In 2011, a group of healthcare professionals met to discuss the results of the KS Department of Health and Environment (KDHE) Cardiovascular Burden document which showed low public awareness, low IV alteplase utilization, and high mortality rates among KS stroke patients. The group developed a grant-funded statewide plan to improve access to acute stroke treatment to decrease disability and mortality from stroke. Since that time, more than 75 Kansas facilities in all 6 EMS regions have joined the fight to meet this goal.
Emergent Stroke Ready Hospitals
ESRHs, hospitals that diagnose, treat, and transport acute stroke patients to a higher level of care as warranted, are located throughout the state of Kansas. ESRHs must annually attest to Kansas State Stroke Task Force their continued compliance with criteria outlined below and must comply with these criteria 24 hours a day, 365 days a year.
ESRH designation criteria include:
- Written emergent stroke care protocols;
- Written transfer agreement with a hospital with neurosurgical expertise;
- Director of stroke care to oversee hospital stroke policies and procedures. This may be a clinical staff member or the designee of the hospital administrator;
- Administration of thrombolytic therapy (e.g. Alteplase);
- Ability to conduct brain image tests (e.g. CT scan) at all times;
- Ability to conduct blood coagulation studies at all times;
- Report data through a designated reporting tool (GWTG, KISS Survey Monkey); and
- Provide community stroke education