title: Stroke care using a hub and spoke model with telemedicine.
abstract: Stroke is the fourth leading cause of death in the United States. On average, someone has a stroke every 40 seconds. The gaps for patients diagnosed with a stroke are the availability of physicians who specialize in stroke care and access to evidence-based stroke care. Telemedicine has assisted in bridging this gap to provide effective stroke treatment. The purpose of this article is to describe how the implementation of a hub and spoke model using telemedicine has assisted in increasing patient access to neurology expertise and receiving evidence-based treatment of recombinant tissue plasminogen activator, thereby improving patient outcomes.
authors.affiliation: Department of Administration, Baylor Medical Center at Irving, 1901 N. MacArthur Boulevard, Irving, TX 75061, USA. Electronic address: PennyHu@BaylorHealth.edu.
authors.forename: Penny
authors.initials: P
authors.lastname: Huddleston
authors.affiliation: Department of Stroke Administration, Texas Health Harris Methodist Fort Worth, 1301 Pennsylvania Avenue, Fort Worth, TX 76104, USA.
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Zimmermann
mesh_terms: D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008875:Middle Aged; D020521:Stroke / Q000188:drug therapy*; D017216:Telemedicine / Q000458:organization & administration*; D015912:Thrombolytic Therapy / Q000379:methods*; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
chemical_list: D010959:Tissue Plasminogen Activator
keywords: Hub; Spoke; Stroke; Telemedicine; Tissue plaminogen activator