Monday, October 24, 2016
by Heather Lodge
BJC, BJH, MBMC, WUSM | When stroke patients are treated in the facility best suited for their specific level of care, better overall patient care can be achieved. A new program aims to do that for St. Louis-area stroke patients. The distributive stroke pilot program was created to see how extensive levels of collaboration among BJC HealthCare, Barnes-Jewish Hospital, Missouri Baptist Medical Center and Washington University School of Medicine could improve stroke care in the region.
“Stroke is a perfect example of a diagnosis that requires time-critical treatment,” says Bruce Hall, MD, PhD, BJC vice president and chief quality officer. “Every facility can’t have the same level of expertise and technology. It’s not feasible, and facilities that do have the highest level of capabilities may not have available beds.”
When a stroke patient comes in, a WUSM stroke specialist works with the referring physician to assess, triage and move the patient to the facility best suited for his or her care — MBMC or BJH.
“It’s been a fantastic partnership,” says Tim Mislan, MN, BSN, MBMC vice president and chief nursing officer. “Missouri Baptist has a number of rural affiliates who are benefiting from the relationship. Having WUSM stroke neurologists available is a big step forward.”
Jin-Moo Lee, MD, PhD, is a WUSM neurologist specializing in stroke at BJH. He calls the pilot a win-win situation. “We are taking advantage of MBMC’s excess bed capacity to augment care of patients who would have otherwise been turned away from BJH because of the lack of available beds,” says Dr. Lee. “We are six months into this project and almost 50 patients have been triaged to MBMC.”
One of many deciding factors is whether the patient is a candidate for a procedure known as a thrombectomy, in which an endovascular interventional physician navigates a catheter with a stent retriever through vessels in the brain to remove the clot causing the ischemic stroke. As a level one stroke center, BJH has this specialized option available for the most complex patients.
“Stroke is a regional issue,” says Sheyda Namazie-Kummer, MD, MBA, a director with the clinical advisory group at the BJC Center for Clinical Excellence. “We can deliver better care and advance the health of our community if we operate as a region.”
Leaders have established the BJC stroke care clinical expert council to build on the current efforts, including the distributive stroke pilot. The multi-disciplinary group shares best practices across BJC. Current projects include developing system-wide computed tomography angiography guidelines and creating a standardized stroke screening tool.
“It is really exciting and shows a new way BJC hospitals can work together for better patient care,” says Mislan.
Heather Lodge, Heather.Lodge@bjc.org
Tags : Stroke care
Number of views (1105)/Comments (3)
11/3/2016 7:18 AM
How much time after a stroke will the decision be made to perform the trhombectomy? Does age affect the decisioin also? My mother had some strokes and really nothing has been done except giving and adjusting medications. I wish a better decision was made in her case.
11/3/2016 11:19 AM
Thanks for your comment. Each case is different. A number of factors contribute to decisions regarding stroke treatment, including the patient's age, general health and symptoms, etc. For more information about stroke and stroke treatment, you might want to call the Barnes-Jewish Hospital Stroke Center, (855) 925-0631.
11/3/2016 3:37 PM
This is some great and vital information that could save numerous life's all the patient has to do is listen and do everthing that is asked of them.