Ischemic cerebrovascular disease (CVD) is a leading cause of disability in the United States. CVD causes almost 700,000 strokes annually and other significant complications including dementia and transient ischemic attacks (TIA). In 2014, roughly $48 billion was spent in the US to prevent CVD and other cardiovascular diseases and to treat strokes.
Projects and Outcomes
CERC’s care redesign team developed a new care model with three core elements:
- The use of nurse-led teams to increase from 60% to over 85% patient use of protective medications to prevent stroke and thereby downstream costs resulting from hospital care, rehabilitation/nursing home care, and direct care costs related to stroke disability
- The replacement of hospitalization with home-based care for most patients who have experienced a transient or mild stroke following a brief evaluation in a hospital emergency department
- A rapid treatment protocol to reduce the usage delay by 50 minutes of clot-dissolving medication for patients with severe strokes, as these patients lose an estimated 1.9 million brain cells for every minute of treatment delay