Houston, Texas stroke malpractice attorney/lawyer explains how to find the best stroke hospitals

 

Find the best stroke hospital closest to you on our list of every stroke center in Texas

 
December 28, 2017

As a Houston, Texas attorney focusing on medical malpractice cases, I have seen an increasing trend in cases arising from stroke misdiagnosis. This is a rather strange development, considering the advances in stroke educational outreaches and medical research over the past decade.

Signs and symptoms of stroke

Stroke is the fourth leading cause of death in the United States and the number one cause of long-term disability in adults.

Since the U.S. Food & Drug Administration (FDA) approved the clot-busting drug tPA, health professionals gave more attention to the speed of getting stroke patients treated. In line with this focus, the American Heart Association and American Stroke Association have sponsored one of the all-time best public awareness campaigns for stroke symptoms, using the acronym FAST:

                F:            Face Drooping (Does one side of the face droop or is it numb?)

                A:            Arm Weakness (Is one arm weak or numb?)

                S:            Speech Difficulty (Is speech slurred?)

                T:            Time to Call 9-1-1 (Call 9-1-1 is someone shows any of these symptoms and say,                                  “I think this is a stroke.”)

Stroke Certification

Stroke certification began after the Brain Attack Coalition made recommendations for the establishment of primary stroke centers. The primary stroke center (PSC) designation began in 2004, and the comprehensive stroke center designation (CSC) was announced in 2012.

Currently, three separate nonprofit organizations have accredited hospitals for stroke certification: The Joint Commission, DNV GL, and Healthcare Facilities Program.Stroke centers must be recertified every two years.

There are some significant differences between the capabilities of primary stroke centers and comprehensive stroke centers.

Primary Stroke Centers (Level I)

∙ Stabilize and treat most cases of acute ischemic stroke

∙ No requirement for advanced imaging (CT angiography, CT perfusion, or transcranial doppler)

∙ No requirement endovascular intervention

∙ No requirement for a separate neuroscience intensive care unit (ICU)

∙ Access to neurosurgery within two hours

∙ Send complex patients and those who require advanced intervention to comprehensive stroke centers

Comprehensive Stroke Centers (Level II)

∙ Treat all types of stroke patients, both ischemic and hemorrhagic and including complex cases requiring advanced technology, specialized diagnosis, and higher levels of treatment

∙ 24/7 access to advanced imaging, including CT angiography, CT perfusion, or transcranial Doppler

∙ 24/7 access to endovascular interventions, such as mechanical thrombectomy for acute ischemic stroke, aneurysm coiling, and arteriovenous malformation embolization

∙ 24/7 staffing of neurocritical care experts in a dedicated neuroscience intensive care unit (ICU)

∙ Received patients from primary stroke centers after they are stabilized

Support Stroke Centers (Level III)

Texas recognizes a third level of stroke facilities, which provide access to stroke care but do not meet all the criteria required to be designated as a Primary or Comprehensive Stroke Center. These hospitals must have a Primary or Comprehensive Stroke Center that agrees to collaborate with them.

Quality of care concerns:  Ambulance crew hospital selection

As a Houston, Texas medical malpractice attorney, I have met with many stroke patients and family members. One of the most common complaints is how, after the 9-1-1 call, an emergency medical technician (EMT) ambulance crew transported the patient to a hospital that the family did not desire.

Ambulance drivers seem, almost invariably, to tell patients and family members that they are required to take stroke patients to the “nearest stroke center.”

Medical evidence shows that the best results are obtained when appropriate patients are treated with the clot-busting drug tPA within 60 minutes of the beginning of stroke symptoms. Thus, the role of EMTs is hugely important. In a 2017 stroke conference in Houston, several presentations focused on giving EMTs the role of doing field tests or assessments to determine whether they should transport a patient to a Primary Stroke Center or Comprehensive Stroke Center. I expect that we will see more of this over the next decade.

