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Stroke Quality & Outcomes

After having been a certified Advanced Primary Stroke Center since 2011, Redlands Community Hospital was certified by The Joint Commission as an Advanced Thrombectomy Capable Stroke Center in 2020.

RCH expanded its neuroscience program services to include advanced and complex neurosurgical and neuroendovascular therapies for both Ischemic (blocked) and Hemorrhagic (bleed) types of stroke and other neurological disease conditions.

The completion of the 1100 square foot hybrid neurointerventional/ neurosurgical operating room suite, the first of its kind in the Inland Empire, the ongoing ESRI Emergency Room expansion and remodeling with a dedicated stroke treatment room and CT scanner, and the latest certification by The Joint Commission, is a testament to the organization’s commitment to providing quality care in the region.

Redlands Community Hospital offers diagnostic cerebral angiography and other neuroendovascular/ neurosurgical treatment procedures (glossary below) such as:

  • Endovascular coiling and surgical clipping for brain aneurysms
  • Wada testing
  • Carotid stenting
  • Intracranial angioplasty and embolization
  • Carotid endarterectomy
  • Lumbar drain placement

In 2020, Redlands Community Hospital performed 29 of these neuro-interventional procedures, with no complications reported.

Chart

With state-of-the-art equipment and neuroendovascular physician expertise, the RCH stroke program now provides 24/7 treatment for eligible stroke patients for mechanical endovascular reperfusion therapy or thrombectomy, which is a procedure to remove blood clots causing blockage to critical parts of the brain, and restore blood flow to allow the highest chance of recovery for the patient. The RCH team works hard to improve blood flow to blocked areas of the brain as much as possible, and achieving that technical goal is even more rewarding when the stroke patient starts manifesting resolution of their deficits.

Below is how Redlands Community Hospital compares with other hospitals in the state (All CA) and nationwide (All CSTK) who performed these services in 2020 on rate of substantial reperfusion or restoring blood flow to parts of the brain.

Chart

Source: GWTG-S IQVIA

Recognition and Achievement

Since 2014, Redlands Community Hospital’s Stroke Program has been recognized by the American Heart Association/ American Stroke Association’s Get With The Guidelines-Stroke for quality achievement in stroke care and timeliness in providing stroke treatment to eligible patients.

  • 2020 Gold Plus Target: Type 2 Diabetes Honor RollGold Plus Logo
  • 2019 Gold Plus Target: Stroke Honor Roll Elite
  • 2018 Gold Plus Target: Stroke Honor Roll
  • 2017 Gold Plus Target: Stroke Honor Roll
  • 2016 Gold Plus Target: Stroke Honor Roll
  • 2014 Silver Plus Target: Stroke Honor Roll

For more information on our Stroke Program and services, please call 909.335.5501 or email StrokeProgram@redlandshospital.org

Definitions

Carotid endarterectomy: a surgical procedure used to reduce the risk of stroke by correcting stenosis (narrowing) the common artery or internal carotid artery.

Carotid stenting: a procedure that opens clogged arteries to restore blood flow to the brain. They are often performed to treat or prevent stroke.

Cerebral angiography: a diagnostic technique that uses an X-ray scanner and special dye, known as contrast, to determine the health of blood vessels in the brain and evaluate blow flow.

Endovascular coiling: a procedure performed to block blood flow into an aneurysm (a weakened area in the wall of an artery).

Mechanical endovascular reperfusion therapy or thrombectomy: emergent treatment for stroke that removes larger clots that block large blood vessels in the brain.

Intracranial angioplasty and embolization: used to widen blood vessels in the brain and treat abnormal blood vessels in the brain.

Lumbar drain placement: a procedure to place a small tube in your lower back and into the spinal colum to drain or collect cerebral spinal fluid.

Wada testing: Named after a Japanese physician who first performed it, this is a test used to inform doctors about which side of the brain controls language and the importance of the side of the brain with regards to memory function.