A specialized consultancy provides the
following scope of service for 2026:
1.
Advanced Clinical Pathway Design
Mechanical Thrombectomy Workflow:
Designing the "Door-to-Puncture" (DTP) pathway to ensure large vessel
occlusion (LVO) patients reach the Cath Lab within 60–90 minutes.
Comprehensive Protocols: Developing SOPs
for both Ischemic and Hemorrhagic strokes, including subarachnoid hemorrhage
(SAH) and intracerebral hemorrhage (ICH) management .
Multimodal Imaging: Implementing protocols
for advanced imaging (CT Perfusion/MR Perfusion) to identify "salvageable
brain" in late-window patients (6–24 hours) .
2.
Infrastructure & Technology Audit
24/7 Neuro-Cath Lab Readiness: Verifying
that the Digital Subtraction Angiography (DSA) suite is staffed and operational
365 days a year .
Dedicated Neuro-ICU: Auditing the
Neuro-Intensive Care Unit for specialized equipment, including intracranial
pressure (ICP) monitoring and continuous EEG.
Neurosurgical Integration: Ensuring a
neurosurgical team is available for emergency decompressive craniectomies or
aneurysm clipping/coiling within specified timeframes.
3.
Advanced Quality Indicators (2026 Metrics)
Consultants establish dashboards for the
most rigorous stroke metrics in the 2026 NABH Standards:
TICI Scores: Tracking the
"Thrombolysis in Cerebral Infarction" scores (recanalization success
rates) for mechanical thrombectomy.
Door-to-Puncture (DTP) Time: Monitoring
the speed of entry into the arterial system for endovascular therapy.
Post-Procedure Complications: Tracking
symptomatic ICH post-thrombolysis or post-thrombectomy.
Average Length of Stay (ALOS): Monitoring
recovery efficiency in the specialized Neuro-ICU.
4.
Specialized Staff Credentialing
Interventionalist Verification: Ensuring
the center has qualified Neuro-interventionalists (Radiologists or
Neurologists) with documented case volumes as per 2026 requirements.
Specialized Nursing: Training and
credentialing nurses for "Stroke-Specific Competency," including
NIHSS and modified Rankin Scale (mRS) assessments .
5.
Training & Simulation
Angio-Suite Mock Drills: Conducting high-fidelity
simulations of a patient moving from the ER directly to the Neuro-Cath Lab.
Teleradiology/Tele-Stroke: (If applicable)
Setting up and auditing digital links for remote stroke expertise as part of
the "Hub and Spoke" model.
6.
Digital & Desktop Assessment (DA)
NABH Portal Management: Compiling the
Advanced Stroke SAT (Self-Assessment Toolkit).
Evidence Logs: Uploading the last 6–12
months of stroke registry data, including time-logs for every stage of the
"Stroke Code."
NC Resolution: Assisting in the 15-day
window to close any Non-Conformities raised during the assessment.
Timeline
& Validity (2026)
Preparation: 6–9 months (due to the
technical complexity of the Cath Lab and ICU).
For Quote :8838051686