A Rural Hospital’s Journey to Becoming a Certified Acute Stroke–Ready Hospital

Rhew, Denise; Owens, Susan H.; Buckner, Jessica B.; Kueider, Sandra

doi:10.1016/j.jen.2016.10.016

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…These images can then be sent to the tele-neurologist or tele-radiologist and facilitate a diagnosis and management plan, which can include remote administration of thrombolytic therapy, remote rehab assessments, or further investigations like carotid ultrasound [14]. Many tele-stroke programs also now seek to reduce their door-to-CT times since these images are so vital in determining the patient’s stroke status [30]. Additionally, there are now mobile CT-enabled ambulances that can bring hospital-level care to the patient; thus, patients in rural areas or in crowded and congested cities can have imaging done in the ambulance and possibly have thrombolytic therapy administered within the time window since the delay in obtaining images will be reduced [7].…”

Section: Reviewmentioning

confidence: 99%

Multidisciplinary Approach and Outcomes of Tele-neurology: A Review

Patel¹,

Malik²,

DeMasi³

et al. 2019

Cureus

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In rural and underserved areas, there are restrictions in healthcare due to the lack of availability of neurologists; patients have to travel long distances to receive the required care. Considering the fact that neurological conditions have large mortality and disability rates, there is a need for innovative services like tele-neurology. It is an important tool in improving the health and quality of life by using different ways of communication between neurologists and patients, or neurologists and other providers. We examine the current types of facilities available in tele-neurology, as well as outcomes, barriers, limitations, legal litigations, and the multidisciplinary nature based on prior studies. We have also suggested recommendations for the future of tele-neurology including effective-accessibility and inexpensive-utilization in developing countries. There are various tele-health programs created by The Veterans Health Administration including a clinical video tele-health (CVT) system. This system allows direct patient care of veterans by neurologists. The University of South Carolina implemented a web-based tele-stroke program in which acute ischemic stroke patients were treated in the Emergency Department (ED) of rural hospitals by neurologists, after consulting with rural ED physicians. With growing technology and popularity of tele-neurology, there are now international collaborative efforts in tele-medicine that are looking to be adapted to tele-neurology. Thus, tele-neurology can provide quality neurological care with patient satisfaction, as well as time and cost savings. The tele-stroke group established by TRUST-tPA trial (Therapeutic Trial Evaluating Efficacy of Telemedicine (TELESTROKE) of Patients With Acute Stroke) has 10 community hospital-emergency rooms that were connected to a stroke center. It was found that tele-stroke is appropriate in places where there is no way for a patient to access a stroke unit within a 4.5-hour time window. Like other tele-neurology subtypes, tele-epilepsy and pediatric tele-neurology also offer more follow-up care to people of remote areas which have limited access. There are other subtypes like mental health, chronic neurological care, and hospitalist which are very effective in improving outcome and quality of life of people living in remote areas. Tele-neurology has effectively reduced travel costs and times; there is high patient satisfaction and reduced disparity for general and specialized neurological care. But there are certain limitations like large equipment costs, certain bandwidth requirement, and trained staff to use the equipment. Transmission of patient information using public internet raises the concern of legality. There should be sufficient encryption to satisfy the Health Insurance Portability and Accountability Act (HIPAA) requirements to ensure patient confidentiality and safety of personal data. The adaptation of tele-neurology is a powerful and innovative way to enhance healthcare in areas with a shortage o...

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Section: Reviewmentioning

confidence: 99%

Multidisciplinary Approach and Outcomes of Tele-neurology: A Review

Patel¹,

Malik²,

DeMasi³

et al. 2019

Cureus

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The effectiveness of telehealth for chronic neurological disorders in rural or underserved areas

Al-Harbi,

Alharbi,

Al-Harbi

et al. 2024

Int. J. of Health Sci.

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Background The shortage of neurologists in rural areas limits patient access, making it hard for those with neurological conditions to receive timely care. Long travel distances are a barrier, often resulting in worsened health outcomes. The review aims to assess the current landscape of tele-neurology, examining existing services, evaluating patient outcomes, and identifying challenges and legal concerns. Methods This review brings together insights from multiple studies and programs, with a particular focus on initiatives like the clinical video tele-health (CVT) system created by the Veterans Health Administration, allowing neurologists to deliver direct care to veterans. We also look into the web-based tele-stroke program established by the University of South Carolina, enabling neurologists to oversee acute ischemic stroke patients in rural Emergency Departments in collaboration with local ED physicians. Additionally, we explore global partnerships in telemedicine that are being tailored for tele-neurology. Results Tele-neurology has demonstrated significant potential in delivering quality neurological care, resulting in high patient satisfaction and notable time and cost savings. The TRUST-tPA trial established a tele-stroke network connecting ten community hospital emergency rooms to a centralized stroke center, effectively serving patients unable to reach stroke units within the critical 4.5-hour window.

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A Rural Hospital’s Journey to Becoming a Certified Acute Stroke–Ready Hospital

Cited by 2 publications

References 4 publications

Multidisciplinary Approach and Outcomes of Tele-neurology: A Review

Multidisciplinary Approach and Outcomes of Tele-neurology: A Review

The effectiveness of telehealth for chronic neurological disorders in rural or underserved areas

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