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Penn Stroke Center Receives Certificate of Distinction

March / April 2005

The Penn Stroke Center has been recognized for its exceptional ability to meet the specialized needs of stroke patients and to achieve long-term success in improving outcomes. The Center recently received certification as a primary stroke center from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). This prestigious designation, while demonstrating compliance with certain performance expectations, also recognizes the high quality and standard of care that the Hospital of the University of Pennsylvania provides. It is the first hospital in Philadelphia to achieve such distinction.

“I think that receiving this certification attests to our longstanding commitment to providing efficient and effective acute care to patients with stroke and to the prevention of recurrent stroke,” says Scott Kasner, MD, director of the Center and associate professor of neurology at the Hospital of the University of Pennsylvania. “There has long been an idea that emergency medical personnel should preferentially take patients to stroke centers. However, there were not enough stroke centers to do that. This certification paves the way for organized triage by paramedics to take patients preferentially to JCAHO-certified primary stroke centers.”

In order to receive JCAHO certification, the stroke center underwent rigorous scrutiny to assure the deployment of rapid-response stroke treatment teams; the operation of designated inpatient stroke care units staffed by qualified stroke caregivers; the use of comprehensive, written stroke care protocols; the existence of an integrated system for managing stroke patients; compliance with professional standards and a firm commitment from both administrators and clinicians to provide up-to-date community education about stroke risks, symptoms and treatment.

State-of-the-art approaches to diagnosis, treatment and prevention of stroke are offered at the Center. Innovative therapies include endovascular (catheter-based) interventions such as angioplasty, stenting and intra-arterial thrombolysis. “The mainstay of acute care therapy is a tissue plasminogen activator (t-PA) clot buster drug,” says Dr. Kasner, “which must be given within three hours of stroke symptom onset.” More than 700,000 Americans suffer from strokes each year.

The earlier the stroke patient is seen and treated, the better the outcome. “Our biggest barrier is that we have, for now, one singular therapy for acute stroke,” Dr. Kasner says. “The problem is that the vast majority of patients don’t arrive in time to benefit from this therapy. That is why we are studying new therapies for stroke that may offer a longer window of time.”

Clinical research is also ongoing in the areas of stroke prevention and identification of risk factors, diagnosis and evaluation of the stroke patient and best management practices to stimulate recovery.

The stroke center is part of the Penn Neurological Institute of the University of Pennsylvania Health System, which provides complete medical and surgical care for people with disorders of the brain, spinal cord, and peripheral nervous system. Many of the services offered by the stroke center are not available at other area hospitals. The staff includes neurologists, neurointensivists, neurosurgeons, neuroradiologists, specially trained neuroscience nurses, physical and occupational therapists, speech pathologists, neuropsycologists and rehabilitation medicine physicians.

 


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