TeleStroke

When seconds count, rely on INTEGRIS TeleStroke Network to receive 24 hour stroke expertise.

TeleStroke provides real-time expert neurological assessment of patients presenting with stroke-like symptoms in your hospital’s emergency department. This expertise-on-demand can help you rapidly evaluate and treat potential acute stroke patients. All of our stroke experts are trained in the practice of TeleStroke and participate in our TeleStroke quality assurance program. For some hospitals, the TeleStroke service augments existing hospital-based neurologic coverage to help provide 24/7 coverage all year long; for other hospitals, it is the only neurologic expertise consistently available. For many communities, telemedicine is an important building block for developing a comprehensive stroke care system that reaches its citizens. With acute stroke expertise available "virtually" at the bedside, you won’t need to immediately transfer possible stroke patients elsewhere for evaluation, and the patients don’t lose precious time until the administration of tPA or other critical therapy.

How TeleStroke Works

In the INTEGRIS TeleStroke Network, specialists use videoconferencing technology to remotely examine the patient, confirm the diagnosis, interpret the brain images and provide recommendations to your hospital’s physicians and staff just as if they were at the bedside. TeleStroke helps your hospital give the right treatments to the right patients at the right time. Some patients may stay at your hospital, while others may transfer for additional treatment to INTEGRIS Southwest Medical Center, INTEGRIS Baptist Medical Center, INTEGRIS Canadian Valley Hospital or another primary stroke center nearby.

Program Benefits

  • Allows certification as a primary stroke center by the Oklahoma State Department of Health
  • Community hospital will not be bypassed by EMS
  • Improved health outcomes
  • Enhances existing health services
  • Professional development along with medical and community education

INTEGRIS Welcomes Newest Partner Site: Choctaw Memorial Hospital, Hugo

Current TeleStroke partner sites

Co-Hubs

Partner Sites:

TeleStroke Physicians

Our medical professionals are trained to recognize the signs and symptoms of stroke. They offer innovative and comprehensive treatment for patients having a stroke.

  • Provide real-time neurological assessment of patients presenting stroke-like symptoms to regional emergency departments
  • Rapidly evaluate and treat potential acute stroke patients
  • Augment existing hospital-based neurological coverage to provide 24 hour coverage
  • Promote evidence-based stroke care
  • Provide equal access to acute stroke care regardless of location

TeleStroke Network Implementation

Upon joining the INTEGRIS TeleStroke Network, your hospital will receive an implementation packet with all the necessary information to swiftly initiate the program at your hospital. Some of the implementation tasks include:

  • Completion of physician credentialing
  • Installation of OneNet dedicated T1 line (if your hospital does not already have one)
  • Ordering of a video conferencing unit (INTEGRIS TeleHealth requires the purchase/Lease of a Polycom VSX 7000 Practitioner, similar to the unit right, with far end camera control and pan/tilt/zoom lens)
  • Clinical and technology training with our staff
  • Mock TeleStroke drill with a mock/simulated patient before we go live

Activating the TeleStroke Network

When a patient with stroke-like symptoms presents at an INTEGRIS TeleStroke Network member emergency department, the hospital follows the standard acute stroke protocol and calls our on-call stroke neurologist. We then immediately begin the assessment of your patient.

The INTEGRIS TeleStroke neurologist contacts the hospital by phone to review the case and initiate a video conference call if appropriate. After the video conference is established, the emergency department physician provides additional information about the patient. The stroke neurologist will then review the patient’s presentation with the emergency department physician and staff will perform a focused neurological assessment.

Upon completion of the exam, the TeleStroke neurologist reviews the brain images and then discusses the findings with the emergency department physician. Together they decide on the best plan of care. The findings and recommendation of the stroke neurologist are stored securely on the TeleStroke Network web site and are available for the hospital to print out and place in the patient’s medical record.

TeleStroke - Distribution of Hospitals

Testimonials

On Monday, 6/6/2011, I received a telephone call from my aunt, Janice Schumacher, who was concerned that she might be having a stroke. She has always had her care in Lawton as that is where her PCP is, so she was having a friend drive her to the ER at Southwestern Medical Center. While I was on the phone with her, she was having word finding difficulties and did not sound like herself. She had a seizure while I was talking to her on the phone. I encouraged her friend to take to the nearest ER regardless of which one my aunt wanted to go to. They were closer to here so they came here.

On arrival, she had some right leg weakness and continued to have trouble with her speaking. Telestroke was set up and ready to go. I received an email with the times and they did wonderful. The neurologist from INTEGRIS Baptist called Dr. Hough about the CT before he had even had a chance to see it himself. He believed that he saw a tumor. When the radiologist from Virtual Radiologic read the CT, he reported that she had a stroke to her left MCA. She was transferred by Air-Evac to Baptist for an MRI. The MRI confirmed the diagnosis of a brain tumor.

I strongly believed that Telestroke saved her life. Had she gone elsewhere and only had one physician looking at the CT they may have given her a thrombolytic with potentially life ending complications. Her entire family was very impressed with the speed with which she was seen and taken to CT and transferred. They believed it was because I was here. I made sure that they knew that she got treated with the same speed and compassion that we treat all of our patients. Just wanted to express my gratitude to everyone who was here and took care of her and of me. I'm sure I'll miss someone, but thank you to Dr. Hough, Michael Fusselman, Billie Talmadge, Jillian Givens, Jennifer Cargill, Amy Covington, Theresa Castor, Jojeanna Sanders, Jane Mitchell and Margie Forehand.

Thank you all so much,

Tracy Lovelace
Duncan Regional Hospital

Partners TeleStroke Portal

If you are already a TeleStroke partner click here to lead you directly to our portal.

Additional Resources

Extending Evidence Based Practices Across the State Through Telehealth: A Nursing Perspective
https://www.youtube.com/watch?v=dWfajO9JrVY

Jaime Popp, RN
eHealth Nurse Consultant
INTEGRIS eHealth
Office: 405-552-0164