In the meantime, the American Heart Association and American Stroke Association created 2013 guidelines for ambulance crews. They encourage EMTs to take patients with suspected stroke to the highest level of stroke care within no more than an additional 15-20 minutes of transport time. This means that an EMT crew should bypass a Primary Stroke Center very close to a patient’s house if a Comprehensive Stroke Center is nearby. These guidelines were informed by medical evidence showing that mechanical thrombectomy (a procedure offered at Comprehensive Stroke Centers for removing a stroke-causing blood clot) and tPA have even better results than tPA alone.

Quality of care concerns:  Stroke Center misdiagnosis

I have handled medical malpractice lawsuits where patients were taken to well-known Houston area stroke centers with classic stroke symptoms, but were misdiagnosed and discharged. In one case, the patient was sent home three days in a row with the diagnosis of a migraine headache. In another case, the patient was told that it was all in her head (a diagnosis of psychogenic reaction). Both patients experienced massive strokes and by not being properly treated will live with devastating impairments for the rest of their lives.

If you find yourself in a situation where the doctors and nurses are discounting stroke symptoms, I encourage you to be firm. Be careful to explain comprehensively and thoroughly all of the symptoms, including the time they started, to each doctor and nurse. In addition, stroke centers are sometimes staffed with residents, doctors who are still in training. Before consenting to discharge, ask to be seen in person by an attending (fully trained) physician from the stroke team.

We are here to help

If you or someone you care for has been seriously injured by a botched diagnosis and treatment of a stroke, call the experienced medical malpractice attorneys at Painter Law Firm, in Houston, Texas, at 281-580-8800, for a free consultation about your potential case.

Listing of Texas Stroke Facilities

The Texas Department of State Health Services maintains three lists of hospitals with stroke certification.

Texas Comprehensive (Level I) Stroke Facilities

Baylor University Medical Center 
Dallas, 75246 (TSA-E) 
Expires 4/1/2019

CHI St Luke’s Health Baylor College of Medicine Medical Center 
Houston, 77030 (TSA-Q) 
Expires 7/1/2019 

Clear Lake Regional Medical Center
Webster, 77598 (TSA Q)
Expires 6/1/2019

Dell Seton Medical Center at The University of Texas 
Austin, 78731 (TSA-O) 
Expires 6/1/2019 (with contingencies)

Harris Health System Ben Taub Hospital                                        
Houston, 77030 (TSA-Q)
Expires 7/1/2018

Houston Methodist Hospital
Houston, 77030 (TSA-Q) 
Expires 5/1/2018

John Peter Smith Hospital 
Ft. Worth, 76104 (TSA-E) 
Expires 12/1/2019 

Kingwood Medical Center
Kingwood, 77339 (TSA-Q)
Expires 10/1/2019

Medical City Dallas Hospital 
Dallas, 75230 (TSA-E) 
Expires 4/1/2020 

Medical City Fort Worth 
Fort Worth, 76104 (TSA-E)  
Expires 9/1/2019 

Medical City Plano 
Plano, 75075 (TSA-E) 
Expires 2/1/2020                                   

Memorial Hermann Hospital
Houston, 77030-1501 (TSA-Q) 
Expires 11/1/2017 (Extended 11/1/2018)

Methodist Hospital  
San Antonio, 78229 (TSA-P) 
Expires 4/1/2019

Parkland Memorial Hospital
Dallas, 75235 (TSA E)
Expires 8/1/2019 

St. David’s Medical Center
Austin, 78705 (TSA-O) 
Expires 10/1/2018

St. Luke’s Baptist Hospital 
San Antonio, 78229 (TSA-P) 
Expires 12/1/2019

St. Luke’s The Woodlands Hospital 
Houston, 77384 (TSA-Q)
Expires 7/1/2018 

Seton Medical Center – Austin 
Austin, 78705 (TSA-O) 
Expires 7/1/2019 

Texas Health Harris Methodist Hospital Fort Worth 
Fort Worth, 76104 (TSA-E) 
Expires 10/1/2018 

