The WellSpan Stroke Care Continuum
WellSpan offers comprehensive stroke care across the continuum, from the acute care setting and inpatient rehabilitation to home care and outpatient rehabilitation. Our providers use a sophisticated electronic health record which facilitates timely access to patient health information and coordination of services across WellSpan’s vast system of services:
Emergency medical technicians are typically the first responders for stroke. In transit, these teams communicate with WellSpan providers and the stroke team to coordinate care from the time the ambulance arrives on the scene until the ambulance arrives at the hospital.
Acute Care Hospitals
Upon arrival at WellSpan York Hospital, WellSpan Gettysburg Hospital or WellSpan Ephrata Community Hospital, our highly trained team of neurologists, emergency medicine physicians and nurses collaborate to assess the patient and determine if a stroke has occurred. Once they make this determination they will use brain imaging technology, such as CT or MRI scans to determine the type of stroke. This helps to identify abnormalities in the brain and to determine if blood flow has been blocked (known as an ischemic stroke, accounting for 87 percent of cases) or a blood vessel has ruptured (a hemorrhagic stroke). Based on the results of the scan and other factors, the neurologist may recommend one of the following treatments:
- Intravenous tPA (clot busters)
- Intra-arterial thrombolysis
- Cerebral angioplasty and stenting
- Clot retrieval
- Coil embolization
- Medical care and support
- Primary Stroke Centers
WellSpan York Hospital, WellSpan Gettysburg Hospital and WellSpan Ephrata Community Hospital are all recognized nationally as Primary Stroke Centers by the Joint Commission. WellSpan York Hospital is the only hospital in York and Adams counties with neurovascular intervention capabilities, making it the preferred regional referral center for stroke care.
WellSpan Gettysburg Hospital and WellSpan Ephrata Community Hospital patients have access to advanced, comprehensive, high quality care via telemedicine with WellSpan York Hospital. Many interventions can be done locally with the emergency department physicians and neurologists communicating via telemedicine. When interventional procedures are necessary, the patient is transferred to WellSpan York Hospital.
Many stroke patients may require additional care following discharge from an acute care hospital. WellSpan offers a variety of resources to help meet those needs.
- Inpatient Rehabilitation Hospital
The WellSpan Surgery & Rehabilitation Hospital provides rehabilitative care to patients who have experienced injuries or disorders such as stroke, brain injury, amputation, hip fracture, spinal cord injury, general debility, Parkinson’s disease, multiple sclerosis or other neurologic conditions. The 48-bed rehabilitation unit provides all of the tools necessary to help patients regain function and return to an active lifestyle. The hospital features a multidisciplinary team, including a full time physician, a full range of therapists, specializing in post-stroke rehabilitation, and access to WellSpan York Hospital neurologists.
WellSpan VNA Home Care’s specialized team of nurses, aides, and physical, occupational and speech therapists work with physicians to provide the services necessary to treat patients in the comfort of their own home. Home rehabilitation allows for great flexibility so that patients can tailor their program of rehabilitation and follow individual schedules. Home treatment gives people the advantage of practicing skills and developing compensatory strategies in the context of their own living environment.
- Outpatient Rehabilitation
WellSpan Rehabilitation offers 13 outpatient rehabilitation sites across York and Adams counties. Our team has the expertise to help stroke survivors make continued cognitive and functional improvements after they are discharged from the hospital or an inpatient rehabilitation facility. In our outpatient stroke program, patients receive individual therapy treatments as recommended by their physician.
Our multidisciplinary team of experts, including neurologists, emergency department physicians, neurointerventional physician, specially trained stroke care nurses and rehabilitative therapists use evidence-based protocols to provide streamlined stroke.
Our stroke team offers a variety of education opportunities for the community including stroke risk assessments and "Stroke 101 presentations.
To schedule a presentation for your group or organization, please contact the WellSpan Speaker’s Bureau at (717) 851-2424 for more information.