Stroke Continuum of Care

Stroke Continuum of Care

Comprehensive Care from Diagnosis through Rehabilitation

Alvarado Hospital provides comprehensive care and treatment for acute stroke, including hemorrhagic, ischemic, and transient ischemic attacks (TIAs).

Alvarado’s Stroke Center components include:

Emergency Care: rapid assessment, intervention and management of acute stroke stroke continuum of care

  • Coordinated care with emergency medical services (EMS) ensures that treatment begins in the field
  • Stroke code procedures are initiated to ensure rapid neurological imaging, laboratory testing and preparation of thrombolytic, neuroprotective and antiplatelet agents
  • Ability to administer intravenous tPA

Inpatient Care: medical stabilization and start of rehabilitation process

  • Designated inpatient beds for stroke care with telemetry-monitoring capabilities
  • ICU beds for those who have received tPA or with significant strokes
  • Written protocols with evidence-based guidelines
  • Inpatient nursing staff with special training in stroke care
  • Dedicated care coordinators to coordinate care and discharge to home
  • Rehabilitation services include occupational, physical therapists and speech-language pathologists

Support Services

  • Stroke Peer Visitor Program, which matches a former stroke patient and with a new stroke survivor for support and encouragement
  • Comebackers Neuro Club, which is a monthly club that provides activities, support and recreational therapeutic opportunities for stroke survivors and their loved ones


  • Annual community stroke education and awareness outreach activities
  • Every stroke patient receives a stroke education information packet
  • Ongoing professional programs and conferences for health professionals

Patient Outcomes

  • Ongoing measurement and tracking of stroke patient outcomes with a quality care improvement plan/process in place
  • The American Heart/Stroke Associations have awarded Alvarado Hospital its "Get With the Guidelines" Stroke Gold Achievement Award for implementing a level of care in accordance with nationally accepted standards and recommendations

  • The Joint Commission has awarded the hospital the Gold Seal of Approval™ for primary stroke centers (despite the prevalence of strokes, only about 150 of the nation's 7,000-plus hospitals has received this recognition)

Comprehensive Acute and Outpatient Rehabilitation

Stroke is a leading cause of serious, long-term disability in the United States, with about 4.7 million stroke survivors alive today. Located on the Alvarado Hospital campus, the San Diego Rehabilitation Institute is a regional referral center for patients in need of comprehensive rehabilitation services. Its dedicated inpatient care is provided by physiatrists and rehab nurses who specialize in stroke rehabilitation. In addition, the rehabilitation institute offers the following:

  • Individualized treatment plans for stroke survivors and their families
  • Multidisciplinary teams, including physical, occupational and recreational therapists, social workers, and speech-language pathologists
  • Dedicated interdisciplinary neuro-team for providing outpatient rehabilitation services

The San Diego Rehabilitation Institute at Alvarado Hospital was the first facility in California to earn the Gold Seal of Approval™ for its stroke rehabilitation program, and is currently one of very few community hospitals in Southern California with this prestigious designation.