Dear Administrator: Stroke Center Survey Application

August 13, 2004

Dear Administrator:

The New York State Department of Health (DOH) is pleased to inform you of our intent to establish designated stroke centers statewide to improve the standard and access to quality of care for patients with presumptive diagnosis of stroke.

An analysis of data derived data from the Stroke Center Demonstration Project conducted in 2003 in Brooklyn and Queens demonstrates significant improvement both in assessment and response times for acute stroke patients. The hospitals that participated in the pilot project further strengthened their ability to improve quality health care to stroke patients through enhanced policies and protocols. Consequently, we are now prepared to move to a statewide designation process.

The criteria for stroke center status was developed from the Brain Attack Coalition Guidelines and are consistent with the American Stroke Association practice standards for the treatment of acute stroke patients.

This is a formal invitation to all licensed acute care hospitals in New York State to apply to the DOH for stroke center designation status. Participation in the statewide stroke center designation process is voluntary. Submission of a completed Stroke Center Survey Application (enclosed) will signify the interest and commitment of the hospital to participate as a stroke center.

Applications will be accepted and reviewed on an ongoing basis. The process for receiving designation is as follows:

  1. Submission of a completed Stroke Center Survey Application (PDF, 99KB, 11pg.) - Revised September 30, 2010
  2. Review of the application by the New York State Department of Health (DOH). Provided the application demonstrates that the hospital meets requisite criteria, a Department of Health recommendation will be forwarded to the Major Medical Appropriateness Review Committee (ARC) and the State Hospital Review and Planning Council (SHRPC) for review. If the application does not demonstrate that the hospital meets requisite criteria, or the equivalency documentation is not deemed adequate to meet the intent of the criteria, the hospital will be so notified. The hospital will also have the opportunity to reapply.
  3. Recommendations of the State Hospital Review and Planning Council will be forwarded to the Commissioner of Health for final action.
  4. Upon designation as a stroke center, prior to opening, an inspection will be conducted by DOH to assure the hospital meets established criteria and is fully prepared to operate as a stroke center.

The decision will be based on the hospital's capability to meet the criteria. If all criteria cannot be met at the time of application, the facility should indicate when it will be met, or how the equivalency will meet the intent of the criteria. There will be no need test as part of the application process.

In the stroke center demonstration project, the DOH, the New York City Fire Department (FDNY) and the regional emergency medical service (EMS) system collaborated to establish guidelines for rapid assessment and transport of acute stroke patients with symptom onset of less than two (2) hours. For the statewide implementation we will be working with the State Emergency Medical Advisory Committee and local EMS providers on transport protocols to promote the use of stroke centers.

We look forward to working with you as we move forward in this effort to implement best practice standards for the treatment of stroke patients statewide.

Please submit applications for stroke center designation to:

Office of Health Systems Management
New York State Department of Health
Rm. 1415 Corning Tower Building
Albany, New York 12237 

Sincerely,

Antonia C. Novello, M.D., M.P.H., Dr. P.H.
Commissioner of Health

Stroke Center Survey Application (PDF, 99KB, 11pg.) - Revised September 30, 2010