Texas Health Presbyterian Hospital Dallas 
Dallas, 75231 (TSA E) 
Expires 1/1/2019 

University Hospital  
San Antonio, 78229 (TSA P) 
Expires 7/1/2018 

UT Southwestern Zale Lipshy University Hospital  
Dallas, TX 75390 (TSA-E)  
Expires 3/1/2018

Valley Baptist Medical Center – Harlingen 
Harlingen, 78550 (TSA-V) 
Expires 9/1/2018 

Texas Primary (Level II) Stroke Facilities

Abilene Regional Medical Center 
Abilene, 79606 (TSA D) 
Expires 7/1/2018 

Baptist Hospital of Southeast Texas
Beaumont, 77701 (TSA R)
Expires 12/1/2019

Baptist Medical Center  
San Antonio, 78205 (TSA-P)  
Expires 6/1/2018

Baylor Scott & White All Saints Medical Center at Fort Worth 
Fort Worth, 76104 (TSA-E)
Expires 10/1/2018

Baylor Scott & White Medical Center - Centennial
Frisco, 75035 (TSA-E) 
Expires 9/1/2019 

Baylor Scott & White Medical Center – College Station  
College Station, 77840 (TSA-N) 
Expires 10/1/2019

Baylor Scott & White Medical Center – Garland  
Garland, 75042 (TSA E) 
Expires 8/1/2018 

Baylor Scott & White Medical Center – Grapevine 
Grapevine, TX (TSA-E) 
Expires 7/1/2019                 

Baylor Scott & White Medical Center – Hillcrest      
Waco, 76712 (TSA-M)
Expires 9/1/2019

Baylor Scott & White Medical Center – Irving 
Irving, 75061 (TSA-E) 
Expires 8/1/2019 

Baylor Scott & White Medical Center – Lake Pointe
Rowlett, 75088 (TSA-E) 
Expires 10/1/2019 

Baylor Scott & White Medical Center – Lakeway 
Lakeway, 78738 (TSA O) 
Expires 10/1/2018 

Baylor Scott & White Medical Center – McKinney
McKinney, 75077 (TSA E)
Expires 10/1/2019 

Baylor Scott & White Medical Center – Plano 
Plano, 75093 (TSA-E) 
Expires 7/1/2019

Baylor Scott & White Medical Center - Round Rock 
Round Rock, 78665 (TSA-O) 
Expires 6/1/2018

Baylor Scott & White Medical Center – Waxahachie
Waxahachie, 75165 (TSA E)
Expires 6/1/2019

Baylor Scott & White Medical Center – White Rock
Dallas, 75218 (TSA-E)
Expires 1/1/2020 

Bayshore Medical Center
Pasadena, 77504 (TSA-Q)
Expires 6/1/2019

Cedar Park Regional Medical Center
Cedar Park, 78613
Expires 4/1/2019

Central Texas Medical Center
San Marcos, 78666 (TSA-O)
Expires 12/1/2019

CHI St. Luke’s Health – Brazosport      
Lake Jackson, 77566 (TSA-R) 
Expires 2/1/2019 

CHI St. Luke’s Health Memorial
Lufkin, 75904 (TSA H)
Expires 4/1/2019

CHI St. Joseph Regional Health Center 
Bryan, 77802 (TSA-N)  
Expires 2/1/2019 

CHRISTUS Good Shepherd Medical Center – Longview  
Longview, 75601 (TSA-G)  
Expires 11/1/2019 (with contingencies)  

CHRISTUS Mother Frances Hospital 
Tyler, 75701 (TSA-G)  
Expires 12/1/2018 

CHRISTUS Spohn Hospital Corpus Christi – Shoreline              
Corpus Christi, 78404 (TSA-U) 
Expires 3/1/2020

