Stroke Care in Southern California
Our Stroke Team is On-Call & Ready to Act Fast
The first few minutes of a stroke are the most important, and when you
or someone you love is having one you cannot afford to hesitate. Stroke
is the fifth leading cause of death in the United States, partly because
people do not always have fast access to treatment. The Methodist Hospital
Stroke Care Center provides the people of LA County with close proximity
to highly skilled stroke treatment experts. Our team is on call 24 hours
a day, 7 days a week and ready to locate the cause of the stroke and remove
the blood clot or stop the bleeding. We utilize minimally invasive emergency
procedures that do not require long prep time and drastically improve
the patient's chances of survival.
Be ready to call 9-1-1 or go to the nearest stroke if you or a loved one
experience the following warning signs:
- One side of the face starts to droop
- Numb feeling in the arms
- Inability to raise arms without shaking
- Slurred speech
- Sudden blurred vision in one or both eyes
In you encounter any of the above dial 9-1-1 immediately. Do not attempt
to drive to the hospital yourself unless you are unable to contact an operator.
Recovering from a Stroke
Strokes often result in temporary or permanent disability, the treatment
a patient receives during and after a stroke play a big role in this.
Methodist Hospital has been accredited by the Joint Commission as an Advanced
Primary Stroke Center. Our interventional radiologist, Medical Director
KC Tan, MD, is one of the few physicians in the country trained in both
neuro-interventional and vascular interventional radiology. Strokes are
a condition of brain blood vessels, giving Dr. Tan a distinct advantage
in diagnosing and treating them.
Methodist Hospital has also been recognized with a
"Get With The Guidelines - Stroke Gold Plus Quality Achievement Award"
by the American Heart Association and the American Stroke Association. This means that the hospital has met stringent AHA guidelines "to
improve quality of patient care and outcomes" for stroke patients.
We realize this is a scary event for both patients and victims-know that
when you are treated for stroke at our hospital you are receiving some
of the best care the United States has to offer.
Stroke Program Milestones and Successes
The Methodist Hospital Stroke Team is committed to delivering quality care
according to nationally-recognized clinical care process improvement guidelines.
By complying with these processes, Methodist Hospital improves outcomes
for patients treated in our hospital, and helps to reduce patients'
risks for another adverse event requiring emergency care or hospitalization.
We are proud to report that our compliance rates are at or above the national
safety standard and meet or exceed the American Heart Association / American
Stroke Association's "Get with the Guidelines" performance targets.
Our Stroke Program has achieved many program milestones and successes during
the past decade. Methodist Hospital’s commitment to providing quality
care by implementing a higher standard of stroke care, according to evidence-based
guidelines, is reflected in several awards granted by the American Heart
Association and American Stroke Association.
Methodist Hospital has achieved 85 percent or higher adherence to all Get
With The Guidelines Stroke Performance Achievement indicators for nine
consecutive years. The hospital has achieved 75 percent or higher compliance
with 8 of 8 Get With The Guidelines Stroke Quality Measures, which are
designed to improve quality of patient care and outcomes. The Target Stroke
Elite award reflects the institution's achievement of treating 75
percent of stroke patients with a clot-busting drug within 60 minutes
Our Quality Statistics
These rates provide information about important aspects of hospital care
that affect patients’ outcomes such as prevention of and response
to complications, emphasis on patient safety, and the timeliness of care.
- Compliance with the American Heart Association's "Get with the
Guidelines" performance measures at or above 85 percent, better than
the national benchmark.
- Serious complication rates for diagnostic angiogram are less than 1 percent:
better than the national benchmark.
- Survival rates for stroke patients are above the national average.
Stroke Treatment Process Measures
The Methodist Hospital Stroke Team closely monitors compliance with processes
of care as endorsed by The Joint Commission and the American Heart Association
in order to provide consistent care across all stroke care measures and
achieve quality outcomes. Hospitals are asked to achieve 85% compliance
in all of the measures below in order to meet the award recognition criteria.
Methodist Hospital exceeds the requirements in all of these areas:
- Percentage of Stroke Patients Given Appropriate Prevention for Deep Vein
Thrombosis (DVT): 100%
- Percentage of Stroke Patients Discharged on Antithrombotics: 99%
- Percentage of Stroke Patients with Atrial Fibrillation Receiving Anticoagulation
- Percentage of Stroke Patients for whom Tissue Plasminogen Activator (t-PA)
was Appropriately Given: 91%
- Percentage of Stroke Patients Receiving Antithrombotic Medication within
48 Hours of Hospitalization: 99%
- Percentage of Stroke Patients Screened for Dysphagia: 92%
- Percentage of Stroke Patients Given Stroke Education: 99%
- Percentage of Stroke Patients Given Adult Smoking Cessation Advice: 100%
- Percentage of Stroke Patients for whom a Plan for Rehabilitation was Considered: 100%
Stroke Program Meets and Exceeds Clinical Practice Guidelines for Administration
of IV Alteplase (tPA)
Clinical practice guidelines recommend that hospitals administer a type
of clot-busting medicine called tPA (Tissue Plasminogen Activator) to
eligible ischemic stroke patients within 60 minutes of arrival.
Methodist Hospital has been recognized by the America Heart Association
and American Stroke Association (AHA/ASA) for successfully administering
thrombolytic therapy (tPA) within 60 minutes in 75 percent or more of
eligible acute ischemic stroke patients. The Methodist Hospital stroke
program received the
Target: Stroke Elite Plus Honor Roll and the Target: Stroke Elite Honor Roll awards in 2017 and 2018 for meeting and exceeding established AHA/ASA
Successfully Treating Ischemic Strokes with Endovascular Procedures
Ischemic strokes are caused by a blockage in one of the arteries that supply
blood to the brain. Patients with evidence of a blockage in one of the
major blood vessels in their brain, who present within the first six hours
from the onset of their stroke, can be treated with a catheter-based approach.
This endovascular treatment immediately restores blood flow, captures
the blood clot and removes it from the blood vessel.
Many hospitals use a scale called thrombolysis in cerebral infarction (TICI)
to evaluate the success of endovascular treatments. The more open a blood
vessel is following treatment, the more easily blood can flow through it.
In 2015, the Endovascular Stroke Standards Committee of the Society of
Vascular and Interventional Neurology established the following national
benchmark for hospitals: At least 50 percent of ischemic stroke patients
who undergo endovascular treatment must achieve a TICI grade of “2b”
or higher. This means the vessel completely fills with blood, even though
the rate of blood flow may be slower than normal. Methodist Hospital exceeded
this goal, achieving TICI scores of 2b or higher among 100 percent of
patients treated with endovascular procedures.
For more information on our Stroke Program, contact our team directly at