You are here

Optimizing Our Response to In-Hospital Stroke Grand Rounds

Grand rounds series only available to pilot sites of the Improving In-Hospital Stroke Response: A Team-based Quality Improvement Program.

Accreditation for this program has expired. The program is for informational purposes only.

The Program

Current evidence-based stroke treatment has its primary focus on patients who enter the hospital with stroke symptoms through the emergency department, which includes staff well-trained to recognize the signs and symptoms of stroke. Written protocols summon an interdisciplinary stroke team with clear responsibilities, procedures, and a sense of urgency for diagnosing and initiating appropriate treatment for patients who have just entered the hospital. Unfortunately, when patients are already in the hospital for other reasons and they experience a stroke, their symptoms may be misinterpreted and the absence of standard procedures or inpatient acute stroke response teams often results in significant delays in diagnosis and treatment.

Current educational initiatives do not adequately address the issues pertaining to the patient already hospitalized who suffers a new ischemic stroke. There is opportunity to remediate this deficiency by educating physicians, stroke program coordinators, nurses and other hospital personnel on the unique risk factors, barriers to timely evaluation, and treatment options for stroke in this population. It is imperative that all hospital personnel be educated to recognize the signs and symptoms of stroke.

Goals and Learning Objectives
The goal of the Optimizing Our Response to In-Hospital Stroke Grand Rounds series is to raise awareness of treatment gaps for in-hospital stroke (compared to out-of-hospital strokes) and to provide hospital teams with strategies, tools, and structured coaching to improve patient care.

Upon completion of the grand rounds program, participants should be able to:

  • Define in-hospital stroke as a target for optimizing quality of stroke care
  • Identify risk factors for in-hospital strokes
  • Discuss potential strategies for optimizing in-hospital stroke care

Program Content was Developed by:
Ethan Cumbler, MD
Director, Acute Care for the Elderly Service
University of Colorado
Denver, Colorado

Soojin Park, MD
Assistant Professor of Neurology
University of Pennsylvania
Philadelphia, PA


Parkview Medical Center 
Thatcher Conference Room
Dr. Stephen Smith
Pueblo, Colorado 81003

Mission Hospital
Mission Hospital Theater
Dr. Alex Schneider
Asheville, North Carolina 28801

Lehigh Valley Health Network 
Cedar Crest Auditorium 
Dr. John Castaldo 
Allentown, Pennsylvania 18103

Providence Sacred Heart Medical Center
Mother Joseph Room 
Dr. Madeleine Geraghty
Spokane, Washington 99204

Medical Center of Central Georgia
Medical Education Building
Dr. Margaret Boltja
Macon, Georgia 31201

Genesys Regional Medical Center 
Internal Conference Room 
Dr. Henry Hagenstein
Grand Blanc, Michigan 48439

Greenville Memorial Hospital
Medical Staff Auditorium
Dr. Gregory Gardziola 
Greenville, South Carolina 29605

Please contact National Stroke Association for any questions.

The educational program is sponsored by an educational grant from Genentech, Inc. and support from Penumbra, Inc.

Additional Resources

Find a Support Group


Get Involved


For over 30 years we have been the trusted source for free resources and education to the stroke community. Together, we empower survivors and their circle of care to thrive after stroke. Make your tax-deductible donation today to support the growing needs of the stroke community.