending the Window DWI or CTP Assessment with Clinical Mismatch in the Triage of Wake-Up and Late Presenting Strokes Undergoing Neurointervention with Trevo NP001713
More informationPrimary Versus Comprehensive: What is the Difference?
Primary Versus Comprehensive: What is the Difference? April 26, 2018 Bethann Mercanti, PA-C Director of Clinical Practice Stroke Program Coordinator Cooper Neurological Institute Cooper Bon & Joint Institute
More informationStroke Update Elaine J. Skalabrin MD Medical Director and Neurohospitalist Sacred Heart Medical Center Stroke Center
Stroke Update 2015 Elaine J. Skalabrin MD Medical Director and Neurohospitalist Sacred Heart Medical Center Stroke Center Objectives 1. Review successes in systems of care approach to acute ischemic stroke
More informationOverview. International Stroke Conference Update Clot buster use rises most among 80 and older stroke patients ACUTE STROKE 2/13/2015
Overview International Stroke Conference Update 2015 Nerissa U. Ko, MD, MAS University of California, San Francisco Recent Advances in Neurology February 13, 2015 Nothing to disclose Non-endovascular treatment
More informationStroke Belt Consortium
Field Triage And Diversion of Acute Stroke Charles Sand, MD Stroke Belt Consortium 10/26/12 WCF EMS Acute Stroke Advisory Committee Formed 2001 5 Original members Now > 100 members interdisciplinary expertise
More informationINSIGHTS AND BEST PRACTICES FOR EMS AGENCIES
2018 ESO EMS INDEX: INSIGHTS AND BEST PRACTICES FOR EMS AGENCIES AUTHORS DR. BRENT MYERS, CHIEF MEDICAL OFFICER, ESO ALLEN JOHNSON, VICE PRESIDENT FOR HEALTH DATA EXCHANGE, ESO CONTEXT AND OVERVIEW FOR
More informationYour Risk for Stroke and How to Be Prepared
Your Risk for Stroke and How to Be Prepared TABLE OF CONTENTS 01 / 02 / 03 / 04 / 06 / 07 / 08 / 09 / 14 / Stroke Education Stroke: The No. 5 Cause Of Death In The U.S. Is Stroke Preventable? Stroke Risk
More informationThe Joint Commission: Comprehensive Overview of Advanced Stroke & Advance Heart Failure Programs
The Joint Commission: Comprehensive Overview of Advanced Stroke & Advance Heart Failure Programs WA State Cardiac & Stroke Conference Brian R. Johnson, Ph.D. Associate Director Hospital Business Development
More informationStroke Update. Lacunar 19% Thromboembolic 6% SAH 13% ICH 13% Unknown 32% Hemorrhagic 26% Ischemic 71% Other 3% Cardioembolic 14%
Stroke Update Michel Torbey, MD, MPH, FAHA, FNCS Medical Director, Neurovascular Stroke Center Professor Department of Neurology and Neurosurgery The Ohio State University Wexner Medical Center Objectives
More informationSTAR- - Stroke Treatment Alliance of Rochester
STAR- - Stroke Treatment Alliance of Rochester Curtis Benesch, M.D., M.P.H. Medical Director, URMC Comprehensive Stroke Center March 30, 2017 Background of the STAR Consortium What we learned from STAR
More informationImprovement Initiative for Patient Falls Susan Moffatt-Bruce, B.Sc. (Hon), M.D., Ph.D., FRCS(C), FACS, MBOE, Chief Quality and Patient Safety Officer
Improvement Initiative for Patient Falls Susan Moffatt-Bruce, B.Sc. (Hon), M.D., Ph.D., FRCS(C), FACS, MBOE, Chief Quality and Patient Safety Officer Amy M. Knupp MSN, RN, CNS, CPPS, Director of Nursing
More informationUnderstanding the Role of Palliative Care in the Treatment of Cancer Patients
