Abstract T P252: Improving Quality of Care and Outcomes in the Community Through the Inclusive Collaboration Between a Certified Comprehensive Stroke Center and Regional Hospitals
Background: and Issues As a certified Comprehensive Stroke Center (CSC) it is our obligation to the community and regional hospitals to improve the quality of care and stroke patient outcomes. The spokes are interdependent components of our CSC program; they seek a shared value in improving the delivery of stroke care in their community. Many areas utilize telemedicine without an inclusive operational model to deliver care. Our approach to advance stroke care was to cultivate relationships between staff, physicians, Emergency Medical System (EMS) personnel and hospital administrators.
Purpose: Construct a stroke care model, utilizing an inclusive collaborative team that consists of EMS, spoke hospitals, and regional communities.
Methods: W. Edwards Deming’s and John A Woods’s work served as the framework for our stroke and telemedicine programs. Leaders must function with an attitude of inclusiveness, resulting in no subordinates or superiors within the multidisciplinary team. Breaking down barriers and building a shared vision in the delivery of stroke care and recognizing that each department serves the other results in shared objectives. Utilizing tele-health cloud software enhances clinical collaborations. Elimination of fear creates an environment of no-blame, permitting everyone to work at their highest potential through approachable leadership. Analyzing each step and the resultant effect involves an in-depth evaluation of processes with implementable solutions and training and education.
Results: Results of this inclusive collaboration included: an 85% increase in administration of tissue plasminogen activator at the spoke hospitals; EMS education of over 2000 personnel; physician-driven quarterly spoke hospital case study reviews; implementation of standardized stroke order sets and algorithms; and four spoke hospitals awarded primary stroke certification and state designation.
Conclusions: Through an inclusive quality culture and a passionate stroke team, improving regional stroke care is achievable and sustainable. A reliable cloud-based network plays a role, but leadership in collaboration with the regional entities is the strength of the program.
Author Disclosures: J.M. Mazabob: None. S. Styron: None. G. Brown: None. M. Jones-Brown: None. J. Suarez: None. E. Bershad: None. C. Venkatasubba Rao: None.
- © 2014 by American Heart Association, Inc.