CHRISTUS St. Michael Health System 
Texarkana, 75503 (TSA-F) 
Expires 2/1/2019 

Citizens Medical Center
Victoria, 77901, (TSA-S)
Expires 12/1/2018

College Station Medical Center
College Station, 77845 (TSA-N)
Expires 5/1/2019 

Conroe Regional Medical Center 
Conroe, TX 77304 (TSA-Q) 
Expires 7/1/2019

Corpus Christi Medical Center
Corpus Christi, 78468 (TSA- U)
Expires 5/1/2019

Covenant Medical Center 
Lubbock, 79410 (TSA-B)
Expires 7/1/2020 

Cypress Fairbanks Medical Center Hospital
Houston, 77065 (TSA-Q)
Expires 9/1/2019

Dallas Regional Medical Center 
Mesquite, 75419 (TSA-E) 
Expires 8/1/2019

DeTar Hospital Navarro 
Victoria, 77902 (TSA-S) 
Expires 10/1/2019 

Del Sol Medical Center, a campus of Las Palmas Del Sol Healthcare 
El Paso, 79925-7701 (TSA-I) 
Expires 10/1/2018

Doctors Hospital at Renaissance 
Edinburg, 78539 (TSA-V) 
Expires 7/1/2018

Doctors Hospital of Laredo
Laredo, 78045 (TSA-T)
Expires 8/1/2018

East Texas Medical Center - Tyler 
Tyler, 75701 (TSA-G) 
Expires 11/1/2017 (Extended 2/1/2018)

Edinburg Regional Medical Center
Edinburg, 78935 (TSA-V) 
Expires 11/1/2019

Hendrick Medical Center
Abilene, 79601 (TSA-D)
Expires 11/1/2018

Hospitals of Providence Sierra Campus
El Paso, 79902 (TSA-I) 
Expires 10/1/2019

Houston Methodist Sugar Land Hospital 
Sugar Land, 77479 (TSA-Q)
Expires 10/1/2019

Houston Methodist West Hospital 
Houston, 77094 (TSA-Q) 
Expires 9/1/2018

Houston Methodist Willowbrook Hospital 
Houston, 77070 (TSA-Q)   
Expires 6/1/2018

Houston Northwest Medical Center 
Houston, 77090 (TSA-Q) 
Expires 1/1/2019

Huntsville Memorial Hospital 
Huntsville, 77342 (TSA Q) 
Expires 8/1/2018

Knapp Medical Center
Weslaco, 78596 (TSA-V)
Expires 9/1/2019

Las Palmas Medical Center- A Campus of LPDS Healthcare 
El Paso, 79902 (TSA-I) 
Expires 10/1/2018

Longview Regional Medical Center 
Longview, 75605 (TSA-G) 
Expires 12/1/2018

McAllen Medical Center
McAllen, 78503 (TSA-V)
Expires 11/1/2019

Medical Center Hospital - Ector County Hospital District 
Odessa, TX 79761 (TSA-J)
Expires 2/1/2019

Medical Center of Arlington   
Arlington, 76015 (TSA-E)     
Expires 9/1/2018

Medical Center of Lewisville 
Lewisville, 75057 (TSA-E) 
Expires 7/1/2019

Medical City Denton 
Denton, 76210 (TSA-E) 
Expires 10/1/2019  

Medical City Las Colinas 
Irving, 75039 (TSA-E) 
Expires 4/1/2018 

Medical City McKinney 
McKinney, 75069 (TSA-E) 
Expires 9/1/2018 

Medical City North Hills  
North Richland Hills, 76180 (TSA-E)
Expires 7/1/2019

Medical City Weatherford
Weatherford, 76086 (TSA-E)
Expires 12/1/2019

Memorial Hermann Katy Hospital
Katy, 77494 (TSA-Q)
Expires 7/1/2018

Memorial Hermann Memorial City Medical Center 
Houston, 77024 (TSA-Q) 
Expires 8/1/2018

Memorial Hermann Northeast Hospital
Humble, 77338 (TSA-Q)
Expires 9/1/2018

Memorial Hermann Greater Heights Hospital
Houston, 77008 (TSA-Q)
Expires 7/1/2018

