Continuing Education Copy of Approval Y N Provider Letter with CE provider Number Stroke contingency Pertinent policy and Y N Expectation of NO plans procedures to DIVERSION 1. Personnel minimize disruption 2. Imaging equipment STAFFING Acute Stroke Care Team: One of the following: Copy of appropriate Y N Board certified or Neurologist board certification Board eligible in Neurosurgeon neurology, Interventional- On-call schedule for neurosurgery, neuroradiologist 3 months endovascular Emergency physician neurosurgical Copy of job radiology, with description experience and expertise in dealing with cerebral vascular disease One of the following: Copy of license Y N Demonstrated Registered nurse competency in caring Physician assistant Copy of job for acute Stroke Nurse practitioner description patients COMPREHENSIVE All of the above PLUS Written policies and Copies of policies/ Y N Reviewed every two procedures for procedures/ years and revised as comprehensive Stroke protocols for needed services activation of Stroke care Data driven CQI Copies of data Y N Including collection and collection procedures monitoring of standardized Copies of internal Comprehensive Stroke CQI process Center performance measures Transfer agreements Copies of transfer Y N with primary Stroke agreements Centers to accept transfer of patients with complex Strokes
Continuing Education Provider Copy of Approval Letter with CE provider Number Y N Stroke contingency plans 1. Personnel 2. Imaging equipment Pertinent policy and procedures to minimize disruption Y N Expectation of NO DIVERSION STAFFING Acute Stroke Care Team: One of the following: Neurologist Neurosurgeon Interventional- neuroradiologist Emergency physician Copy of appropriate board certification On-call schedule for 3 months Copy of job description Y N Board certified or Board eligible in neurology, neurosurgery, endovascular neurosurgical radiology, with experience and expertise in dealing with cerebral vascular disease One of the following: Registered nurse Physician assistant Nurse practitioner Copy of license Copy of job description Y N Demonstrated competency in caring for acute Stroke patients COMPREHENSIVE All of the above PLUS Written policies and procedures for comprehensive Stroke services Copies of policies/ procedures/ protocols for activation of Stroke care Y N Reviewed every two years and revised as needed Data driven CQI Including collection and monitoring of standardized Comprehensive Stroke Center performance measures Copies of data collection procedures Copies of internal CQI process Y N Transfer agreements with primary Stroke Centers to accept transfer of patients with complex Strokes Copies of transfer agreements Y N
StrokeSystemofCare_20170919_b.docx