Treatment of hyperacute ischemic stroke due to large vessel occlusion (LVO) is time-critical, requiring a coordinated team response.  The Joint Commission has set targets for door-to-skin puncture and door-to-reperfusion, but these targets can be a challenge to attain, particularly with patients transferred from rural communities.  A “Stroke Alert” process is common in primary and comprehensive stroke centers, activating physicians, laboratory, radiology, and nursing support.  

In 2021, use of Viz.AI was implemented and six Stroke Transfer Coordinators (STC) were hired, whose responsibilities are attending stroke alerts, monitoring CT scans through Viz.AI, and facilitating transfer of patients with LVO for thrombectomy.  Viz.AI allows streamlined communication amongst the treatment team (MDs, ED Charge, Bed Capacity). The STC also facilitates patient transport to the intervention suite and tracks data.