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Implementation of Best Practices-Developing and Optimizing Regional Systems of Stroke Care: Design and Methodology.

Publication ,  Journal Article
Ehrlich, ME; Kolls, BJ; Roettig, M; Monk, L; Shah, S; Xian, Y; Jollis, JG; Granger, CB; Graffagnino, C
Published in: Am Heart J
April 2020

The AHA Guidelines recommend developing multi-tiered systems for the care of patients with acute stroke.1 An ideal stroke system of care should ensure that all patients receive the most efficient and timely care, regardless of how they first enter or access the medical care system. Coordination among the components of a stroke system is the most challenging but most essential aspect of any system of care. The Implementation of Best Practices For Acute Stroke Care-Developing and Optimizing Regional Systems of Stroke Care (IMPROVE Stroke Care) project, is designed to implement existing guidelines and systematically improve the acute stroke system of care in the Southeastern United States. Project participation includes 9 hub hospitals, approximately 80 spoke hospitals, numerous pre-hospital agencies (911, fire, and emergency medical services) and communities within the region. The goal of the IMPROVE Stroke program is to develop a regional integrated stroke care system that identifies, classifies, and treats acute ischemic stroke patients more rapidly and effectively with reperfusion therapy. The project will identify gaps and barriers to implementation of stroke systems of care, leverage existing resources within the regions, aid in designing strategies to improve care processes, bring regional representatives together to agree on and implement best practices, protocols, and plans based on guidelines, and establish methods to monitor quality of care. The impact of implementation of stroke systems of care on mortality and long-term functional outcomes will be measured.

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Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

April 2020

Volume

222

Start / End Page

105 / 111

Location

United States

Related Subject Headings

  • Stroke
  • Humans
  • Emergency Medical Services
  • Delivery of Health Care
  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

APA
Chicago
ICMJE
MLA
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Ehrlich, M. E., Kolls, B. J., Roettig, M., Monk, L., Shah, S., Xian, Y., … Graffagnino, C. (2020). Implementation of Best Practices-Developing and Optimizing Regional Systems of Stroke Care: Design and Methodology. Am Heart J, 222, 105–111. https://doi.org/10.1016/j.ahj.2020.01.004
Ehrlich, Matthew E., Brad J. Kolls, Mayme Roettig, Lisa Monk, Shreyansh Shah, Ying Xian, James G. Jollis, Christopher B. Granger, and Carmelo Graffagnino. “Implementation of Best Practices-Developing and Optimizing Regional Systems of Stroke Care: Design and Methodology.Am Heart J 222 (April 2020): 105–11. https://doi.org/10.1016/j.ahj.2020.01.004.
Ehrlich ME, Kolls BJ, Roettig M, Monk L, Shah S, Xian Y, et al. Implementation of Best Practices-Developing and Optimizing Regional Systems of Stroke Care: Design and Methodology. Am Heart J. 2020 Apr;222:105–11.
Ehrlich, Matthew E., et al. “Implementation of Best Practices-Developing and Optimizing Regional Systems of Stroke Care: Design and Methodology.Am Heart J, vol. 222, Apr. 2020, pp. 105–11. Pubmed, doi:10.1016/j.ahj.2020.01.004.
Ehrlich ME, Kolls BJ, Roettig M, Monk L, Shah S, Xian Y, Jollis JG, Granger CB, Graffagnino C. Implementation of Best Practices-Developing and Optimizing Regional Systems of Stroke Care: Design and Methodology. Am Heart J. 2020 Apr;222:105–111.
Journal cover image

Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

April 2020

Volume

222

Start / End Page

105 / 111

Location

United States

Related Subject Headings

  • Stroke
  • Humans
  • Emergency Medical Services
  • Delivery of Health Care
  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services
  • 1102 Cardiorespiratory Medicine and Haematology