Telemedicine issues:

Lydia Morton, MHA
Telehealth Operations Manager
(513)-585-8148 Lydia.morton@uchealth.com

UC Stroke Team - Documentation Guidance

Please document on all Stroke Call consults except in the following cases:

1. Any stroke greater than 24 hours

2. Not an ischemic stroke (TIA, ICH not at UC/MSU)

3. Straight-forward non-treat (eg. non-LVO on DOACS, clearly non-disabling, clear intoxication)

Examples of documentation required:

1. Any treat

2. Any telemedicine/in-person case

3. Difficult decision making (including when conversations are had on Viz)

4. Inter-facility transfers for acute treatment or higher level of care

**Please remember to provide documentation on reason for delay in tPA >60min.

Stroke Team Backup Activation (Backup STAT) Trial Period

Criteria for use:

• Potential acute trial research enrollment that will interfere with clinical duties

• Overwhelming clinical volume (e.g. simultaneous telemedicine evaluations)

• Solo call or paired with fellow unable to take independent call

• NP research support unavailable (this will be true until Jess is trained on protocols)

Availability/Activation:

• 7A‐9P M‐F

• Stroke physician on call can activate Backup STAT via Halo thread; first responding physician will either handle research enrollment or cover pager for telemedicine cases

• If no faculty available for research enrollment within 10 minutes of activation, the Stroke Team physician will contact Study PI.

• Neurology Ward or NSICU attending on service will be a good option for backup of clinical cases.

• Please mute Doc Halo when you are unavailable (vacation, PTO, travel, etc)

Expectations:

• Initial consent/Evaluation can be telemedicine or in person

• Predicted to take 1‐2 hours of time to consent, review I/E criteria and assist with enrollment logistics

• Qualifying options: assist with enrollment (including driving in) or cover pager call until enrollment is done.

• Clinical care would include review of imaging, telemedicine/discussion as needed, and documentation per standard procedures.

Compensation:

• $250 from research enrollment funding to UC portion of dual‐compensation plan

• This is compensation for faculty time involved and not contingent on successful enrollment

• Only dual‐compensated UC/UCP faculty are eligible for the above reimbursement

• For research assistance using the Backup STAT mechanism: Eligible faculty should email the Stroke Directors and Joyce Mullins when they assist with a potential enrollment through this back up STAT mechanism. Joyce Mullins will forward approvals to the Neurology/EM Business Team.

• For clinical assistance using the Backup STAT mechanism: Eligible faculty should email the Stroke Directors and Joyce Mullins when they assist with a potential enrollment through this back up STAT mechanism. Joyce Mullins will forward approvals to the Neurology/EM Business Team. Telemedicine consults should be billed per usual procedure.