Understanding the Role of Palliative Care in the Treatment of Cancer Patients Palliative care is derived from the Latin word palliare, to cloak. This is a form of medical care or treatment that concentrates
More informationInterventions to Improve Acute Ischemic Stroke Treatment Times
Baptist Health South Florida Scholarly Commons @ Baptist Health South Florida All Publications 3-19-2018 Interventions to Improve Acute Ischemic Stroke Treatment Times Jayme Strauss Baptist Hospital of
More informationStroke: The First Critical Hour. Alina Candal, RN, PCC, MICN Kevin Andruss, MD, FACEP
Stroke: The First Critical Hour Alina Candal, RN, PCC, MICN Kevin Andruss, MD, FACEP Disclosures We have no actual or potential conflicts of interest in relation to this presentation. Objectives Discuss
More informationSentinel Stroke National Audit Programme (SSNAP)
Sentinel Stroke National Audit Programme (SSNAP) Changes over Time: 4 years of data April 2013 March 2017 National results Based on stroke patients admitted to and/or discharged from hospital between April
More informationManaging the Measures: A Serious Look at Key Abstraction Concepts for the Comprehensive Stroke (CSTK) Measure Set Session 2
Managing the Measures: A Serious Look at Key Abstraction Concepts for the Comprehensive Stroke (CSTK) Measure Set Session 2 January 28, 2015 1 to 3 PM Central Time Continuing Education Credit This course
More informationReducing Readmissions and Improving Outcomes at OhioHealth Mansfield Hospital:
Reducing Readmissions and Improving Outcomes at OhioHealth Mansfield Hospital: Eugenio H. Zabaleta, Ph.D. Clinical Chemist OhioHealth Mansfield Hospital Reducing Readmissions and Improving Outcomes at
More informationWHY TIMELINESS MATTERS. W&M Wren Association Lecture Series
WHY TIMELINESS MATTERS April 10, 2018 W&M Wren Association Lecture Series Pankajavalli Ramakrishnan, M.D., Ph.D. Stroke Neurologist and Neurointerventionalist Riverside Regional Medical Center Comprehensive
More informationAndrew Barreto, MD MS Associate Professor of Neurology Stroke Neurologist UTHealth. May 23, 2018
Andrew Barreto, MD MS Associate Professor of Neurology Stroke Neurologist UTHealth May 23, 2018 Disclosure No personal financial relationships with any company. Presentation Outline Definitions, signs
More informationStatewide Acute Stroke Triage The Washington Story
Statewide Acute Stroke Triage The Washington Story David Tirschwell, MD, MSc Medical Director of Comprehensive Stroke Care Professor, Department of Neurology UW Medicine Comprehensive Stroke Center at
More informationAcute Stroke Identification and Treatment
Acute Stroke Identification and Treatment James S. McKinney, MD, FAHA Medical Director, NHRMC Stroke Center SE NC is located in the buckle of the Stroke Belt, seeing the highest stroke incidence and mortality
More informationMoving from a Primary Stroke Center to a Comprehensive Stroke Center
Moving from a Primary Stroke Center to a Comprehensive Stroke Center MJ Hampel, MPH, MBA The Joint Commission October 19, 2012 Presenter Disclosure Information MJ Hampel Moving from a Primary Stroke Center
More informationStroke Guidelines. November 19, 2011
Stroke Guidelines November 19, 2011 Clinical Practice Guidelines American Stroke Association Guidelines are comprehensive statements that provide the highest level of scientific evidence for clinical practice.
