{"id":7295,"date":"2017-01-23T14:15:34","date_gmt":"2017-01-23T21:15:34","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=7295"},"modified":"2023-09-01T12:04:22","modified_gmt":"2023-09-01T18:04:22","slug":"stroke-program-raises-the-bar","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/stroke-program-raises-the-bar\/","title":{"rendered":"Stroke Program raises the bar"},"content":{"rendered":"
<\/div>

If the measure of a clinical program\u2019s impact is its size, the Stroke Program at University of Colorado Hospital doesn\u2019t have a lofty rank. Two-thirds of the core team \u2013 four members \u2013 fit relatively comfortably in a Leprino Building office on a recent morning.<\/p>\n

But if the measure of impact is service to patients, families, providers and the community, the Stroke Program packs a punch. In the past year, the team has, among other efforts, spearheaded efforts to increase knowledge about and recognition of stroke and its symptoms; worked with providers in the hospital and community to ensure rapid response to stroke victims; helped to ensure stroke patients and families get integrated care from admission to discharge to follow-up; and committed to strengthening connections between the hospital and the communities it serves.<\/p>\n

\"The
The Stroke Program team at UCH makes an outsized impact on clinical care and education. Left to right: Kerri Jeppson, Christina Denton, Meredith Snyder, Toni Schoenleber, Tovah Adler, Angela Vasilatos.<\/figcaption><\/figure>\n

Of course, all the work ultimately saved time, brain and lives. The efforts drew national attention last week with the announcement that the Stroke Program was one of seven groups and individuals to earn a RAISE (Raising Awareness in Stroke Excellence) Award from the National Stroke Association (NSA). The team earned the award in the \u201cOutstanding Group\u201d category.<\/p>\n

\u201cThe award means we\u2019ve spent a lot of time growing the program for both the community and for our hospital staff,\u201d said Meredith Snyder, RN, manager of the Stroke Program.<\/p>\n

Teamwork and beyond<\/strong><\/p>\n

But Snyder and her team (see box), which came together last February, are quick to point out that they are part of a much larger, ongoing effort to provide superior stroke care. As evidenced by consecutive Joint Commission certifications of the hospital as a Comprehensive Stroke Center, in 2013 and 2015, that\u2019s been accomplished, even through various leadership changes that began three years ago.<\/p>\n

\"Kerri
Kerri Jeppson, one of the Stroke Program\u0092s clinical coordinators, provided stroke education at the Wellness Expo sponsored by UCHealth and the Broncos in September 2016.<\/figcaption><\/figure>\n

Hospitals with the certification \u2013 there are just three in Colorado \u2013 are capable of handling the most complex stroke cases and providing integrated care, from admission through discharge and follow-up. That requires multidisciplinary care and collaboration between a host of clinical providers, encompassing emergency services, neurology, radiology, clinical lab, pharmacy, nursing, critical care, rehabilitation services, volunteer services, and more.<\/p>\n

\u201cThat foundation laid the groundwork for what we are doing today,\u201d said Tonie Schoenleber, RN, one of the Stroke Program\u2019s three clinical coordinators. Schoenleber focuses on ensuring providers and staff get essential stroke education, such as using the National Institutes of Health Stroke Scale to assess patients for signs and severity of stroke and neurologic changes. Schoenleber also works with clinical coordinator colleague Kerri Jeppson, RN, to push training and education to the inpatient units\u2019 \u201cStroke Champions,\u201d who in turn deliver the information to nurses and staff to ensure they are ready to respond as quickly as possible to Stroke Alerts.<\/p>\n

\"A
A large group attended the LEAP seminar for stroke survivors and caregivers at UCH in the spring.<\/figcaption><\/figure>\n

The numbers underscore the importance of keeping skills sharp and awareness high. The hospital responded to a total of 317 ischemic strokes and transient ischemic strokes (TIAs) from Jan. 1 to Sept. 30, 2016, up from 250 for the same period in 2015, said Tovah Adler, RN, also a clinical coordinator with the Stroke Program. The numbers of patients receiving intravenous clot-busting tPA on admission to the Neuro ICU and those sent to UCH from other facilities or from UCHealth\u2019s Mobile Stroke Treatment Unit after receiving tPA also grew significantly during the same period.<\/p>\n

Reach out, we\u2019ll be there<\/strong><\/p>\n

Adler credited the increases in part to outreach to emergency services providers by the Stroke Program and University of Colorado School of Medicine physicians through monthly talks and advanced life support training. The effort has been bolstered by the hospital\u2019s EMS manager, Floyd Salazar, Snyder added.<\/p>\n

\u201cEMS outreach is a huge part of what we do,\u201d she said. \u201cWe have worked on getting out to the community and letting them know what we do here and that that we appreciate what they do.\u201d<\/p>\n

Part of that effort includes informing EMS techs of the hospital\u2019s interventional radiology treatment capabilities and its nationally recognized Neuro ICU \u2013 reasons for them to bring a stroke patient to UCH for life- and limb-saving care.<\/p>\n

