Development and implementation of a protocol for treatment of in-patient ischemic stroke patients

Abstract

"Stroke continues to be a significant cause of mortality and morbidity in the United States. Approximately 700,000 Americans have a new or recurrent stroke each year, and stroke remains the third leading cause of death in the United States when considered independently from other cardiovascular diseases. Stroke also remains a leading cause of serious, long-term disability in the United States." (Schwamm, 2005, p.690) The purpose of this project was to develop an evidence based care management protocol for persons admitted to a small rural hospital with the symptoms or diagnosis of Ischemic Stroke. A committee was formed, evidence based best practices were identified, tools were developed and the protocol was implemented. The protocol was based on the Core Measures established by the Joint Commission and adopted by the centers for Medicare and Medicaid as a basis for validating quality and setting reimbursement. The protocol was successfully implemented; a process for the Quality Department of the facility was put in place to insure continued success.