Academic Journal
VISIION-L: Viz.ai implementation of stroke augmented intelligence and communications platform to improve indicators and outcomes for a comprehensive stroke center and network - Life Flight. A pilot experience.
| Title: | VISIION-L: Viz.ai implementation of stroke augmented intelligence and communications platform to improve indicators and outcomes for a comprehensive stroke center and network - Life Flight. A pilot experience. |
|---|---|
| Authors: | Meyer BC; University of California, San Diego, United States. Electronic address: bcmeyer@health.ucsd.edu., Shifflett B; University of California, San Diego, United States. Electronic address: bshiffle@health.ucsd.edu., Meyer DM; University of California, San Diego, United States. Electronic address: dmmeyer@health.ucsd.edu., Agrawal K; University of California, San Diego, United States. Electronic address: kuagrawal@health.ucsd.edu., Shahripour RB; University of California, San Diego, United States. Electronic address: rbavarsadshahripour@health.ucsd.edu., Modir R; University of California, San Diego, United States. Electronic address: rmodir@health.ucsd.edu., Hemmen T; University of California, San Diego, United States. Electronic address: themmen@health.ucsd.edu., Pannell JS; University of California, San Diego, United States. Electronic address: jpannell@health.ucsd.edu., Santiago-Dieppa D; University of California, San Diego, United States. Electronic address: drsantiagodieppa@health.ucsd.edu., Steinberg J; University of California, San Diego, United States. Electronic address: j1steinberg@health.ucsd.edu., St Germain E; University of California, San Diego, United States. Electronic address: esperrinez@health.ucsd.edu., Adrid L; University of California, San Diego, United States. Electronic address: ladrid@health.ucsd.edu., Dotson M; University of California, San Diego, United States. Electronic address: mdotson@health.ucsd.edu., Khalessi AA; University of California, San Diego, United States. Electronic address: akhalessi@health.ucsd.edu. |
| Source: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2026 Mar; Vol. 35 (3), pp. 108581. Date of Electronic Publication: 2026 Feb 05. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Saunders Country of Publication: United States NLM ID: 9111633 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8511 (Electronic) Linking ISSN: 10523057 NLM ISO Abbreviation: J Stroke Cerebrovasc Dis Subsets: MEDLINE |
| Imprint Name(s): | Publication: Philadelphia, PA : Saunders Original Publication: New York, NY : Demos Publications, [1991- |
| MeSH Terms: | Stroke*/therapy , Stroke*/diagnosis , Stroke*/physiopathology , Air Ambulances*/organization & administration , Patient Transfer*/organization & administration , Patient Care Team*/organization & administration , Telemedicine*/organization & administration , Emergency Medical Service Communication Systems*, Time-to-Treatment/organization & administration ; Humans ; Pilot Projects ; Male ; Female ; Aged ; Time Factors ; Middle Aged ; Treatment Outcome ; Intelligent Systems ; Interdisciplinary Communication ; Program Evaluation |
| Abstract: | Background: Improving Life Flight transfer processes is critical. Our telestroke program utilizes the Viz.ai (AI platform) for hyperacute stroke patients with potential vessel occlusions who could benefit from hyperacute transfer. We hypothesized that early incorporation of Life Flight into the multi-team Viz.ai discussion thread would improve communications and streamline transfer times. Methods: We deployed the Viz-Life Flight software module, enabling Life Flight dispatch and helicopter teams access to specific hyperacute transfer cases. Life Flight dispatch and teams were trained on the module use. Variables of interest were collected from stroke databases and Life Flight run-sheets. Likert scale questions were deployed by survey comparing satisfaction. Results: For this pilot experience, the last 5 pre-period patients were compared to the first 5 post-period cases. Median age was 64yrs vs. 65yrs (p = 0.83). Males were 60% vs. 100% (p = 0.18). Time metrics showed: 'SpokeArrival to SpokeDoorOut (DIDO)'(146 min,146 min; 0.75), 'SpokeDoorOut to AdjHubIn (DODI)'(19 min,23 min; 0.21), 'HubDoorIn to GroinPuncture (DTG)'(38 min,33 min; 0.85), 'NIR Contact to Life Flight Activation'(15 min,8 min;p = 0.99), 'SpokeLand to SpokeLift (SpokeDoorOut)'(26 min,24 min; 0.92), and 'SpokeLand to AdjHubLand (aka: 'SpokeLand to HubDoorIn')(45 min,50 min;p = 0.69). In the Post- period, 'Dispatch Notification to Helicopter Notification via Viz' was 3 min, and 'Dispatch Notification via Viz to SpokeLand' was 17 min. Providers rated the Viz-Life Flight communications process higher for satisfaction (30%,89%;p < 0.001), efficiency (26%,91%;p < 0.001), efficacy (30%,93%;p < 0.001), enthusiasm (27%,93%;p < 0.001), and in total (33%,92%;p < 0.001). Discussion: This VISIION-L initiative, adding the Viz-Life Flight module into the process to enable Life Flight teams to actively