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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
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Development of a Multidisciplinary Stroke Program.

Michelle L Kuerbitz1, Larry B Goldstein1

  • 1is an advanced practice nurse and coordinator of the Stroke Program and is the director of the Stroke Program, both at the Durham VAMC in Durham, North Carolina. Dr. Goldstein is also a professor of neurology and director of the Duke Stroke Center, Duke University Medical Center in Durham.

Federal Practitioner : for the Health Care Professionals of the VA, Dod, and PHS
|February 16, 2019
PubMed
Summary
This summary is machine-generated.

A new program was developed to coordinate stroke care at the Durham Veterans Affairs Medical Center (VAMC), addressing previous system gaps. This initiative improved coordinated stroke patient management and care delivery.

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Area of Science:

  • Healthcare Management
  • Neurology
  • Public Health

Background:

  • Coordinated stroke care was lacking at the Durham Veterans Affairs Medical Center (VAMC).
  • Existing systems for managing stroke patients were fragmented.
  • Gaps in care coordination negatively impacted patient outcomes.

Purpose of the Study:

  • To develop and implement a formal system for coordinating stroke-related care.
  • To address identified gaps in the continuum of care for stroke patients.
  • To improve the efficiency and effectiveness of stroke care delivery at the Durham VAMC.

Main Methods:

  • A multidisciplinary team of healthcare providers was assembled.
  • A new program for stroke care coordination was designed and implemented.
  • Process metrics were established to evaluate program effectiveness.

Main Results:

  • The implementation of the new program established a formal system for stroke care coordination.
  • The program addressed previously existing gaps in patient management.
  • Dedicated providers facilitated improved care pathways.

Conclusions:

  • The developed program successfully established a coordinated system for stroke care.
  • Addressing system gaps through dedicated teams enhances stroke patient management.
  • Formalized care coordination is crucial for optimizing stroke outcomes.