Memorial Hermann Southeast Hospital
Houston, 77089 (TSA-Q)
Expires 7/1/2018

Memorial Hermann Southwest Hospital
Houston, 77074 (TSA-Q)
Expires 7/1/2018

Memorial Hermann The Woodlands Hospital 
The Woodlands, 77380 (TSA-Q) 
Expires 7/1/2018

Methodist Charlton Medical Center
Dallas, TX 75237 (TSA-E)
Expires 5/1/2019 

Methodist Dallas Medical Center 
Dallas, 75265 (TSA-E) 
Expires 2/1/2019

Methodist Mansfield Medical Center
Mansfield, 76063 (TSA-E)
Expires 9/1/2018

Methodist Richardson Medical Center 
Richardson, 75080 (TSA-E) 
Expires 8/1/2019

Methodist Stone Oak Hospital
San Antonio, 78258 (TSA-P)
Expires 3/1/2018

Metroplex Hospital 
Killeen, Texas 76549
Expires 10/1/2019

Metropolitan Methodist Hospital 
San Antonio, 78212 (TSA-P)      
Expires 3/1/2018

Mission Trail Baptist Hospital 
San Antonio, 78235 (TSA-P)
Expires 6/1/2018

Nacogdoches Memorial Hospital 
Nacogdoches, 75961 (TSA-H) 
Expires 12/1/2019

North Central Baptist Hospital 
San Antonio, 78258 (TSA-P) 
Expires 6/1/2018

North Cypress Medical Center
Cypress, 77429 (TSA-Q)
Expires 7/1/2018

Northeast Baptist Hospital 
San Antonio, 78217-5440 (TSA-P) 
Expires 6/1/2018

Northeast Methodist Hospital
Live Oak, 78233 (TSA-P)
Expires 3/1/2018

Northwest Texas Hospital 
Amarillo, 79106 (TSA-A) 
Expires 3/1/2019

Oakbend Medical Center- JS Main Campus
Richmond, 77469 (TSA-Q)
Expires 10/1/2018 

Oakbend Medical Center- Williams Way Campus
Richmond, 77469 (TSA-Q)
Expires 10/1/2018

Odessa Regional Medical Center
Odessa, 79760 (TSA-J)
Expires 10/1/2019 

Paris Regional Medical Center 
Paris, 75460 (TSA F) 
Expires 2/1/2019 

Providence Health Center 
Waco, 76712 (TSA-M) 
Expires 3/1/2019 

Scott and White Medical Center – Temple
Temple, 76508 (TSA-L)
Expires 5/1/2018 

Seton Medical Center Hays
Kyle, 76840 (TSA-O)
Expires 6/1/2019   

Seton Medical Center Williamson 
Round Rock, 78665 (TSA-O)
Expires 7/1/2019

Southwest General Hospital
San Antonio, 78224 (TSA P)
Expires 1/1/2020

St. David's Georgetown Hospital
Georgetown, 78626 (TSA-O)
Expires 2/1/2020 

St. David’s North Austin Medical Center 
Austin, TX 78758 (TSA-O) 
Expires 10/1/2018 

St. David’s Round Rock Medical Center
Round Rock, 78681 (TSA-O)
Expires 6/1/2018

St. David's South Austin Medical Center
Austin, 78748 (TSA-O)
Expires 5/1/2019 

St. Joseph Medical Center
Houston, 77002 (TSA-Q)
Expires 11/1/2018

Texas Health Arlington Memorial Hospital 
Arlington, 76012 (TSA-E) 
Expires 12/1/2018

Texas Health Harris Methodist Hospital Hurst - Euless-Bedford 
Bedford, 76022 (TSA-E) 
Expires 3/1/2018

Texas Health Huguley Hospital    
Fort Worth, 76115 (TSA-E) 
Expires 3/1/2019 

Texas Health Presbyterian Hospital Denton
Denton, TX 76201 (TSA-E)
Expires 12/1/2019

