Proving the Business Case for the Internet of Things

New telestroke workflow for latest AHA/ASA guidelines

William Payne
February 28, 2018




Virginia based telehealth provider Avizia has launched a new version of its remote workflow and communications system for managing victims of stroke. The new version combines new audio and visual capabilities with enhanced far-end camera control functionality. Avizia’s stroke workflow is designed to enable collaboration between on-site and remote members of a stroke care team, providing streamlined and faster decision-making, improved communications and better patient outcomes.

Avizia’s telestroke workflow is designed to allow remote neurologists to evaluate and treat patients rapidly, regardless of location. It allows hospital stroke centres to provide a care equivalent to having a neurologist at the point of care.

The availability of this streamlined collaboration functionality accords with the most recent developments in stroke management protocols and best practice. The American Heart Association and American Stroke Association published extended time-frames in the 2018 Guidelines for the Early Management of Patients with Acute Ischaemic Stroke. With this update, the window for stroke treatment has been expanded, allowing for patients to be eligible for thrombectomy up to 24 hours after symptom onset. Additionally, the guidelines recommend the use of telehealth in guiding the administration of intravenous tPA. For providers using streamlined and integrated telestroke solutions, this means more opportunities to reduce disability from stroke.

Communication and collaboration are likely to continue to be key for driving care coordination in order to deliver the best outcomes for stroke patients.

The Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act was signed into law on February 9, 2018. The CHRONIC Act allows Medicare to reimburse for more services for treating chronically ill Medicare beneficiaries via telehealth, including stroke.

Reimbursement is a major hurdle to broader adoption of telehealth. According to a 2017 Avizia-sponsored survey, 41 percent of providers surveyed cited reimbursement as a barrier to telehealth programme implementation.

“Avizia applauds these recent legislative and clinical advancements,” said Mike Baird, CEO of Avizia. “We continue to see barriers to broader telehealth adoption being overcome, which ultimately means greater patient access to the highest quality care, regardless of location.”

Baird adds that, “As more technical advancements in telestroke come to market, such as Avizia’s stroke workflow, we anticipate seeing even greater validation for better patient outcomes delivered via telehealth.”

Avizia's telestroke solution includes: in-application collaboration with diverse care team members, including patient family; automatic provider notifications & escalations; integrated PACS image access; EHR integration for streamlined patient information; enhanced far-end camera control (FECC); and provider access via web portal and mobile application.