Stroke Link Health Pathway

Scheduled Completed (View) Resume/Late/Missed Automatic fill from Assessment/Scale Blocked - no data collection
Hospital Admit Date: {{ isset($get_slh_dates[13])?$get_slh_dates[13]:'--' }}
Hospital DC Date: {{ isset($get_slh_dates[14])?$get_slh_dates[14]:'--' }}
Stroke Diagnosis:
Assessments & Scales Hospital Admission/DC Baseline Month 1 Preferred visit days 1-14 ({{ $get_slh_dates[0] }}) Month 2 ({{ $get_slh_dates[1] }}) Month 3 ({{ $get_slh_dates[2] }}) Month 4 ({{ $get_slh_dates[3] }}) Month 5 ({{ $get_slh_dates[4] }}) Month 6 ({{ $get_slh_dates[5] }}) Month 7 ({{ $get_slh_dates[6] }}) Month 8 ({{ $get_slh_dates[7] }}) Month 9 ({{ $get_slh_dates[8] }}) Month 10 ({{ $get_slh_dates[9] }}) Month 11 ({{ $get_slh_dates[10] }}) Month 12 ({{ $get_slh_dates[11] }})
Visit Location
Demographics, Baseline and Follow-up /
Medical History /
Monthly Check-In
New Events Assesment
Quality Measures
Complication Assessment
NIH Stroke Scale /
PHQ-9
Hill-Bone Compliance
MoCA
LHE assessment - Behavioral Intervention Plan
LHE Assessment and Follow-Up
Modified Caregiver Strain Index
Berg Balance Index
Timed Up and Go
Functional Reach
Frenchay Activities Index
Epworth Sleepiness Scale
Life's Simple 7
Stroke Central/Stroke Mobile Interaction Documentation
Barthel Index /
Lab Assessment /
mRS /
STROKE EDUCATION
Stroke Education: Quality Measures
Stroke Education: HTN
Stroke Education: Diet
Stroke Education: Diabetes
Stroke Education: Exercise
Stroke Education: Signs and Symptoms
Stroke Education: Misc.
STROKE MEDICATIONS
Antiplatelet
--
Anticoagulant
--
Statin
--
Antihypertensive
--
Diabetic medications
--
Labs & Biotrics
INR as appropriate
Blood Glucose
Weight/BMI Target < 25
LDL Target < 70 mg/d /
Diabetes Control: HBA1C < 7% /
B/P Target < 131/81
Risk Factors & Complications
HTN
DM
HLD
CHF
UTI
Pneumonia
Aspiration (Choking)
DVT
Skin Breakdown
Fall(s) with injury
MI
Depression diagnosis
Prescribed medications for depression
Fever/infection
A-Fib
Tracking
ER
Readmission for any Dx
Smoking Status
Additional Documentation
Document telemedicine or phone consult to Stroke Central, providers and patients, etc
Establish plans for post intervention follow-up
Monthly Summary Review