8. Telemedicine Networks and Remote Evaluation of the Acute Stroke Patient

  1. Kevin M. Barrett MD, MSc2 and
  2. James F. Meschia MD3
  1. Bart M. Demaerschalk MD, MSc, FRCP(C)

Published Online: 7 MAY 2013

DOI: 10.1002/9781118560730.ch8

Stroke

Stroke

How to Cite

Demaerschalk, B. M. (2013) Telemedicine Networks and Remote Evaluation of the Acute Stroke Patient, in Stroke (eds K. M. Barrett and J. F. Meschia), John Wiley & Sons, Oxford. doi: 10.1002/9781118560730.ch8

Editor Information

  1. 2

    Mayo Clinic, Jacksonville, FL, USA

  2. 3

    Mayo Clinic, Jacksonville, FL, USA

Author Information

  1. Department of Neurology, Mayo Clinic, Phoenix, Arizona

Publication History

  1. Published Online: 7 MAY 2013
  2. Published Print: 22 APR 2013

ISBN Information

Print ISBN: 9780470674369

Online ISBN: 9781118560730

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Keywords:

  • telemedicine;
  • telestroke;
  • stroke;
  • systems of care;
  • network

Summary

The chapter objectives are to summarize the evidence that supports the reliability of telemedicine for diagnosis and efficacy in acute stroke treatment, identify strategies for funding the development of a telestroke network, to present issues with respect to economic sustainability, cost effectiveness, and the status of reimbursement for telestroke, to identify key components to maintaining the logistical and/or operational sustainability of a telestroke network, to identify best practices to be considered for assessment and management of acute stroke when planning for and developing a telestroke network, to demonstrate practical steps to enable progress toward implementing a telestroke solution for optimizing acute stroke care, to incorporate evidence-based practice guidelines and care pathways into a telestroke network, to emphasize technology variables and options, to propose metrics to use when determining performance, outcomes and quality of a telestroke network, to identify and help overcome obstacles to telestroke practice, to present tips for sustaining a telestroke network, to suggest strategies for obtaining buy-in from clinicians and administrative leadership and providers, and to identify and engage champions and stakeholders of telestroke.