Mapping Primary and Comprehensive Stroke Centers by Certification Organization.

In 2000, members of the Brain Attack Coalition published recommendations for the establishment of primary stroke centers (PSCs),1 and in 2005 they published recommendations for the establishment of comprehensive stroke centers (CSCs).2 To improve patient care and outcomes for stroke, the recommendations suggested that stroke centers should include acute stroke teams, written care protocols, emergency medical services integrated with the stroke center, rapid testing procedures, and continuous improvement processes. Since then, several certification programs have been developed to identify hospitals that have established a stroke center that meets specific criteria for the treatment of stroke. The Joint Commission, DNV GL, and Healthcare Facilities Accreditation Program offer certification programs for PSCs and CSCs. PSC certification was designed to meet the Brain Attack Coalition’s recommendations for improved stroke care through access to dedicated, specialized personnel and procedures. CSCs must meet all of the requirements for certification as a PSC, …