How to set up an Acute Stroke Service

Although it is widely recognized that time is of the essence in the management of stroke, there are currently few efficient stroke centers that prospective new centers may emulate. This book offers a concise and practical guide on how to set up and run an acute stroke service tailored to the needs of the individual center as a provider of primary, secondary or tertiary care. All aspects of the subject are tackled. Essential knowledge on current imaging and treatment options is provided and guidance is offered on organizing a site-specific stroke pathway so as to ensure the quickest possible provision of treatment. The authors played an integral part in the development and operation of one of Europe’s most successful early stroke centers and also have experience of the factors that can undermine the creation of world-class stroke units. This handbook will be an invaluable source of information for every member of the stroke team.

Part I: Understanding your goals: The Why-What and Who: What is Stroke?- Guidelines, Regulations-Sources of supporting information .- Who can support this project.- Simplified steps of the stroke pathway.- Defining your priorities.-. Walking the steps and defining your own pathway and goals on the way.- Bringing your goals into shape.- Examples of treatment pathways.- Specific pathways in special cases.- Modern Concepts Part II: Planning: Strategic/Business Management.- Who manages your Project.- Project management plan.- Establishing whom and what you need in the stroke pathway.- stablishing your resources (equipment, staff, space).- Budget and time frame.- Risk assessment and Management. Part III: The Team : Setting up a project team Part IV: Getting started: Work packages.- Examples for Work Groups. Part V: Evaluation: Monitoring Project Performance.- Evaluating your work by monitoring times and outcomes.- Dissemination.- Redefining your goals (e.g. expand service).- Closing remarks.