Comprehensive Stroke Care | MedStar Health
Senior female patient reviewing brain scan in hospital setting

A stroke occurs when a blood vessel carrying oxygen to the brain is either blocked by a clot or ruptures. Strokes are the leading cause of disability and the number four cause of death in the U.S.

At MedStar Health, patients who suffer a stroke have access to every possible resource to help reduce the risk of permanent brain damage or death. Our board-certified neurologists, neurosurgeons, and neurointerventional radiologists work together, using the latest diagnostic and treatment technologies and techniques to restore blood flow to the brain as rapidly as possible.

Every minute matters. The earlier the blood flow is restored, the less likely a stroke patient will have permanent damage. Time is brain.

Why choose MedStar Health?

At MedStar Health, we offer:

  • Immediate access to board-certified neurologists, neurosurgeons, neurointerventional radiologists, and other experts, either on-site or through our TeleStroke video
  • MedSTAR Rapid Transport, the region’s only 24/7 emergency transport program, including state-of-the-art medevac helicopters and ambulances staffed by highly trained emergency response teams.
  • Two hospitals with Joint Commission-accredited Comprehensive Stroke Programs – MedStar Georgetown University Hospital and MedStar Washington Hospital Center.
  • Several other hospitals with Primary Stroke Centers throughout Maryland, Including MedStar Franklin Square Medical Center.
  • Access to the latest treatment options, including thrombectomy and aneurysm coiling and stenting.
  • Outpatient stroke care focused on specialized follow-up to ensure the best possible long-term clinical outcomes.
  • Clinical research through ongoing National Institutes of Health-funded studies.

Our comprehensive stroke centers

MedStar Washington Hospital Center was first hospital in Washington, D.C. to be designated by the Joint Commission as a Comprehensive Stroke Center. Now, MedStar Washington Hospital Center and MedStar Georgetown University Hospital offer Comprehensive Stroke Centers accredited by The Joint Commission. Together we have been treating stroke patients for more than 20 years and care for 1,000 stroke patients each year.

We understand the urgency and have the expertise to treat the most complex strokes.


Comprehensive stroke center at MedStar Georgetown University Hospital

  • Stroke National Performance Measures

    Stroke performance measures Compliance rate*
    VTE prophylaxis by hospital day 2  99.2% 
    Anti-thrombotic Medication at hospital discharge 100% 
    Anticoagulation therapy prescribed at hospital discharge for patients with atrial fibrillation or atrial flutter  100% 
    Antithrombotic medication by end of hospital day number 2  96.2%
    Stroke education provided  98.7% 
    Assessed for rehabilitation services  100% 
     
    *National Target Benchmark is above 85% compliance
  • Carotid Procedures

    Outcome measure MedStar Georgetown
    Patients without signs and symptoms of stroke who had good outcomes* after carotid procedure  100% 
    Patients with signs and symptoms of stroke who had good outcomes* after carotid procedure 100% 
    Patients who had good outcomes after diagnostic cerebral angiogram  100% 

Comprehensive stroke center at MedStar Washington Hospital Center

  • Stroke National Performance Measures

    Stroke performance measures Compliance rate*
    VTE prophylaxis by hospital day 2  97% 
    Anti-thrombotic Medication at hospital discharge 100% 
    Anticoagulation therapy prescribed at hospital discharge for patients with atrial fibrillation or atrial flutter  100% 
    Antithrombotic medication by end of hospital day number 2  96%
    Statin prescribed at discharge            99% 
    Stroke education provided  97% 
    Assessed for rehabilitation services  100% 
     
    *National Target Benchmark is above 85% compliance
  • Stroke Volume 2020

    Patient type # of admissions
    Ischemic stroke             563            
    Intracerebral hemorrhage 184           
    Subarachnoid hemorrhage            90           
    Transient ischemic attack            92
     Total 929
  • U.S. News Stroke Scorecard

    MedStar Washington Hospital Center
    Overall rating             High Performing
    Survival Excellent
    Discharge patients to home            Excellent           
    Reperfusion therapy >10%
    Number of patients Very High           
    Nurse staffing Very High           
    Intensive care unit (ICU) specialists Yes
     Public transparency Yes

     
    *Hospitals that earned a high performing rating were significantly better than the national average.

