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TCD Missouri State Stroke Designation
Teri Ackerson RN BSNTCD Program Manager
State Stroke DesignationsHistory
• Starting working on TCD – Trauma, Stroke, STEMI 2008• Projected date for Stroke was 2011
• August 15, 2013 – Application process opened to apply for state stroke designation Levels I-IV• March 23, 2015 – List published by the DHSS of stroke centers with
level designation – EMS is to transport stroke patients to only state certified centers• April 1, 2015 – State designated stroke centers are required to begin
abstracting data in the Missouri Registry
Map of area
• Level I Center designations 10Region A – 2Region B – 0Region C – 5Region D – 1Region E – 0 Region F – 2Region G – 0Region H – 0Region I – 0
Map of Area
• Level II Center Designations• Region A – 5• Region B – 0• Region C – 9• Region D – 2• Region E – 3• Region F – 1• Region G – 1• Region H – 1• Region I – 1
Map of area
• Level III Center Designations• Region A – 2• Region B – 1• Region C – 1• Region D – 0• Region E – 1• Region F – 1• Region G – 1• Region H – 1• Region I – 0
Map of area
• Level IV Center Designations• Region A – 0• Region B – 0• Region C – 0• Region D – 1• Region E – 0• Region F – 0• Region G – 0• Region H – 0• Region I – 0
What is new?
• DHSS is still collaborating with AHA – GWTG to work on mapping issues• 11 anticipated applications• Freeman Hospital West – level II• Cox Branson – application submit level II• Cameron Regional Medical Center – level III• East Central County St. Louis and MARCER – Kansas City
• Community plans have been submitted
• 11 focus reviews• Significant deficiencies • Adequate guideline – need established practice
Reviewers Wanted
• Stroke coordinators• STEMI coordinators• Neurologist• Neuro – interventionist• Cardiologist• Interventional Cardiologist• ED physicians
