Primary Stroke Centers In the state of Maryland there are two ways to receive distinction as a stroke center. A hospital can seek national Primary Stroke Center certification through the Joint Commission. State stroke designation can be designated by Maryland Institute for Emergency Medical Systems Services (MIEMS).
 The Joint Commission
Maryland Institute for Emergency Medical Systems Services (MIEMSS)
Home Health Home Health care services allow patients to receive rehabilitation treatment in his/her own home. Home health care would be appropriate if patients are able to live at home
but are not able to travel to an outpatient facility. With home health care services, rehabilitation
professionals travel to the patients’ homes to provide rehabilitation services and nursing care. Services are typically provided 1 to 2 hours of therapy per day, 1 to 3 days per week. Outpatient Medical Rehabilitation Programs Outpatient Medical Rehabilitation Programs are individualized, coordinated, outcomes-focused programs that are directed at optimizing the function of the persons served.
They offer many rehabilitation services; including occupational, speech, physical therapy, neuropsychology, medical management. If the patient is medically stable and he/she does not need intensive nursing care or constant monitoring by a doctor, a comprehensive rehabilitation program is an option. These programs provide 3 to 5 hours of therapy per day, 3 to 5 days per week. Comprehensive rehabilitation programs can be accredited as stroke specialty programs and can be independent freestanding programs or part of rehabilitation hospitals. Outpatient Rehabilitation
Outpatient Rehabilitation is provided if the patient can live at home and travel to an outpatient
facility. Outpatient rehabilitation can include a full range of therapy services that make up a coordinated program of care. It can also include only one service (such as physical or occupational therapy). Additional nursing care is not provided. Typically, patients receive outpatient rehabilitation therapy services 2 to 3 days per week. If the patient is in a medically stable condition and is able to live in his/her own home, without the risk of developing complications, outpatient rehabilitation is a great option. Outpatient rehabilitation therapy services are provided in many different settings, including doctors’ offices, hospital-based outpatient units, hospital-owned outpatient centers, and other outpatient centers that are not a part of hospitals. All downloadable PDFs provided with permission of the American Heart Association; © 2008 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited.
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About Stroke 
