Concord Hospital in Concord, New Hampshire is a 295-bed charitable hospital that exists to meet the needs of the communities they serve. Designated as a Primary Stroke Center, Concord Hospital provides exemplary patient care to the stroke population by seeking to constantly improve the way they deliver care.
In June 2020, Concord Hospital identified an opportunity to reduce their Door-to-Needle (DTN) times to improve patient outcomes for their stroke community. They reviewed the percentage of cases with DTN less than 45-minutes and less than 60-minutes, and found that only 19% were less than 45 and 50% were less than 60.
After reviewing their current practice, Concord Hospital sought partnership with TeleSpecialists with the primary goal of improving patient care with faster response times by stroke specialists after stroke activation. During implementation of TeleSpecialists as their telemedicine neurology group, Concord Hospital collaborated with their TeleSpecialists Quality Program Specialist to complete a walk-through of their current stroke process along with value stream mapping to identify opportunities to streamline the process. House-wide education was rolled out to staff on the new stroke response protocol and mock stroke alerts were conducted. TeleSpecialists TeleStroke went live on October 1, 2020.
Since partnering with TeleSpecialists, Concord Hospital has experienced a 53% improvement in DTN cases <45-minutes and a 46% improvement in DTN cases <60-minutes as of the second quarter of 2021.