Current Copy of Joint Copy of Certification Y N Commission Certification. An acute Stroke team On-call schedules for Y N In person or available within 15 3 months. On-call telemedicine minutes policy and procedure Written policies and Copy of policies, Y N Include protocols and procedures for Stroke procedures standardized orders services Data-reporting Copy of agreement Y N AHA Get with the mechanism with AHA Guidelines-Stroke Neuro-imaging Policies/protocols Y N CT or MRI capability 24/7/365 supporting operations One of the following: Copy of appropriate Y N If using telemedicine, Qualified Radiologist, board certification hospital must Qualified Neurologist, document this Or Qualified On-call schedules for standard Neurosurgeon 3 months Laboratory services 24/7 Copy of Y N Blood testing, EKG, policies/procedures/ and x-ray services protocols for lab services Immediate, telemetry or Immediate: ____ Y N critical care beds Telemetry: _____ Critical Care: ______ Neurosurgical services Number of operating Y N May be under including operating room rooms ___ on agreement with license another PSC or CSC If no neurosurgical Supporting policies Y N Required if no services available: Plan and procedures Neurosurgery to transfer within 2 hours In-patient acute care Policies/procedures Y N rehabilitation for in-patient rehabilitation Designated Telephone Actual Number on Y N Number File Written transfer Transfer Y N guidelines for higher policies/procedures level of service Copy of agreement Copy of Designation Copy of Contract Y N Agreement Between Hospital and County
Current Copy of Joint Commission Certification. Copy of Certification Y N An acute Stroke team available within 15 minutes On-call schedules for 3 months. On-call policy and procedure Y N In person or telemedicine Written policies and procedures for Stroke services Copy of policies, procedures Y N Include protocols and standardized orders Data-reporting mechanism Copy of agreement with AHA Y N AHA Get with the Guidelines-Stroke Neuro-imaging capability 24/7/365 Policies/protocols supporting operations Y N CT or MRI One of the following: Qualified Radiologist, Qualified Neurologist, Or Qualified Neurosurgeon Copy of appropriate board certification On-call schedules for 3 months Y N If using telemedicine, hospital must document this standard Laboratory services 24/7 Copy of policies/procedures/ protocols for lab services Y N Blood testing, EKG, and x-ray services Immediate, telemetry or critical care beds Immediate: ____ Telemetry: _____ Critical Care: ______ Y N Neurosurgical services including operating room Number of operating rooms ___ on license Y N May be under agreement with another PSC or CSC If no neurosurgical services available: Plan to transfer within 2 hours Supporting policies and procedures Y N Required if no Neurosurgery In-patient acute care rehabilitation Policies/procedures for in-patient rehabilitation Y N Designated Telephone Number Actual Number on File Y N Written transfer guidelines for higher level of service Transfer policies/procedures Copy of agreement Y N Copy of Designation Agreement Between Hospital and County Copy of Contract Y N
StrokeSystemofCare_20170919_b.docx