Re-thinking time to intervention: What we can learn from the business world

Lecture from SLICE 2018

1 october 2018 – 17:30

by Ferdinand HUI

The efficacy of mechanical thrombectomy (MT) is proven with reported NNT scores of 2.6, but the question remains – how can optimal care be best delivered when and where it’s needed?

To answer this, Prof. Ferdinand Hui, neurointerventionist from Johns Hopkins, Baltimore, MA, USA, provocatively looks at whether a business model – like Amazon – can be applied to stroke care. Discover the different challenges in stroke management today from adequate coverage of a geographic area to questioning how triage and treatment workflow is evaluated to the all-important and often ignored demand for sustainably – As demand for MT rises, do we have the necessary human resources to cover the expanding workload and avoid doctor and healthcare provider burn-out?

Follow, as Prof. Hui analyzes the business distribution model and looks at different care delivery models in use today: the “Centripetal Spoke and Hub”, a standard model which works well with primary stroke bypass triage systems and mobile stroke units; the “Centrifugal Spoke and Hub”, a drip and drive model where the doctor goes to the patient, or an experimental “distributed model” involving a “web” of multiple medium size hospitals cross-covering each other and providing a wider “call pool”. Saving time might mean saving brain, but how to do it remains a clinical and logistical challenge. This discussion tries to find some answers ….


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