More informationKPNC Stroke EXPRESS EXpediting the PRocess of Evaluating & Stopping Stroke
KPNC Stroke EXPRESS EXpediting the PRocess of Evaluating & Stopping Stroke Jeffrey G. Klingman, MD 1 Disclosures None 75% DTN < 60 50% DTN < 45 Why should we care about DTN?: Time is brain 2 million nerve
More informationTeam Work in Treatment of Acute Ischemic Stroke
Diagnosis and Treatment in Acute Ischemic stroke July, 15 th 2016. Bach Mai Hospital Team Work in Treatment of Acute Ischemic Stroke Prof. Pham Minh Thong 1 Time is brain Ischemic stroke: big global burden
More informationKimberly Gray RN, MSN, CNRN March 4 th, 2013
Don t forget about the head while caring for the heart! Kimberly Gray RN, MSN, CNRN March 4 th, 2013 Disclosure Speaker s Bureau for Genentech Not receiving any funding/ financial support to participate
More informationJOHN GEORGE PAVILION
JOHN GEORGE PAVILION PSYCHIATRIC EMERGENCY SERVICES (PES) CAPACITY ISSUES: Causes and Potential Solutions SYSTEM UPDATE Board of Supervisors Health Committee September 26, 2016 Rebecca Gebhart, Interim
More informationHospital Transition Management. Barbara Wood, BSN, MBA
Hospital Transition Management Barbara Wood, BSN, MBA Director, Embedded Care Management Programs OBJECTIVES Improve health care quality for our patients by streamlining care transitions Reduce avoidable
More informationInstitutional Priorities and the Impact on Mortality Rates
Institutional Priorities and the Impact on Mortality Rates John M. McGregor, MD Ciarán Powers, MD, PhD Associate Professor, Clinical Neurosurgery Associate Professor, Neurological Surgery Co-Chair Neurosciences
More informationSurgical Site Infection (SSI) Surveillance Update (with special reference to Colorectal Surgeries)
Surgical Site Infection (SSI) Surveillance Update (with special reference to Colorectal Surgeries) Where we started and where we re going Anjum Khan MBBS MSc CIC Infection Control Professional Department
More informationMcLean ebasis plus TM
McLean ebasis plus TM Sample Hospital (0000) Report For Qtr HBIPS Core Measures McLean Hospital 115 Mill Street Belmont, MA 02478 1 2012 Department of Mental Health Services Evaluation Tel: 617-855-3797
More informationThe Society for Vascular Surgery Patient Safety Organization: Use of A Quality Registry for Practice Improvement
The Society for Vascular Surgery Patient Safety Organization: Use of A Quality Registry for Practice Improvement Georgia Vascular Society Adam W. Beck, MD, FACS September 9, 2017 Disclosures No relevant
More informationStroke Systems of Care. Sharon Webb, MD, FAANS, FACS, FAHA
Stroke Systems of Care Sharon Webb, MD, FAANS, FACS, FAHA Disclosures No Disclosures Objectives Describe Systems of Care Describe stroke levels of care Discuss SC stroke council state Initiatives What
More informationCanadian Best Practice Recommendations for Stroke Care. (Updated 2008) Section # 3 Section # 3 Hyperacute Stroke Management
Canadian Best Practice Recommendations for Stroke Care (Updated 2008) Section # 3 Section # 3 Hyperacute Stroke Management Reorganization of Recommendations 2008 2006 RECOMMENDATIONS: 2008 RECOMMENDATIONS:
More informationStroke Special Project 640 and 740 Resource For Health Information Management Professionals
Stroke Special Project 640 and 740 Resource For Health Information Management Professionals Linda Gould RPN Erin Kelleher, BA, CHIM Stefan Pagliuso PT, B.A. Kin(Hon.) Overview of this Resource Overview
More informationImplementation of an Interprofessional Team to Prevent Inpatient Hypoglycemic Events. September 13, 2016
Implementation of an Interprofessional Team to Prevent Inpatient Hypoglycemic Events September 13, 2016 St Joseph s Health Fast Facts Founded 1869 by Sisters of St. Francis Patient Volumes (2014) Inpatient
More informationMaximising Delivery of Thrombectomy
Maximising Delivery of Thrombectomy Professor Gary Ford Chief Executive Officer, Oxford Academic Health Science Network Consultant Stroke Physician, Oxford University Hospitals Visiting Professor of Clinical
More information5/31/2018. Interventional Therapies that Expand Time Windows for Acute Ischemic Stroke Treatment. Disclosures. Impact of clot burden
Good Outcome (%) Rankin 0-2 at 90 days 5/31/2018 Interventional Therapies that Expand Time Windows for Acute Ischemic Stroke Treatment Disclosures Cerenovus: I am on Executive Committee for ARISE2 Trial
More informationVote Using Your Phone!
Update on Stroke Certification Jean Range, MS, RN The Joint Commission February 28, 2014 Vote Using Your Phone! Answer multiple choice questions by texting a code to 22333. Your phone carrier s texting
More informationTACKLING COPD READMISSIONS. Wendy Presley RN
TACKLING COPD READMISSIONS Wendy Presley RN WHY START WITH COPD? HIGH VOLUME PROBLEM PRONE COSTLY And you just can t resist a challenge Chronic Obstructive Pulmonary Disease (COPD) is a preventable and
More informationKansas EMS Naloxone (Narcan) Administration
Kansas EMS Naloxone (Narcan) Administration Executive Summary Kansas Board of Emergency Medical Services August 217 The following pages denote an ongoing trending of naloxone administration by Kansas Emergency
More informationThe Impact of Clinical Decision Support (CDS) Tools on Catheter Associated Urinary Tract Infections (CAUTI) January 22, 2010.
