Stroke System Development


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The Office of EMS/Trauma Systems Group works with hospitals and RACs to develop stroke facility designation, protocols, policies, and to designate stroke facilities in the state.

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Stroke System Development


Stroke System History
Rule 157.133 Requirements for Stroke Facility Designation
Texas Department of State Health Services Stroke Systems of Care Initiative


Governor's EMS & Trauma Advisory Council (GETAC)
Regional Advisory Councils (RACs)

Stroke Facility Designation


Applications and Forms


List of facilities by Designation Level
Guidance for Change of Legal Owner of a Hospital Facility (CHOW) and/or Change in Physical Location of a Hospital Facility and/or Impact to Stroke Facility Designation


Map of Trauma Service Area and Designation Coordinator Contact Information
Map of Stroke Facilities (April 2014)


Policy and Procedure:- Facility with Conditional Certification as Comprehensive or Primary Stroke Center and De-Certification with The Joint Commission, Det Norske Veritas (DNV), or Healthcare Facilities Accreditation Program (HFAP)

For the purposes of Comprehensive and Primary stroke facility designation, DSHS will accept Comprehensive or Primary Stroke certification issued by either The Joint Commission or DNV Healthcare.
The Joint Commission:

DNV Healthcare:


Contact Us

By mail

Send mail correspondence to:

Person's name
Texas Department of State Health Services
Office of EMS/Trauma Systems Coordination
Attn: Stroke Designation Program 
PO Box 149347 MC 1876
Austin, Texas 78714-9347

Staff Contacts

Jane Guerrero, RN
(512) 834-6700

Elizabeth Stevenson, RN
Designation Program Manager
(512) 834-6700, ext. 6794

Patricia Ashton-Garcia, RN
Designation Coordinator
(512) 484-8401

Michael Murray, RN
Designation Coordinator
(512) 284-1724

Patricia Brachel, RN, BSN
Performance Improvement Designation Coordinator
(512) 834-6700 ext. 6604

Email questions or comments:
For more information, please e-mail EMS & Trauma Systems



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Last updated February 04, 2016