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Stroke Telemedicine

Stroke Telemedicine

Many of the nation’s most successful telestroke networks run on the REACH platform.  Providing much more than basic audio and video connections, this next-​generation telemedicine solution enables healthcare providers to measurably improve their clinical, operational and financial performance.

Designed by neurologists and enterprise software experts, REACH combines everything needed to complete an acute stroke diagnosis, prescribe treatment, document the consultation, update the patient record in multiple EMR systems, and manage follow-​up visits in the rehab, clinic, long-​term care and home health settings.  The REACH solution for stroke telemedicine is proven to be highly effective based a combination of unique capabilities:

Integrated Clinical Workflow
To facilitate guided, collaborative consultations

Bedside clinicians and remote specialists collaborate using shared documentation and workflow. The stroke workflow guides the physicians through an interactive NIH Stroke Scale assessment and uses the AHA evidence-​based guidelines for diagnosing and making treatment recommendations for patients with stroke symptoms.  Countdown timers showing the elapsed time from ‘Last Known Well’ and ‘Door-​to-​Needle Time’, help keep clinicians focused on the time sensitivity of treatment.

Throughout the process, key data needed to make an accurate treatment recommendation is always visible.  As each member of the treatment team updates information in REACH, the updates are highlighted for the other team members.  Additionally, the system validates key values and provides immediate alerts if a vital sign such as blood pressure is outside of the normal guidelines for tPA administration.  These built-​in checks and balances help the bedside clinicians and remote specialist discern between basic warnings and true contraindications.

This encounter-​specific approach based on collaborative workflow also helps the treatment team quickly and confidently complete the diagnosis and make the optimal treatment decision.  Many of our clients tell us that this collaborative approach is far more effective than basic audio/​video telepresence solutions or the use of their EMR system.

Collaboration has been well documented as a best practice and one of the keys to success in telestroke treatment. With our prior system however, the bedside ED team felt like they simply put the telemedicine cart in front of the patient and turned it on. Now, using the shared workflow in the REACH software system, the ED bedside team is empowered to participate and actively contributes during each consultation. This enhanced collaboration seems to truly help the bedside team become more effective in their stroke treatment roles while at the same time recreating the bedside experience for the remote specialists. 

In a word, our results with this system are phenomenal.”

– Robert Brown, Stroke Program Coordinator, Tennova Health

Enhanced Patient Focus
To recreate the bedside experience

On one screen the neurologist has access to everything needed to fully complete the diagnosis and make the treatment recommendation.  This includes a full-​screen interactive video with the patient along with the patient’s history, vital signs, lab results, CT scans and additional information logged by the bedside team.  Additionally, the neurologist can select the REACH Clinical Widget® applications to tailor the examination based on the symptoms, diagnosis and treatment plan of each patient.  There is no need for a separate device or computer, a separate login or even a separate application.  This approach, designed by physicians, allows the care team to maintain focus on the patient, their diagnosis and treatment.

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Documentation and Reporting
To enable continuous improvement

Every telestroke network powered by REACH has evolved over time through a process of continuous improvement.  These improvements are enabled by the clinical and statistical performance data captured in REACH.  In addition to collecting vital patient data, REACH records specialty-​specific core measures such as Door-​to-​Needle time for Stroke. This comprehensive data is made actionable through dashboards and reports that enable stroke program administrators to monitor system usage, trends and outcomes at each partner hospital and across all the hospitals in aggregate.

Door to Needle Analysis

This data can be used to identify program strengths as well as opportunities for process improvement — such as replicating best practices among the hospitals in a telestroke network.  Program administrators can address core measures and process improvements to help ensure quality of care by measuring and comparing results to telemedicine program standards and targets.  With information gathered and analyzed in REACH, program coordinators can also analyze and optimize financial measures such as utilization and reimbursement.

Additionally, if your hospital participates in the AHA/​ASA Get with the Guidelines (GWTG) program, you can use the EMR integration function to incorporate telestroke statistics with your in-​hospital measures to streamline the process of submitting your comprehensive measures to AHA/​ASA.

Contact Us to learn more or request a demonstration of this next-​generation stroke telemedicine solution.

 

Stroke Telemedicine Software Resources

Wake-​Up Stroke: A New Treatment Protocol (on-​demand webinar)

Telestroke Tips: How to Reduce Time to Treatment – Practical Advice for Minimizing Door-​to-​Needle and Door-​t0-​Puncture Times (white paper)

Acute Ischemic Stroke and tPA – Understanding and Mitigating the Legal Liabilities (on-​demand webinar)

Telestroke Bedside Best Practices: Optimizing Collaboration between ED Staff and Remote Neurologists (on-​demand webinar)

Top Telestroke Myths – An Insider Perspective on Addressing and Navigating Challenges (white paper)

Using Telemedicine to Triage Patients for Intraarterial Treatment of Acute Ischemic Stroke (on-​demand webinar)

Building and Sustaining a Telestroke Network: It’s More than Technology (on-​demand webinar)

Telestroke ROI: How Ochsner Measures Economic Impact for Hub & Spoke Hospitals (on-​demand webinar)

Penn State Hershey Medical Center’s Journey to State-​of-​the-​Art Telemedicine (customer case study)

Evolution of One of the Country’s Longest-​Running Telestroke Program (customer case study)

Telestroke Program Evolution: Best Practices from Augusta University Medical Center (on-​demand webinar)

Building a Successful Telestroke Program – Best Practices from Penn State Hershey (on-​demand webinar)

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