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Featured Press: Indiana University Health Adds CT Scans to 911 Calls for Stroke

Indiana University Health Mobile StrokeHealth Data Management has posted a new article about the Indiana University Health Mobile Stroke Unit manufactured by Excellance. Read on.

Indianapolis-based Indiana University Health, the largest network of physicians in the state, wants to limit the neurological damage associated with stroke by rushing a mobile computed tomography truck in addition to an ambulance on potential stroke victim calls.

“In stroke, time is so crucial,” says Jason Mackey, vascular neurologist and medical director of IU Health’s mobile stroke program. “We are looking for ways to reduce time to treatment.”

Strokes are caused by active bleeding or by a blood clot in the brain—knowing which is causing the medical emergency has a strong bearing on the outcome for the patient, and the course of treatment, because each varies widely.

“You don’t want to give a clot buster to a patient who doesn’t need it. That’s where scanning comes in handy in the field—you can scan [patients], and if they need treatment, you can give it,” Mackey says.

The sooner patients get the correct treatment, the likelihood of disability from the stroke is decreased. However, there is no current reimbursement for such a service, he says. IU Health’s Mobile Stroke Treatment Unit truck is made possible by a grant from the IU Health Foundation. Mackey says that when the mobile scanning unit is launched in a few weeks, it will be among roughly only a dozen or so like it in the country.

IU Health has spent the last three years laying out the plans, Mackey says. It’s faced a number of hurdles, because “it’s a new paradigm of delivering care.” It’s a multidisciplinary endeavor, involving emergency medical services, radiology and neurology, “bringing players to the table in a way that’s never done before,” he says. “We did it the right way and slowly built the agreement across multiple disciplines and institutions.”

According to Mackey, Methodist Hospital, where the ambulance takes its stroke victims, receives some 800 stroke cases a year. He cannot guess how many patients the CT truck will treat because initially the service will be available only during business hours and then on alternating weeks. “We’re going to start small,” he says. “Ultimately, we would like to expand and cover the entire county and portions of the city.”

Judi Ayres, director of stroke services at IU Health, says the Mobile Stroke Treatment Unit will carry a vascular neurologist, a critical care nurse, a paramedic, an EMT and a CT tech. It will take some time to work out logistics with the EMS unit. “Ordering the truck was the easy part,” she says.

Images from the CT scanner will be beamed via the strongest cellular network available and viewed in real time by a radiologist at the hospital and by the neurologist on the truck, Mackey says.

The project has involved “a sizeable upfront investment, on the order of $1 million,” and operation of the mobile unit is expected to cost $500,000 a year. “Because it’s such a resource-intensive program, it’s all the more reason to really study the outcomes,” Mackey says.

Currently there is little interest by the federal government or private payers in reimbursing for the mobile stroke care, but there is some hope for consideration in the future, Mackey says. However, in last February’s budget proposal, a provision in the federal budget expanded the Furthering Access to Stroke Telemedicine (FAST) Act, currently under consideration in Congress, to include mobile stroke units, he says.

Mackey says it will be at least a year until IU Health will assess the results of the project.

Source: Health Data Management

Filed Under: Featured Press Tagged With: Excellance, Indiana University Health Mobile Stroke Unit, IU Health, Mobile Stroke Unit

Featured Press: Cicero Makes Enhanced Medical Services Available in Emergencies

MobileStroke-Unit-CIcero-2018Rush University Medical Center has signed a deal with the town of Cicero to provide medical services to stroke victims with their new Mobile Stroke Unit manufactured by Excellance. Read on.

The Town of Cicero has signed a deal with Rush University Medical Center to make a specialized Mobile Stroke Unit available bolster medical services to stroke victims. The new unit will be available initially every day between the hours of 7 am until 7 pm but plans are to expand it to 24 hours
Cicero Town President Larry Dominick signed an agreement this week that grants access to Rush University Medical Center to make a specialized Mobile Stroke Unit available to assist in responding to stroke related emergencies.

The Mobile Stroke Unit will provide added medical treatment to supplement the Emergency Medical Services (EMS) provided by the Town of Cicero’s Fire Department ambulance teams.

The contract with Rush University Medical Center, 1700 W. Van Buren Street, in Chicago, to make the Mobile Stroke Unit available to the Town of Cicero was approved by the Town of Cicero Board at its regularly scheduled meeting on Tuesday, April 10, 2018.

“I am very happy that we are able to expand our emergency response ambulance teams to include the Mobile Stroke Unit which also includes professional medical staff to respond to strokes,” said Town President Larry Dominick.

“This specialized unit will assist our paramedics in responding to medical emergencies involving strokes. By bringing the Mobile Stroke Unit to the patient, we are saving much time and time is a critical factor in saving lives.”

Cicero Fire Commissioner Dominick Buscemi said that the Cicero ambulance teams respond quickly to emergency calls, but he said that the issue is the time it takes to bring stroke patients to the hospital for treatment.

“Even though we can provide emergency assistance to sustain life and prevent death in many cases, individuals suffering from stroke have to be taken to the hospital for specialized treatment,” Buscemi said.

“By making the Mobile Stroke Unit available to the patients as they are being treated in their homes, or the location of their emergency, we are able to save a lot of time. And saving that time increases the likelihood that a stroke patient can survive the stroke.”

Rush is the recipient of a private grant to fund the Mobile Stroke Unit which is owned and operated by Superior and outfitted with a Rush-owned physician clinic, including physician consultation via telemedicine, a CT Scanner, clinical laboratory and certain other medical technology necessary to provide mobile stroke diagnosis and treatment.

The Mobile Stroke Unit will staffed and on emergency call near the Town of Cicero every day, initially during the hours of 7 am to 7 pm with plans to make availability 24 hours.

Source: Suburban Chicagoland

Filed Under: Featured Press Tagged With: Cicero, Excellance, Featured Press, Mobile Stroke Unit, Rush University Medical Center

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