4 th Annual NDNQI Conference The Impact of Clinical Decision Support (CDS) Tools on Catheter Associated Urinary Tract Infections (CAUTI) January 22, 2010 UPMC St Margaret Bonnie B. Anton, MN RN antonbb@upmc.edu
More informationThe Greater Manchester Stroke Operational Delivery Network
The Dr Jane Molloy Clinical Lead What is the GMSODN? Established in July 2015 Only Stroke ODN in the country Non-statutory body constituted from all public sector stroke provider organisations across Greater
More informationUpdate on Early Acute Ischemic Stroke Interventions
Update on Early Acute Ischemic Stroke Interventions Diana Goodman MD Lead Neurohospitalist Maine Medical Center Assistant Professor of Neurology, Tufts University School of Medicine I have no disclosures
More informationHIE Image Sharing for a Statewide Stroke Network Session #68, March 6, 2018 Karan Mansukhani, MPH, MBA, Program Manager, Chesapeake Regional
HIE Image Sharing for a Statewide Stroke Network Session #68, March 6, 2018 Karan Mansukhani, MPH, MBA, Program Manager, Chesapeake Regional Information System for our Patients (CRISP) Dr. Michael Phipps,
More informationPediatric Thrombectomy
Pediatric Thrombectomy Translating adult standard of care to pediatric patients DATE: September 16, 2016 PRESENTED BY: Ittai Bushlin MD, PhD and Adrienne McDougal, RN Objectives: Review acute management
More informationMark J. Alberts, MD, FAHA, FANA Vice-Chair, Dept of Neurology Professor of Neurology UT Southwestern Medical Center Dallas, TX
Interventional Therapies for Cerebrovascular Diease: The Good, The Bad, The Needed, and The Few 1 Mark J. Alberts, MD, FAHA, FANA Vice-Chair, Dept of Neurology Professor of Neurology UT Southwestern Medical
More informationTENNESSEE STROKE REGISTRY QUARTERLY REPORT
TENNESSEE STROKE REGISTRY QUARTERLY REPORT Volume 1, Issue 2 July 2018 This report is published quarterly using data from the Tennessee Stroke Registry. Inside this report Data on diagnosis, gender distributions,
More informationMechanical thrombectomy beyond the 6 hours. Mahmoud Rayes, MD Medical Director, Stroke program Greenville Memorial Hospital
Mechanical thrombectomy beyond the 6 hours Mahmoud Rayes, MD Medical Director, Stroke program Greenville Memorial Hospital Disclosures None Worldwide statistics 1 IN 6 people will have a stroke at some
More informationFALL RISK REDUCTION AT THE OTTAWA HOSPITAL WORKING TOGETHER TOWARDS BEST PRACTICE
FALL RISK REDUCTION AT THE OTTAWA HOSPITAL WORKING TOGETHER TOWARDS BEST PRACTICE SENIOR FRIENDLY HOSPITAL SYMPOSIUM TARYN MACKENZIE - ADVANCED PRACTICE NURSE - GMAS & DAY HOSPITAL RGPEO KINDELL TOLMIE
More informationGuideline scope Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (update)
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Stroke and transient ischaemic attack in over s: diagnosis and initial management (update) 0 0 This will update the NICE on stroke and
More informationCode Stroke Optimizing Stroke Care in the Field: The Alberta Experience
Code Stroke Optimizing Stroke Care in the Field: The Alberta Experience June 1st, 2018 Thomas Jeerakathil BSc, MD, MSc, FRCP(C) Professor Division of Neurology University of Alberta Northern Stroke Lead
More informationHIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE
HIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE Site C Youth clinic HIV care pathway DAY 1 Test HIV + PIMA point of care CD4 count in in 3-5 days initiation + in session 3 session 4 1 month Youth Club
More informationStroke Clinical Trials Update Transitioning to an Anatomic Diagnosis in Ischemic Stroke
Stroke Clinical Trials Update Transitioning to an Anatomic Diagnosis in Ischemic Stroke Alexander A. Khalessi MD MS Director of Endovascular Neurosurgery Surgical Director of NeuroCritical Care University
More informationCollaborating to Implement Evidence-Based Medicine Tools. The St. John Sepsis Agent and the Interdisciplinary Sepsis Advisor