     

    Quality Indicators

    • Survival: Relative survival 30 days after hospitalization for stroke, compared to other hospitals treating similar patients.
    • Discharging patients directly to home: How often patients can go directly home from the hospital rather than being discharged to another facility. Recovery at home is preferred by most patients and families.
    • Reperfusion therapy: Percentage of stroke patients treated with reperfusion therapy (Greater than 10% = Above average amount of therapy provided). This measure quantifies how often the hospital provided time-sensitive medical intervention such as intravenous tissue plasminogen activator or mechanical thrombectomy.
    • Number of patients: Relative volume of Medicare inpatients age 65 and over who had this procedure or condition in 2015-2019. Higher volume is associated with better outcomes.
    • Nurse staffing: More nursing care per patient is associated with better outcomes and better patient experience.
    • Intensive Care Unit (ICU) Specialists: Whether the hospital has at least one adult intensive-care unit staffed by a doctor specifically certified or trained to care for ICU patients.
    • Public transparency: Whether hospital publicly shared its stroke data through the American Heart Association. Hospitals participating in transparency programs foster sharing of data and adoption of best practices.
  • Additional Stroke Performance Measures for Procedures and Interventions

    Additional stroke performance measures for procedures and interventions at MedStar Washington Hospital Center (2019):

    • Serious complication rates for carotid endarterectomy and carotid stenting are better than the national benchmark (<6% for symptomatic ICA stenosis and <3% for asymptomatic ICA stenosis).
    • Serious complication rates for diagnostic cerebral angiogram are better than the national benchmark (<1%).

Our Primary Stroke Centers

Primary Stroke Centers serve our communities with measurable, quality care when stroke patients need us. At MedStar Health, our Primary Stroke Centers include MedStar Franklin Square Medical Center, MedStar Good Samaritan Hospital, MedStar National Rehabilitation Hospital, MedStar Southern Maryland Hospital Center, and MedStar Union Memorial Hospital.

 

Primary Stroke Center at MedStar Franklin Square Medical Center

  • Our Mission

    For our communities, we commit to provide access to the highest standard in healthcare, from one day to the next. We aspire to be widely recognized by our medical neighborhood as the preferred center for comprehensive neurologic care.

  • Growth

    To keep pace with the needs of our community, our Primary Stroke Center’s notable growth milestones include:

    • Our helipad opened in March 2020 and was built largely in response to the growth of our neurosciences program. Since its construction, there has been a 5x increase in helicopter in/out traffic year over year.
    • Our NeuroEndovascular Surgical Suite opened February 1, 2021 and has been used for 133 cases in calendar year 2021. For stroke cases, the average time to successful reperfusion is 28.2 minutes, with the fastest successful reperfusion occurring in 10 minutes.
    • Our 15-bed Neuro-critical Care Unit opened in August 2021 and is usually at a high census.
  • Stroke Volume

    Since investing in the infrastructure required to support comprehensive stroke treatment, the stroke volume at MedStar Franklin Square Medical Center has increased significantly. The data below is from 2021.

     

    Patient type

    # of admissions

    Ischemic stroke

    397

    Intracerebral hemorrhage

    87

    Subarachnoid hemorrhage

    4

    Transient ischemic attack

    25

    Total

    513


  • Additional Stroke Performance Measures

    • Diagnostic cerebral angiogram
      Serious complication rates for diagnostic cerebral angiogram are better than the national benchmark (<1%).

    • Endovascular thrombectomy
      Greater than 95% of patients treated at MFSMC had favorable cerebral reperfusion.

    • 2021 AHA get with the guidelines award

      AHA Stroke Honor Roll
      MedStar Franklin Square Medical Center earned Target: Stroke Honor Roll Elite status from the American Heart Association. Gold Plus indicates our stroke center consistently met guidelines for multiple consecutive years.