UCHealth\u2019s burgeoning telestroke program, coordinated by Christy Denton, RN, MSN, provides another important bridge to the community. The program, launched in 2014<\/a>, allows neurologists at UCHealth to conduct remote consultations with providers at other hospitals and assess patients for signs of stroke.<\/p>\n

A variety of other initiatives aim to bring stroke care and information to patients and caregivers inside and outside the hospital.<\/p>\n

\u201cPatient education and community outreach are the drivers of what we do,\u201d said Angela Vasilatos, specialty clinical programs coordinator for the Stroke Program. She noted that the team rounds on stroke patients and their families to bring familiar faces to the bedside and to monitor their care through follow-up clinic visits that should occur within seven days of discharge.<\/p>\n

\"Luis
Luis Cava, MD, of UCH\u0092s Neuro Intensive Care Unit, discusses stroke risk and prevention with attendees at Vestido Rojo, an event sponsored by the American Heart Association.<\/figcaption><\/figure>\n

The outreach work also includes a support group that Vasilatos said currently draws 10 patients per session. There\u2019s also SSTARS (Stroke Survivors Taking Aim at Recovery), a volunteer group of six that helps stroke patients in the hospital prepare to move to the next level of care. The Lifelong Education and Advocacy Program (LEAP), which the hospital launched in conjunction with the NSA in 2009 to provide ongoing help for stroke survivors and caregivers, drew 50 attendees at its spring session, Vasilatos added.<\/p>\n

\u201cWhen we treat someone with stroke and see them come back full circle through the LEAP Program, we feel like we\u2019ve put the right pieces together,\u201d Snyder said.<\/p>\n

Physician healing<\/strong><\/p>\n

The program receives strong support from physicians, including co-medical directors Sharon Poisson, MD<\/a>, and Robert Neumann, MD, PhD<\/a>, and William Jones, MD, PhD<\/a>, medical director for the Mobile Stroke Treatment Unit at UCH. Poisson, for example, went on camera to explain the symptoms of stroke to 9News viewers at September\u2019s Health and Wellness Expo, sponsored by UCHealth and the Denver Broncos. Luis Cava, MD, a Neuro ICU physician, spoke about stroke risk and prevention to several hundred Latinas at Vestido Rojo, a national American Heart Association-sponsored event.<\/p>\n

\"Stroke
Stroke Program Co-Medical Director Sharon Poisson, MD, holds a brain during an Advanced Stroke Life Support educational session.<\/figcaption><\/figure>\n

The Stroke Program lives by the mantra that \u201ctime is brain,\u201d and continues to fine-tune the processes and technology that speed neuron-saving treatment to patients. Its \u201cTarget: Stroke Elite Plus\u201d award from the American Stroke Association is one tangible example of the program\u2019s success in getting tPA to a large majority of ischemic stroke patients in 60 minutes or less.<\/p>\n

Just as valuable as those data points are comments from the patients whom the program\u2019s providers and the hospital helped to survive their ordeals.<\/p>\n

\u201cI was treated so well by the entire team\u2026 the stroke team, all the nurses, therapy, and techs,\u201d one said to Schoenleber. \u201cThank you all for making a difference in this man\u2019s experience here in the hospital.\u201d Said another of the LEAP Program, \u201cThis seminar was great at answering questions I didn\u2019t even know I had.\u201d<\/p>\n

Snyder sees such comments as confirmation of the entire organization\u2019s success in building bridges to stroke patients.<\/p>\n

\u201cMy main goal is to have the Stroke Program recognized in the community and in the hospital and for people to know how much all of our staff and providers have been integral to the process,\u201d Snyder said.<\/p>\n

\n

Six for stroke<\/strong><\/p>\n

Core members of the UCH Stroke Program team:<\/p>\n

    \n
  • Meredith Snyder, manager<\/li>\n
  • Tovah Adler, clinical coordinator<\/li>\n
  • Kerri Jeppson, clinical coordinator<\/li>\n
  • Tonie Schoenleber, clinical coordinator<\/li>\n
  • Christina Denton, telestroke coordinator<\/li>\n
  • Angela Vasilatos, specialty clinical programs coordinator<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    If the measure of a clinical program\u2019s impact is its size, the Stroke Program at University of Colorado Hospital doesn\u2019t have a lofty rank. Two-thirds of the core team \u2013 four members \u2013 fit relatively comfortably in a Leprino Building office on a recent morning. But if the measure of impact is service to patients, […]<\/p>\n","protected":false},"author":2143,"featured_media":7302,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[715,187,184,263],"class_list":["post-7295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-comprehensive-stroke-center","tag-mobile-stroke-treatment-unit","tag-neurology","tag-university-of-colorado-hospital"],"acf":[],"yoast_head":"\nStroke Program raises the bar - UCHealth Today<\/title>\n<meta name=\"description\" content=\"If the measure of a clinical program\u2019s impact is its size, the Stroke Program at University of Colorado Hospital doesn\u2019t have a lofty rank. 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