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<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif">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. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif">We will provide an overview of the document and the changes during our next RSTAC meeting (3/17).<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif">Please reach out to me with any questions or concerns.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif">Thank you and have a great weekend!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif">Josh<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif"><o:p> </o:p></span></p>
<p class="Default"><span style="font-size:16.0pt;color:#543178">Change Log <o:p></o:p></span></p>
<p class="Default"><span style="font-size:10.0pt">All material changes are outlined below. Immaterial changes are not included in the change log.
<o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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. <o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">Page 7: Table A: New table showing all NYS stroke designation requirements that must be incorporated into the certifying organizations standards.
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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.
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">Page 7: added Critical Care as an option for Board certification for the Stroke Medical Director
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">Page 7: clarified the requirement that a Stroke Medical Director may only serve a single CSC
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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. <o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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 <o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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. <o:p>
</o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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.
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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.
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">Page 11: added requirement for Computed Tomography Angiography (CTA) at the PSC level.
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">Page 12: added Blood Glucose testing capability as a laboratory requirement.
<o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">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 <o:p></o:p></span></li><li class="Default" style="mso-list:l0 level1 lfo1"><span style="font-size:10.0pt">Page 13: added language to stroke education requirement to bolster patient education to include culturally appropriate materials.
<o:p></o:p></span></li></ul>
<p class="Default"><span style="font-size:10.0pt"><o:p> </o:p></span></p>
<p class="Default"><span style="font-size:10.0pt">Table B: New table showing all performance measures and time targets that should be reported to the NYSDOH.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:10.0pt"><o:p> </o:p></span></p>
<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="margin-left:-8.4pt;border-collapse:collapse;border:none">
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<p class="Default"><span style="font-size:10.0pt">Removed 85% benchmark from the following measures. NYS PSC 17: Door to MD/DO (can include midlevel) assessment (10 minutes)
<o:p></o:p></span></p>
</td>
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<td width="461" valign="top" style="width:345.9pt;border:none windowtext 6.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:4.65pt">
<p class="Default"><span style="font-size:10.0pt">NYS PSC 18: Door to Stroke Team (15 minutes)
<o:p></o:p></span></p>
</td>
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<tr style="height:4.65pt">
<td width="461" valign="top" style="width:345.9pt;border:none windowtext 6.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:4.65pt">
<p class="Default"><span style="font-size:10.0pt">NYS PSC 19: Door to Brain Image Initiated (25 minutes)
<o:p></o:p></span></p>
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<tr style="height:4.65pt">
<td width="461" valign="top" style="width:345.9pt;border:none windowtext 6.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:4.65pt">
<p class="Default"><span style="font-size:10.0pt">NYS PSC 20: Door to Brain Image Read (45 minutes)
<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Segoe UI Historic",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Segoe UI Historic",sans-serif">Joshua Onyan, BSN, RN, SCRN<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif">Stroke Program Manager<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif">Upstate Comprehensive Stroke Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif">750 East Adams St.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif">Syracuse, NY 13210<o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif">Cell: 315-414-9405<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif">Ph: 315-464-2662<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif">Fax: 315-464-2638<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI Historic",sans-serif"><a href="http://www.upstate.edu/stroke">www.upstate.edu/stroke</a>
<o:p></o:p></span></i></p>
<p class="MsoNormal"><o:p> </o:p></p>
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