    • IV alteplase time
      We set our goal at under 30 minutes, as prior alteplase times often exceeded 45-50 minutes. In calendar year 2021, we met our goal 58% of the time.

    • Continuous EEG
      In only the first quarter of 2021, we exceeded the number of EEG procedure-days than in the entire prior calendar year.

Identifying the type of stroke and initiating treatment

Our physicians are prepared to respond quickly and effectively to an evolving stroke. When a patient with a possible stroke comes in, emergency department (ED) physicians activate the stroke team and begin a battery of tests that will determine the patient’s course of treatment. Depending on each patient’s symptoms and how soon they arrive in the ED for assessment after the onset of the symptoms, our team will use the most appropriate diagnostic tool, whether that is an MRI or CT Scan. MedStar Health exceeds national standards and door-to-needle times within 60-minutes for most patients.

Not only is it important to diagnose if someone has just had a stroke, doctors must also determine the type of stroke. The treatment is different, based on whether it is an ischemic stroke (caused by a clot blockage) or a hemorrhagic stroke (caused by a rupture). Depending on the type and severity of the stroke, treatment options will vary, and may include surgery.

Immediate treatment

Our specialists will order a variety of diagnostic tests to determine the location and extent of brain injury, as well as evaluate the condition of the arteries in the heart and neck that supply blood to the brain.


  • Ischemic Stroke

    The most effective medicine for the treatment of ischemic stroke is the FDA-approved drug, t-PA (tissue plasminogen activator). Taken intravenously, it works with your body's enzymes to dissolve blood clots. This highly effective treatment must be given within four and a half hours of the onset of stroke, so it is imperative to seek medical care without delay.

    Remember to BEFAST:
    B-Balance - Watch for sudden loss of balance
    E-Eyes - Check for blurry vision
    F-Face - Look for face drooping
    A-Arm - Check for arm weakness
    S-Speech - Listen for speech difficulty
    T-Time - Call 911 right away

  • Hemorrhagic Stroke

    The best and safest ways to remove blood from the brain after a hemorrhage, and minimize damage to the brain, include surgical removal of the clot, clot busting medication to dissolve the clot, and medications to minimize swelling caused by the clot. For hemorrhages caused by aneurysms and arteriovenous malformations, a skilled neuroradiologists or neurosurgeon can repair or block the vessels to prevent further bleeding. Many of these procedures can be performed through a minimally invasive technique.

Surgical treatment

Certain strokes originating from carotid artery disease, brain aneurysms, AVMs, and hypertensive hemorrhages benefit greatly from surgical interventions. Using the most advanced surgical and microsurgical techniques available today, MedStar Health neurosurgeons perform:

  • Surgical clipping of complex (ruptured and unruptured) brain aneurysms
  • Surgical resection of arteriovenous malformations/fistulas
  • Carotid stenosis treatment which removes the plaque that caused the narrowing of the artery

Recovery and rehabilitation

Quick intervention in a stroke can save a life, but long-term rehabilitation can give many victims back their quality of life as well. The specialists at MedStar Health include occupational therapists, physical therapists, speech therapists, and case managers who provide guidance and encouragement to help the patients “retrain the brain.” Therapy is available on an inpatient and outpatient basis and is customized to each individual’s needs.

Learn More About Stroke Rehabilitation and Recovery

Our providers

Neurosurgeon examining x-ray scans of senior patient

Expert neurology care

Getting the care you need starts with seeing one of our neurosurgeons.

Our locations

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MedStar Southern Maryland Hospital Center

7503 Surratts Rd.
Clinton, MD 20735

MedStar Franklin Square Medical Center

9000 Franklin Square Dr.
Baltimore, MD 21237

MedStar National Rehabilitation Hospital

102 Irving St. NW
Washington, DC, 20010

MedStar Washington Hospital Center

110 Irving St. NW
Washington, DC 20010