[Stroke] New York State Stroke Guidance Document v23.1 (new)

[Joshua Onyan]

Greetings All- New York State just released an updated stroke guidance document, version 23.1. The document is attached and a "change log" can be found on page two but also listed below.

We will provide an overview of the document and the changes during our next RSTAC meeting (3/17).

Please reach out to me with any questions or concerns.

Thank you and have a great weekend!
Josh



Change Log

All material changes are outlined below. Immaterial changes are not included in the change log.

  *   Page 5: added language specifying that NYSDOH stroke measures are only required to be collected and reported to the NYSDOH on a quarterly basis and are not required to be collected by the hospital's contracted accrediting organization.
  *   Page 7: Table A: New table showing all NYS stroke designation requirements that must be incorporated into the certifying organizations standards.
  *   Page 7: removed designation ramp up period for TSC, which had allowed for reduced mechanical thrombectomy facility volume as a path for achieving TSC designation.
  *   Page 7: added Critical Care as an option for Board certification for the Stroke Medical Director
  *   Page 7: clarified the requirement that a Stroke Medical Director may only serve a single CSC
  *   Page 8: clarified that for PSC designation, if a neurologist is not available for consultation, then the physician who is providing the consultation must have experience in the diagnosis and treatment of ischemic stroke.
  *   Page 8: clarified the requirement for Physician training to allow for training in critical care or neurocritical care for managing the care of complex stroke patients in the designated neurointensive care unit or designated intensive care beds
  *   Page 9: clarified neurosurgeon requirement for comprehensive stroke center designation so that neurosurgeon is on call 24/7 and available on site within 30 minutes of notification to perform and support the performance of emergency neurosurgical procedures.
  *   Page 9: added requirement that all inpatient stroke patients (excluding those transferred to another acute care facility or hospice) must be assessed for rehabilitation services.
  *   Page 9: added Nurse Case Manager and Social Worker requirement for PSC and TSC requiring Nurse Case Managers and Social Workers with expertise in neurology/stroke care, care coordination, different levels of rehabilitation, and community resources. CSCs previously had this requirement and continue to do so.
  *   Page 11: added requirement for Computed Tomography Angiography (CTA) at the PSC level.
  *   Page 12: added Blood Glucose testing capability as a laboratory requirement.
  *   Page 12: clarified requirement for beds to allow for designated neurointensive care unit or designated intensive care beds for the care of complex stroke patients which must be available 24/7
  *   Page 13: added language to stroke education requirement to bolster patient education to include culturally appropriate materials.



Table B: New table showing all performance measures and time targets that should be reported to the NYSDOH.



Removed 85% benchmark from the following measures. NYS PSC 17: Door to MD/DO (can include midlevel) assessment (10 minutes)

NYS PSC 18: Door to Stroke Team (15 minutes)

NYS PSC 19: Door to Brain Image Initiated (25 minutes)

NYS PSC 20: Door to Brain Image Read (45 minutes)


Joshua Onyan, BSN, RN, SCRN
Stroke Program Manager
Upstate Comprehensive Stroke Center
750 East Adams St.
Syracuse, NY 13210
Cell: 315-414-9405
Ph: 315-464-2662
Fax: 315-464-2638
www.upstate.edu/stroke<http://www.upstate.edu/stroke>

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