A teleNeurology Story: Implementing the 2018 Stroke Guidelines

Implementation of the 2018 Stroke Guidelines

We wanted to share a synopsis of our recent webinar, A teleNeurology Story: Implementing the 2018 Stroke Guidelines, with a link to the on-demand recording.

Earlier this year, the American Heart Association/American Stroke Association (AHA/ASA) released new guidelines for the management of patients with acute ischemic stroke. Stroke is the second-leading cause of death in the world and a leading cause of adult disability, with ischemic strokes, the most common, accounting for about 87% of all strokes.

Under the new guidelines, more patients are eligible for crucial stroke treatments. This necessitates even more streamlined processes at the hospital level for optimal outcomes within the evolving standards of acute stroke care.

Working closely with our clients, we understand the biggest challenges health systems face in implementing the 2018 guidelines: education, compliance, resources, transfer issues, and workflow issues. These issues are interconnected, and all must be addressed to implement the new stroke guidelines effectively.

How SOC has implemented the 2018 Guidelines for Stroke Care

  • Staying up-to-date on changes

The SOC neurology team is always monitoring changes and improvements in stroke care, ensuring we’re capturing new information based on the best evidence currently available. Years before the most recent guidelines were released, SOC was monitoring six positive “early window” mechanical thrombectomy trials that emerged in 2015 and 2016, as well as the DAWN and DEFUSE 3 trials. The SOC neurology team meets frequently to discuss neurology best practices so they are ready when new, evidence-based guidelines and protocols are released.

We’ve established our SOC teleNeurology Clinical Best Practices, a comprehensive set of frequently updated recommendations and workflows for treating patients, whether for acute ischemic stroke treatment, or other neurological disorders.

  • Changes to Our Workflow

Within our teleNeurology group, SOC sees about 200 to 250 tissue plasminogen activator (tPA) patients per month and several hundred more acute stroke and transient ischemic attack (TIA) patients. We work with hospitals nationwide to standardize teleNeurology care workflows. When the 2018 guidelines were released, we helped hospitals implement new workflows to take advantage of the larger time window.

Our approach, at a high-level, focuses on first arming ourselves with the latest national standards of care, updating our recommendations, then working with our partner hospitals to help them prepare for and implement changes.

To hear more details about how the new guidelines were implemented at SOC Telemed and one of our partner hospitals, CaroMont Regional Medical Center, view our on-demand webinar. You’ll hear from:

  • Til Jolly, MD, Chief Medical Officer, SOC Telemed
  • Michael Vecchione, DO, Senior Vascular Neurologist, SOC Telemed
  • Sunil Mehta, MD, Stroke Medical Director, CaroMont Regional Medical Center
  • Christie E. Tung, MD, Vascular Neurologist, SOC Telemed and Stanford Neuroscience Health Center

Please note: Registration is required to view webinar.