Collaborating to Implement Evidence-Based Medicine Tools The St. John Sepsis Agent and the Interdisciplinary Sepsis Advisor Learning Objectives Describe an effective implementation strategy for clinical
More informationEnhanced Recovery after Surgery
Enhanced Recovery after Surgery AKA ERAS What is Enhanced Recovery (ER)? Paradigm shift in surgery and surgical care of the patient Philosophy of care Perioperative continuum Multidisciplinary Patient
More informationOptimizing Care for Patients with Acute Ischemic Stroke Thrombolytic Therapy for Low NIHSS
Optimizing Care for Patients with Acute Ischemic Stroke Thrombolytic Therapy for Low NIHSS Nerses Sanossian, MD, FAHA Presentation not eligible for CME credit Disclosures Today s objectives Case study:
More informationStandards of excellence
The Accreditation Canada Stroke Distinction program was launched in March 2010 to offer a rigorous and highly specialized process above and beyond the requirements of Qmentum. The comprehensive Stroke
More informationMarch 2012: Next Review September 2012
9.13 Falls Falls, falls related injuries and fear of falling are crucial public health issues for older people. Falls are the most common cause of accidental injury in older people and the most common
More informationPoster Session HRT1317 Innovation Awards November 2013 Brisbane
Poster Session HRT17 Innovation Awards November 20 Brisbane Presenter: Keren Harvey, Clinical Director Rehabilitation and Geriatric Medicine, TPCH Visibility enhancing the Geriatric & Rehabilitation Liaison
More informationCVA Updates Karen Greenberg, DO, FACOEP. Director Neurologic Emergency Department Crozer Chester Medical Center
CVA Updates 2018 Karen Greenberg, DO, FACOEP Director Neurologic Emergency Department Crozer Chester Medical Center Disclosure I have the following financial relationship with the manufacturer of any commercial
More informationMonitoring Protocol for Clozapine-induced Myocarditis. Copyright 2017, CAMH
1 Monitoring Protocol for Clozapine-induced Myocarditis 1 Agenda Problem Identification / Identification Importance / Importance Baseline Workflow Baseline Workflow Baseline Data Baseline Data Objectives
More information2017 Stroke Statistics
2017 Stroke Statistics 2017 LUMC Stroke Volumes by Type of Stroke Ischemic Stroke Treatment by Type 2017 17% 8% 75% Ischemic Intracerebral Hemorrhage Aneurysmal Subarachnoid Hemorrhage 31 42 25 r-tpa Administered
More informationThe Opioid Addiction Emergency In Virginia June 8, 2017
The Opioid Addiction Emergency In Virginia June 8, 2017 Marissa J. Levine, MD MPH State Health Commissioner Virginia Department of Health Chronic Disease of Addiction Definition: A primary, chronic disease
More informationTABLE OF CONTENTS. MODULE 1: Pathophysiology of Stroke, Neuroanatomy, and Stroke Syndromes. MODULE 2: Acute Stroke Management
TABLE OF CONTENTS Orientation Pre-Test (ONLINE ONLY) i. Acknowledgements ii. Acute Stroke Unit Orientation Introduction iii. Nursing/Interprofessional (Self Evaluation Tool) MODULE 1: Pathophysiology of
More informationTENNESSEE STROKE REGISTRY QUARTERLY REPORT
TENNESSEE STROKE REGISTRY QUARTERLY REPORT Volume 1, Issue 3 September 2018 This report is published quarterly using data from the Tennessee Stroke Registry. Inside this report Data on diagnosis, gender
More informationImplementing Rapid Response Teams (RRT) National Call September 13, 2007
Implementing Rapid Response Teams (RRT) National Call September 13, 2007 Purpose By the end of this call, participants will have: Heard successes and learnings from Improvement Teams Updated information
More informationHuangdao People's Hospital
Table of contents 1. Background... 3 2. Integrated care pathway implementation... 6 (1) Workload indicators... 6 A. In eligible for care pathway... 6 B. Care pathway implementation... 7 (2) Outcome indicators...
