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Cabarrus Caun Q <br />EM r <br />Work Plan <br />Task: EMS Telestroke <br />Leadership Team Coordinator: Justin Brines <br />Team Members: Justin Brines, Dr. George Khouri, Dr. Craig Corey <br />Dependencies: CHS Northeast / Cabarrus EMS collaboration, ITS capabilities to support video <br />transmission, telestroke network to be provided by CHS NE <br />Resources: Provided by CHS NE <br />Project Timeline. Expected implementation spring 2017 <br />Project Assigned: 2 February 2017 <br />Projected Implementation: <br />Statement of Intent: Work with CHS Northeast stroke team to develop video telestroke capabilities in <br />ambulances in order to improve care, clearly identify transport destination need, and reduce time to <br />intervention. <br />Approval Process: CHS -Northeast, EMS Medical Director, EMS Director <br />Notes: <br />Project is nearing implementation date. See below for description of project from Dr. George Khouri of <br />CHS Northeast Telestroke team. <br />"We have the OK from Cabarrus EMS, pending us submitting our basic legal contract, and I <br />think they are as excited as we are to push the ball forward in the world of stroke and telestroke. <br />We are awaiting final word from the Cabarrus Foundation about a proposal for the <br />project. However, the project will proceed with or without that contract. That contract would <br />allow for larger scale assistance to the patients of Cabarrus County by rigging all their vehicle <br />quickly, but is not necessary to validate the video device and system. <br />Our team has created a unique device that mounts easily with good durability for an <br />ambulance. The device includes a remote zoom camera, microphone, speaker, screen with <br />operating system and voice activation software. Code strokes can be called out by simply <br />saying "activate code stroke." This packaged and durable device operates with a very low <br />bandwidth video software to address rural area connectivity concerns. We worked with a <br />telemetry group to build it out and they have interest in marketing it global once live in <br />Cabarrus. <br />We have a clinical stroke trained team that can hop online when a stroke is called. They will <br />enter patient information and assume responsibility for EMS called code strokes throughout the <br />region and will be responsible for redirection of vehicles as needed based on a time based GPS <br />algorithm (This would help significantly with the cumbersome process of using on call <br />neurologists for thousands of stroke alerts in the region yearly and the political operability <br />Attachment number 3 \n <br />F-4 Page 72 <br />