266818 AR SAVES: Outcomes of a Twenty First Century State-wide Tele-stroke Program

Wednesday, October 31, 2012 : 8:30 AM - 8:50 AM

Richard Washam, Health Education, BSE, MAT, MEd , Center for Distance Health/AR SAVES Program, University of Arkansas for Medical Sciences, Little Rock
Julie Hall-Barrow, EdD , Center for Distance Health/AR SAVES Program, University of Arkansas for Medical Sciences, Little Rock
First in the nation for stroke mortality A standing Arkansas' rural population faces daily. Saturated in healthcare provider shortages, telemedicine technology is employed by this rural state to overcome its alarming rates of healthcare adversity. Telemedicine advocates at the state's Medicaid program, rural hospitals, and only academic medical center renewed an annual $6M telemedicine-driven stroke triage program in Arkansas' rural emergency rooms.

Arkansas SAVES (Stroke Assistance through Virtual Emergency Support) presents an innovative solution to a statewide problem. Without sub-specialty support of a vascular neurologist, many rural emergency rooms treating the potential stroke victim are reluctant to diagnose stroke and administer clot-busting medication. In four years utilizing a hub and spoke model, the program has launched 2 hub sites and 36 spoke sites. Vascular neurologists consult spoke sites through interactive, real-time video, interviewing patients and reviewing CT scans to promptly determine diagnosis.

This around-the-clock telemedicine-based call has increased the administration of tPA(tissue plasminogen activator), a life-saving medication. Since November, 2008 a total of 903 calls were made to AR SAVES with 208 patients receiving tPA.

Public education is critical to enable AR SAVES to fulfill its mission to save the lives of stroke victims and improve their quality-of-life. In general, many stroke victims do not proactively respond to stroke. A well-defined targeted community stroke education campaign strongly emphasizing community awareness is essential to draw more patients into the emergency room during the critical four-and-a-half hour window for treatment.

Tele-medicine is improving the quality-of-life for Arkansas stroke patients through prevention, recognition and treatment of stroke that will facilitate: Prevention and Wellness Across the Lifespan.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related education

Learning Objectives:
Objectives: 1)By the end of the session, the participants will learn how diverse partnerships and telemedicine may be incorporated to serve rural stroke patients. 2)By the end of the session, the participants will learn how community stroke education partnerships may be facilitated through telemedicine. 3)By the end of the session, the participants will learn how the AR SAVES Program is utilizing telemedicine and information technology to impact community stroke education by reducing risks, recognizing stroke symptoms and responding to stroke as a medical emergency by an individualized community approach.

Keywords: Strokes, Telemedicine

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the lead health educator for the AR SAVES Telestroke Program that is connected to 36 Arkansas rural hospitals. I facilitate the planning and organizing of AR SAVES stroke education programs for group and community needs. I also develop and maintain cooperation between public, civic, professional and voluntary agencies. I also develop educational and informational materials for dissemination. Community Stroke Education is the cornerstone for addressing Arkansas' #1 status in stroke mortality per capita.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.