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Case Study: How Teleneurology and TNK Transformed Stroke Care Efficiency

“Before our partnership, DTN times when using tPA remained above national benchmarks. Thanks to Sevaro, their stroke workflow enhancements, and TNK adoption, DTN times improved to under 30 minutes, now exceeding national benchmarks.”

Telestroke Response in the Emergency Room: Connecting with the Vascular Neurologist

Background: The Need for Faster Stroke Treatment

A two-site, 110-bed hospital system in the southern United States, known for its commitment to stroke care excellence, was facing a critical challenge: door-to-needle (DTN) times for alteplase (tPA) were averaging 45 minutes—falling short of national benchmarks.

To enhance efficiency and align with evolving stroke treatment guidelines, the hospital made two key changes:

  1. Adopting teleneurology & better technology for stroke care to accelerate neurologist access and streamline decision-making.
  2. Transitioning from tPA to tenecteplase (TNK) for its simpler, faster administration.
stroke patient in a hospital room talking with a virtual neurologist

Intervention: Leveraging Telestroke Technology for Faster Care

By partnering with its new virtual neurology provider and its AI-technology, the hospital improved its stroke response workflow with several critical upgrades:

  • TNK vs. tPA Efficacy – Switching to TNK eliminated the need for a prolonged infusion, reducing nursing workload and speeding up treatment.
  • Enhanced Teleneurology Workflow* – Stroke teams received real-time neurologist access, stroke alerts were automated, and provider coordination improved.
  • Real-Time Data Tracking* – Continuous DTN time monitoring and monthly case reviews allowed for quick process adjustments and ongoing optimization.

*Enhancement due to Synapse AI technology platform

The Result

  • Before TNK adoption – The hospital administered tPA an average of 2.91 times per month.
  • After TNK adoption – Thrombolytic use remained stable at 3.00 cases per month, confirming TNK’s effective implementation.
  • Reduced Bottlenecks – TNK’s simplified administration significantly improved efficiency for nursing and pharmacy teams.
  • DTN times dropped to under 30 minutes, now exceeding national benchmarks.
  • Teleneurology for stroke care played a key role, ensuring faster neurology evaluations and rapid treatment decisions.
a stroke patient leaving the hospital, thanks to virtual neurologist experts

Key Takeaways: The Power of Teleneurology, TNK, & Better Technology for Faster Stroke Care

By leveraging Sevaro’s technology-enabled solutions and transitioning from tPA to TNK, the hospital achieved measurable improvements in stroke care efficiency, setting a new standard for rapid, data-driven stroke intervention.

The combination of real-time neurologist access, optimized workflows, and data-driven performance tracking resulted in faster DTN times and better patient outcomes.

Hospitals looking to enhance stroke care efficiency can take a page from this case study: technology-driven solutions like Synapse AI are making a real difference.

Ready to be the next hospital to revolutionize neurological care?  Let’s talk.

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