Heart of Texas Regional Advisory Council (HOTRAC) – TSA M
September 15, 2008
Sue Parrigin, AEL Steve Clinkscales, AEL Marsha Honea, G-W
Roger Slimp, HRH Matt Blanchard, HBMC Karen Grant, HBMC
Lisa Ainsworth, LMC Judy Wright, LMC Mitzi Daniel, Parkview
Eileen Bohannon, PHC Kelly Thompson, WMCPHD Jennifer Jenkins, PHC
The Stroke Committee met on September 15, 2008. The meeting was called to order by Ms. Bohannon, Committee
Chairperson, at 2:00pm. Introductions were done. Mr. Blanchard motioned to accept the August 18, 2008 minutes as
presented. Ms. Daniel seconded the motion; motion carried.
A. Status of Facilities
Facility Coordinator Medical Director Stroke Committee Status
Falls Community Ms. Tammy Dr. Karlen Downing Not present; no updates given.
Goodall-Witcher Ms. Marsha Honea Dr. Bruce Scaff Stroke Committee to meet quarterly
with other department committees.
Recommendation from the committee
are being sent Med Staff. The facility is
planning to require NIH Stroke Scale
training for all nursing staff.
Hillcrest Baptist Mr. Matthew Dr. Randy Gardell Meeting weekly. The facility is
Medical Center Blanchard planning to obtain Joint Commission
Stroke Certification in 2008.
Hill Regional Mr. Roger Slimp Dr. Steve Martin has Committee is in development.
Hospital been asked to serve
as Medical Director.
The committee is
Lake Whitney Not appointed Not appointed The committee is in development. Not
Medical Center present; no updates given.
Limestone Medical Ms. Judy Wright Dr. Larry Hughes Meeting monthly. The facility is
Center currently testing staff on the NIH
Stroke Scale. Stroke patients who meet
treatment criteria are being reviewed
and transferred to higher levels of care.
Parkview Regional Ms. Mitzi Daniel Dr. Jeremy Chester The committee is waiting for approval
Hospital expected to act as for Dr. Chester to act as the Stroke
Medical Director Medical Director. The facility is
providing NIH Stroke Scales training to
Providence Health Ms. Jennifer Jenkins Dr. Joel Freitag Meeting monthly. The facility has
Center obtained Joint Commission Primary
Stroke Certification in August 2008.
Dr. Hamilton is available to speak at
the rural facilities regarding stroke
treatment and care.
B. Review of Regional Stroke Plan –The committee continued reviewing the Regional Stroke Plan. The
only comment provided back was regarding the changing “inter-arterial” in the Pre-hospital Triage
section to “intra-arterial.” The group agree that this change was necessary. The revision date was also
changed and Providence will be added to the list of Primary Stroke Centers in Texas. Mr. Blanchard
requested that the bypass criteria in the Pre-hospital Triage section be reviewed. He believed that these
criteria were too vague to provide guidance for EMS personnel. After some the discussion the
committee decided to leave the criteria as written because they were confident that EMS personnel are
familiar with these criteria and would be able to effectively triage a stroke patient based on them. The
plan will be brought the HOTRAC Board of Directors with these changes for approval.
A. Stroke QI – The group discussed the quality indicators that should be reviewed for all stroke patients.
The following are the indicators that the group developed:
o Was time to transfer the Level B stroke patient greater than 60 minutes from referring hospital
to appropriate designated stroke facility?
o For Level A stroke patient:
Was the time CT scan greater than 25 minutes?
Was the time to CT scan results greater than 45 minutes?
Was the time to Lab results greater than 45 minutes?
o Was tPA administered to the patient?
o Was the patient transferred to a higher level of care after admission for stroke?
o Were results of NIH Stroke Scale available?
o Was the patient under 18 years of age?
o Did the patient die?
o Was the patient transferred out of the Region?
A Stroke QI Indicator form will be developed by HOTRAC staff and presented back to the committee for review.
Other Announcements, Comments, etc.
Ms. Bohannon announced that Providence has received their Joint Commission Primary Stroke Center designation.
With no further discussion the meeting adjourned at 3:07. The next meeting is scheduled for October 20, 2008 at
2:00pm at Hillcrest Baptist Medical Center, Green & Gold Room.
Ms. Eileen Bohannon, Committee Chairperson