Telemedicine quality and outcomes in stroke: A scientific statement for healthcare professionals from the American Heart Association/American Stroke Association

Lawrence R. Wechsler, Bart M. Demaerschalk, Lee H. Schwamm, Opeolu M. Adeoye, Heinrich J. Audebert, Christopher V. Fanale, David C. Hess, Jennifer J. Majersik, Karin V. Nystrom, Mathew J. Reeves, Wayne D. Rosamond, Jeffrey A. Switzer

Research output: Contribution to journalArticle

89 Scopus citations

Abstract

Purpose - Telestroke is one of the most frequently used and rapidly expanding applications of telemedicine, delivering much-needed stroke expertise to hospitals and patients. This document reviews the current status of telestroke and suggests measures for ongoing quality and outcome monitoring to improve performance and to enhance delivery of care. Methods - A literature search was undertaken to examine the current status of telestroke and relevant quality indicators. The members of the writing committee contributed to the review of specific quality and outcome measures with specific suggestions for metrics in telestroke networks. The drafts were circulated and revised by all committee members, and suggestions were discussed for consensus. Results - Models of telestroke and the role of telestroke in stroke systems of care are reviewed. A brief description of the science of quality monitoring and prior experience in quality measures for stroke is provided. Process measures, outcomes, tissue-type plasminogen activator use, patient and provider satisfaction, and telestroke technology are reviewed, and suggestions are provided for quality metrics. Additional topics include licensing, credentialing, training, and documentation.

Original languageEnglish (US)
Pages (from-to)e3-e25
JournalStroke
Volume48
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • AHA Scientific Statements
  • quality indicators, health care
  • stroke
  • telemedicine
  • treatment outcome

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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    Wechsler, L. R., Demaerschalk, B. M., Schwamm, L. H., Adeoye, O. M., Audebert, H. J., Fanale, C. V., Hess, D. C., Majersik, J. J., Nystrom, K. V., Reeves, M. J., Rosamond, W. D., & Switzer, J. A. (2017). Telemedicine quality and outcomes in stroke: A scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 48(1), e3-e25. https://doi.org/10.1161/STR.0000000000000114