IMPROVE Stroke Care- Developing and Optimizing Regional Systems of Stroke Care
IMPROVE Stroke Care- Developing and Optimizing Regional Systems of Stroke Care
The purpose of this program is to develop a regional integrated stroke system that
 identifies, classifies, and treats patients with acute ischemic stroke more rapidly and
 effectively with reperfusion therapy.
The design is based upon the implementation of best practice, that is, based on a
 comprehensive review of AHA guidelines regarding treatment of acute stroke, ICH (intracranial
 hemorrhage) and SAH(sub arachnoid hemorrhage). In the second phase, the project will be doing
 national and international surveys of best practices among comprehensive stroke centers and
 then combine evidence based guidelines and recommendation as well as expert consensus and
 guidelines when high level evidence is not available from the published literature. The aim
 to improve public stroke awareness, stroke symptom recognition within the time benefit window
 for treatment and calling 9-1-1, EMS transportation, and the proportion and speed of
 reperfusion therapy (fibrinolytic and in appropriate patients- endovascular treatment) in
 eligible patients. These improvements in acute stroke care delivery are expected to result in
 lower mortality, fewer recurrent strokes, and improved long term functional outcomes that we
 will measure.
Inclusion Criteria:

 -  Adult patients > 18 years of age who undergo the local acute code stroke process

 Exclusion Criteria:

 -  In house patients with stroke are not included in this data set.