Data driven CQI CQI polices/ Y N procedures/ Collection and guidelines/ standards monitoring of performance measures Neuro-imaging Policies/protocols Y N CT or MRI, as well as capability 24/7/365 supporting interpretation operations Physician with Copy of Board Y N Telemedicine may be appropriate expertise: certificates used for interpretation Radiologist Neurologist All staff qualification Neurosurgeon requirements shall be Residents documented by the hospital Laboratory Services Policies/protocols Y N Minimum include blood 24/7/365 supporting testing, ECG, and operations services Neurosurgical services, Supporting policies Y N OR may be under including OR availability, and procedures agreement with PSC within 3 hours of or CSC admission Number of operating rooms ___ on license Transfer arrangements Copies of Y N with PSC or CSC agreements Director: Copy of license Y N Maintains 6 hours per Physician or year education in Advanced Practice Documentation of cerebrovascular Nurse training disease Copy of job description Acute Stroke Care Copy of Licenses Y N Some training and Team: expertise in acute At a minimum- Documentation of Stroke care Registered Nurse and Training Physician
Data driven CQI Collection and monitoring of performance measures CQI polices/ procedures/ guidelines/ standards Y N Neuro-imaging capability 24/7/365 Policies/protocols supporting operations Y N CT or MRI, as well as interpretation Physician with appropriate expertise: Radiologist Neurologist Neurosurgeon Residents Copy of Board certificates Y N Telemedicine may be used for interpretation All staff qualification requirements shall be documented by the hospital Laboratory Services 24/7/365 Policies/protocols supporting operations Y N Minimum include blood testing, ECG, and services Neurosurgical services, including OR availability, within 3 hours of admission Supporting policies and procedures Number of operating rooms ___ on license Y N OR may be under agreement with PSC or CSC Transfer arrangements with PSC or CSC Copies of agreements Y N Director: Physician or Advanced Practice Nurse Copy of license Documentation of training Copy of job description Y N Maintains 6 hours per year education in cerebrovascular disease Acute Stroke Care Team: At a minimum- Registered Nurse and Physician Copy of Licenses Documentation of Training Y N Some training and expertise in acute Stroke care
StrokeSystemofCare_20170919_b.docx