More informationMission: Lifeline Stroke Nebraska
Mission: Lifeline Stroke Nebraska What is Mission: Lifeline Stroke? Mission: Lifeline Stroke is the American Heart Association s national initiative to transform stroke care by focusing efforts on connecting
More informationPotential disruption from private exchanges and narrow networks. In 2011, less than 10% of companies used High Performing Networks (narrow networks)
1 3 2 Potential disruption from private exchanges and narrow networks. In 2011, less than 10% of companies used High Performing Networks (narrow networks) and in 2014 estimated to be 40%. By 2018, that
More informationTelestroke and Teleneurology
Telestroke and Teleneurology Lawrence R. Wechsler, M.D. Chairman, Department of Neurology Vice President, Telemedicine University of Pittsburgh Medical Center Outline Telestroke Teleneurology Challenges
More informationStroke, Stroke, Stroke Where Do We Stop on the River? Comprehensive vs. Primary Stroke Centers
Stroke, Stroke, Stroke Where Do We Stop on the River? Comprehensive vs. Primary Stroke Centers Peter D. Panagos, MD, FAHA, FACEP Departments of Neurology and Emergency Medicine Washington University School
More informationGlobal Fund Approach to Health System Strengthening
Global Fund Approach to Health System Strengthening WHO Expert consultation on positive synergies between health systems and Global Health Initiatives Geneva, 29-30 May 2008 Dr Stefano Lazzari, Director
More informationCode Stroke Intervention: Endovascular Therapies for Stroke J. DIEGO LOZANO MD INTERVENTIONAL NEURORADIOLOGY
Code Stroke Intervention: Endovascular Therapies for Stroke J. DIEGO LOZANO MD INTERVENTIONAL NEURORADIOLOGY Disclosures None Part A. Objectives Epidemiology of AIS and of ELVO Concept: Acute Ischemic
More informationEndovascular Treatment of Ischemic Stroke
Endovascular Treatment of Ischemic Stroke William Thorell, MD Associate Professor Neurosurgery UNMC Co-Director Stroke and Neurovascular Center Nebraska Medicine Overview Definitions of terms Review basic
More informationJan Feb Mar Apr May Jun Jul Aug Sep X X X X X X X. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov X X X X X X X X X X X X X
Primary Prevention Breast Cancer Prevention Member: Mammography reminder letters to female members ages 51.5-74 who are overdue to get a mammogram Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Providers:
More information11/1/2018. Disclosure. Imaging in Acute Ischemic Stroke 2018 Neuro Symposium. Is NCCT good enough? Keystone Heart Consultant, Stock Options
Disclosure Imaging in Acute Ischemic Stroke 2018 Neuro Symposium Keystone Heart Consultant, Stock Options Kevin Abrams, M.D. Chief of Radiology Medical Director of Neuroradiology Baptist Hospital, Miami,
More informationBACKGROUND ON INPATIENT REHAB FACILITIES (IRF)
BACKGROUND ON INPATIENT REHAB FACILITIES (IRF) There are 1,140 IRFs in the US 1,000 rehab units within hospitals 217 freestanding rehabilitation hospitals 68% for-profit; 30% nonprofit. Most with designated
More informationHeadline. Objectives. Baptist Health Mission Stroke Core Measures
Headline 2010 Stroke Core Measures Baptist Medical Center Downtown Baptist Medical Center South Presented by Maria Martinez, RN, BSN May 21, 2010 Objectives 2 Baptist Health Mission To continue the healing
More informationDry Needling (DN) Registration
Dry Needling (DN) Registration To register for any of our programs, please complete the enclosed registration form (next page) and mail of fax the form to us. Fees Cost of the DN 1-3 courses is US $895
More informationDrano vs. MR CLEAN Review of New Endovascular Therapy for Acute Ischemic Stroke Patients
Drano vs. MR CLEAN Review of New Endovascular Therapy for Acute Ischemic Stroke Patients Peter Panagos, MD, FACEP, FAHA Associate Professor Emergency Medicine and Neurology Washington University School
More information