1. Telehealth for Acute Stroke Management (Telestroke): Systematic Review and Environmental Scan By Deshpande, A., Khoja, S., McKibbon, A., Rizo, C., & Jadad,, A.R (January 2008) Prepared by: Wahidullah Mayar Professor: Levy ,Pierre Course: Knowledge Management and Social Media University of Ottawa, Ontario, October, 2011

2. Contents Knowledge Management in Health Care Introduction to stroke and telestroke(Definitions) History Technology Importance Results

3. Knowledge Management in Healthcare Effective knowledge transfer is of paramount importance in the advancement of health care system. KM enables Health care providers to ensure safer and more efficient patient care

4. Definitions Stroke: “Stroke is characterized by the sudden loss of blood circulation to an area of the brain, resulting in a corresponding loss of neurologic function” (Salvador, 2011). (Neurology, 2009) (Transient Ischemic Attack, September 2010)

5. Definitions Con… Telestroke: “Telestroke is the use of audio, video, or other telecommunications and electronic information processing to transmit data that are relevant to the diagnosis and treatment of acute stroke”(Deshpande, 2008). (Anne Reoch, May 2011)

6. History “The term “telestroke" was first used by Levine and Gorman in 1999 to refer to the use of telemedicine for evaluation of a patient with stroke” (Lawrence, 2008). (Lawrence R. Wechsler, November 25, 2008)

8. Asynchronus(Lee Schwamm, 2007)

9. Importance Efficient means of communication among: Health care providers Health care providers and patients

10. Results Better access to neurologists or stroke neurologists Early administration of tissue Plasminogen Activator (tPA) in stroke patients Reduced mortality Less complications Reduced burden on economy -

11. Results Con… (Home Care Supports Recovery After a Stroke, 2011)

12. Bibliography Anne Reoch. (May 2011). Scottish Telestroke Program. Scottish Center forTelehealth & Telecare. http://www.sctt.scot.nhs.uk/stroke.html Deshpande, A., Khoja, S., McKibbon, A., Rizo, C., & Jadad,, A. R. (2008). Telehealth for acute stroke management (telestroke): systematic review of analytic studies and environmental scan of relevant initiatives. (First ed., Vol. Issue 99, pp. 1-26). Ottawa, Ont, Canada: Canadian Agency for Drugs and Technologies in Health.Retrieved from http://books.scholarsportal.info/viewdoc.html?id=/ebooks/ebooks0/gibson_cppc/2009-12-01/8/211796 Home Care Supports Recovery After a. (2011). Caring Right at Home http://www.caringnews.com/pub.59/issue.1034/article.4255/ Lawrence R. Wechsler. (November 25, 2008).Advances in Technology Increase Telestroke's Viability. American Academy of Neurology. http://www.aan.com/news/?event=read&article_id=6811 Lee Schwamm. (2007). Going the distance in stroke treatment Remote care approach widens in state's hospitals. http://www.boston.com/yourlife/health/diseases/articles/2006/04/03/going_the_distance_in_stroke_treatment/ Stroke .(2009). Neurology. http://www.neurodoc.in/stroke Transient Ischemic Attack. (September 2010). Bronagh Health. http://bronaghhealey.blogspot.com/2010/09/types-of-strokes-ischemic-ischemic.html

13. Thank You