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JCOM Abstract


J Clin Outcomes Manage 
2004 Oct;11(10):632-639
Improving stroke care through development of a stroke intervention team: a case study
Thorpe K, Rymer M, Marshall S, Fibuch E

Abstract: Objective: To describe a program intended to achieve superior clinical outcomes in stroke care through appropriate use of interventional stroke reversal therapy. Methods: A team charter was developed along with defined project objectives and associated outcomes. Timelines, team members, operating budgets, key stakeholders, and key patient and physician requirements were also defined. The team developed actions that included the production of an information packet for referring facilities, onsite visits with referring physicians/hospitals, modification of patient transfer protocol, collaborating with emergency department and nursing personnel, developing a marketing program for the public, increasing the clinical research effort, and establishing patient care protocols. Results: The efforts have produced significant results, including improved NIHSS scores. Patient referrals have increased from the regional network of participating hospitals, resulting in a 31% increase in patient volume. The percentage of patients receiving stroke reversal therapy rose from 18% (2000) to 31% (2004). Profitability increased 85%. Conclusion: A complex community health care need can be met successfully through the development of a new service program that involves multiple specialties and referral hospitals.

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