Texas Health Presbyterian Hospital Plano
Plano, 75093 (TSA-E)
Expires 5/1/2018    

Texoma Medical Center 
Denison, 75021 (TSA-E) 
Expires 10/1/2018

The Hospitals of Providence East Campus 
El Paso, 79938 (TSA I)
Expires 11/1/2019 

The Hospitals of Providence Memorial Campus 
El Paso, 79902 (TSA-I) 
Expires 12/1/2019 

The Medical Center of Southeast Texas
Port Arthur, 77640 (TSA-R)
Expires 4/1/2019

Titus Regional Medical Center         
Mount Pleasant, 75455 (TSA F) 
Expires 10/1/2018 

United Regional Healthcare System  
Wichita Falls, 76301 (TSA-C) 
Expires 3/1/2020 

University Medical Center
Lubbock, 79415 (TSA-B)
Expires 5/1/2019

University Medical Center El Paso
El Paso, 79905 (TSA-I)
Expires 6/1/2018

University of Texas Medical Branch 
Galveston, 77555 (TSA-R)
Expires 2/1/2020 

Valley Baptist Medical Center - Brownsville 
Brownsville, 78520 (TSA-V) 
Expires 8/1/2019 

Valley Baptist Medical Center – Harlingen 
Harlingen, 78550 (TSA-V) 
Expires 9/1/2018    

Valley Regional Medical Center
Brownsville, 78526 (TSA-V)
Expires 12/1/2018

Wadley Regional Medical Center 
Texarkana, 75501 (TSA-F) 
Expires 8/1/2019 

West Houston Medical Center 
Houston, 77082 (TSA-Q) 
Expires 5/1/2018 

Wilson N. Jones Regional Medical Center
Sherman, TX 75091 (TSA-E) 
Expires 11/1/2019 

Wise Regional Health System
Decatur, 76234 (TSA-E)
Expires 12/1/2019 

Texas Support (Level III) Stroke Facilities

Baylor Scott & White Medical Center – Brenham 
Brenham, 77833 (TSA-N) 
Expires 7/1/2018

Bellville St. Joseph Health Center
Bellville, 77418 (TSA-Q)
Expires 1/1/2019

CHI St. Joseph Health Burleson Hospital
Caldwell, 77386 (TSA-N)
Expires 12/1/2019  

CHI St. Joseph Health Grimes Hospital
Navasota, 77868 (TSA-N)
Expires 3/1/2020

CHI St. Joseph Health Madison Hospital 
Madisonville, 77864 (TSA-N) 
Expires 10/1/2019 

Connally Memorial Medical Center 
Floresville, 78114 (TSA-P)
Expires 7/1/2019 

CHRISTUS St. Michael Hospital 
Atlanta, 75551 (TSA F) 
Expire 5/1/2018

East Texas Medical Center – Athens 
Athens, 75751 (TSA G) 
Expires 10/1/2018

East Texas Medical Center – Henderson 
Henderson, 75652 (TSA G) 
Expires 10/1/2018 

East Texas Medical Center – Pittsburg 
Pittsburg, 75686 (TSA-G)
Expires 7/1/2019 

East Texas Medical Center – Quitman 
Quitman, 75783 (TSA G) 
Expires 1/1/2019 

North Texas Medical Center
Gainesville, TX 76240 (TSA-E)
Expires 12/1/2017 (Extended 1/1/2018)

Texas Health Harris Methodist Hospital Azle 
Azle, 76020 (TSA-E) 
Expires 9/1/2019

Texas Health Presbyterian Hospital of Kaufman 
Kaufman, 75142 (TSA-E) 
Expires 11/1/2019

TMC Bonham Hospital
Bonham, 75418 (TSA-E)
Expires 12/1/2018

 

__________

Robert Painter is an attorney at Painter Law Firm PLLC, in Houston, Texas. He is a former hospital administrator who represents patients and family members in medical malpractice and wrongful death lawsuits.

Robert Painter

Robert Painter is a medical malpractice lawyer at Painter Law Firm PLLC.

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