This certification allows smaller and rural hospitals to demonstrate excellence by complying with standards of care for the initial treatment of stroke patients when rapid action and proper medications can save lives and limit the long-term disabling effects of strokes.
ASR facilities become part of a region's larger stroke system of care in which the hospital is equipped to evaluate, stabilize and provide emergency care to patients with acute stroke symptoms.
An ASR hospital has the infrastructure and capability to care for acute stroke, including administration of intravenous thrombolytic therapy (also known as tissue plasminogen activator "tPA" or aleplase). An ASR has fewer overall capabilities than a Primary Stroke Center, but has staff and resources able to diagnose, stabilize, treat, and transfer most patients with stroke.
Most acute stroke patients may be transferred to a Primary Stroke Center or a Comprehensive Stroke Center that would provide ongoing care and/or endovascular procedures, as indicated, after initial treatment and stabilization.
Certification Survey Process
The objective of DNV GL assessment activities is to determine the center's compliance with the requirements through observations, interviews, and document review. During a certification audit, DNV GL will:
- Review actual and potential patient outcomes, as well as required processes
- Assess the care and services provided, including the appropriateness of the care and services within the context of the certification requirements
- Visit patient care settings, including inpatient units, outpatient settings, emergency departments, imaging, rehabilitation, remote locations, satellites, etc. associated with the center
- Review clinical records, staff records, and other documentation necessary to validate information gained from observations and interviews