TY - JOUR
T1 - Ideal Foundational Requirements for Stroke Program Development and Growth
T2 - A Scientific Statement From the American Heart Association
AU - Dusenbury, Wendy
AU - Mathiesen, Claranne
AU - Whaley, Michelle
AU - Adeoye, Opeolu
AU - Leslie-Mazwi, Thabele
AU - Williams, Shavonne
AU - Velasco, Cesar
AU - Shah, Samarth P.
AU - Gonzales, Nicole R.
AU - Alexandrov, Anne W.
N1 - Funding Information:
Foundational to the stroke coordinator role is expert acute stroke clinical knowledge and skills to support the synthesis of new evidence and evolving practice paradigms, promoting an understanding of critical gaps in care, resources, and services. Those in the role who lack clinical competence may focus entirely on administrative functions or data management, thereby failing to fully execute the stroke coordinator role. Stroke coordinators should ideally oversee clinical staff competencies and the need for both compulsory and additional education and training identified through quality analyses. Although the work of stroke coordinators is supported by clinical relevancy, it is furthered by understanding of the dynamics of organizational behavior, change theory, and healthy work environments. ,
Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - Stroke center certification has evolved at a rapid pace and is now available at 4 different levels of service in the United States. Although certification standards provide guidance on stroke center process elements, lack of guidance on structural components such as workforce, staffing, and unit operations has resulted in heterogeneous services among hospitals credentialed at the same stroke center level. Such heterogeneity challenges public expectations and transparency about actual service capabilities within American stroke centers and in some cases may foster leniency in credentialing agency certification methods. Standards for other time-dependent diagnoses, including trauma, provide detailed guidance on structural elements that has improved patient triage and resuscitative care while enabling practitioners and administrators to more accurately gauge and plan service development to better support their communities. This scientific statement aims to provide similar structural guidance defined by each level of hospital stroke center services to reduce operational inconsistencies, to foster planning for service development, and to improve the interprofessional care of patients with acute stroke.
AB - Stroke center certification has evolved at a rapid pace and is now available at 4 different levels of service in the United States. Although certification standards provide guidance on stroke center process elements, lack of guidance on structural components such as workforce, staffing, and unit operations has resulted in heterogeneous services among hospitals credentialed at the same stroke center level. Such heterogeneity challenges public expectations and transparency about actual service capabilities within American stroke centers and in some cases may foster leniency in credentialing agency certification methods. Standards for other time-dependent diagnoses, including trauma, provide detailed guidance on structural elements that has improved patient triage and resuscitative care while enabling practitioners and administrators to more accurately gauge and plan service development to better support their communities. This scientific statement aims to provide similar structural guidance defined by each level of hospital stroke center services to reduce operational inconsistencies, to foster planning for service development, and to improve the interprofessional care of patients with acute stroke.
KW - AHA Scientific Statements
KW - certification
KW - health resources
KW - hospitals
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85151559386&partnerID=8YFLogxK
U2 - 10.1161/STR.0000000000000424
DO - 10.1161/STR.0000000000000424
M3 - Review article
C2 - 36748462
AN - SCOPUS:85151559386
SN - 0039-2499
VL - 54
SP - E175-E187
JO - Stroke
JF - Stroke
IS - 4
ER -