participate in hyperacute care discussions early on, resulted in preserved time metrics, and significantly improved satisfaction by approximately 60%. Our aim was to show that the novel deployment of this Viz-Life Flight process into the Life Flight hyperacute transfer process can immediately result in improved multi-team communications with a high degree of satisfaction benefit. Assessing improvement in time-based KPIs will require longer term assessments. (Copyright © 2026 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Brett C. Meyer reports a relationship with Sevaro Health Inc that includes: consulting or advisory and equity or stocks. Brett C. Meyer reports a relationship with InSightVue that includes: equity or stocks. Dawn Meyer reports a relationship with Chiesi Pharmaceuticals Inc that includes: speaking and lecture fees. Kunal Agrawal reports a relationship with Community Health Accreditation Partners that includes: consulting or advisory. Thomas Hemmen reports a relationship with Merck & Co Inc that includes: consulting or advisory. Thomas Hemmen reports a relationship with ZOLL Medical Corporation that includes: consulting or advisory. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: BEMI; HEMS; Life Flight; Stroke; Thrombectomy; Transfer |
| Entry Date(s): | Date Created: 20260207 Date Completed: 20260707 Latest Revision: 20260707 |
| Update Code: | 20260707 |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2026.108581 |
| PMID: | 41653946 |
| Database: | MEDLINE |
| FullText | Text: Availability: 0 CustomLinks: – Url: https://www.doi.org/10.1016/j.jstrokecerebrovasdis.2026.108581? Name: ScienceDirect (all content) (s7799221) Category: fullText Text: View record from ScienceDirect MouseOverText: View record from ScienceDirect – Url: https://resolver.ebsco.com/c/fiv2js/result?sid=EBSCO:cmedm&genre=article&issn=15328511&ISBN=&volume=35&issue=3&date=20260301&spage=108581&pages=108581&title=Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association&atitle=VISIION-L%3A%20Viz.ai%20implementation%20of%20stroke%20augmented%20intelligence%20and%20communications%20platform%20to%20improve%20indicators%20and%20outcomes%20for%20a%20comprehensive%20stroke%20center%20and%20network%20-%20Life%20Flight.%20A%20pilot%20experience.&aulast=Meyer%20BC&id=DOI:10.1016/j.jstrokecerebrovasdis.2026.108581 Name: Full Text Finder (for New FTF UI) (ns324271) Category: fullText Text: Full Text Finder MouseOverText: Full Text Finder |
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| Items | – Name: Title Label: Title Group: Ti Data: VISIION-L: Viz.ai implementation of stroke augmented intelligence and communications platform to improve indicators and outcomes for a comprehensive stroke center and network - Life Flight. A pilot experience. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AU" term="%22Meyer+BC%22">Meyer BC</searchLink>; University of California, San Diego, United States. Electronic address: bcmeyer@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Shifflett+B%22">Shifflett B</searchLink>; University of California, San Diego, United States. Electronic address: bshiffle@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Meyer+DM%22">Meyer DM</searchLink>; University of California, San Diego, United States. Electronic address: dmmeyer@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Agrawal+K%22">Agrawal K</searchLink>; University of California, San Diego, United States. Electronic address: kuagrawal@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Shahripour+RB%22">Shahripour RB</searchLink>; University of California, San Diego, United States. Electronic address: rbavarsadshahripour@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Modir+R%22">Modir R</searchLink>; University of California, San Diego, United States. Electronic address: rmodir@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Hemmen+T%22">Hemmen T</searchLink>; University of California, San Diego, United States. Electronic address: themmen@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Pannell+JS%22">Pannell JS</searchLink>; University of California, San Diego, United States. Electronic address: jpannell@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Santiago-Dieppa+D%22">Santiago-Dieppa D</searchLink>; University of California, San Diego, United States. Electronic address: drsantiagodieppa@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Steinberg+J%22">Steinberg J</searchLink>; University of California, San Diego, United States. Electronic address: j1steinberg@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22St+Germain+E%22">St Germain E</searchLink>; University of California, San Diego, United States. Electronic address: esperrinez@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Adrid+L%22">Adrid L</searchLink>; University of California, San Diego, United States. Electronic address: ladrid@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Dotson+M%22">Dotson M</searchLink>; University of California, San Diego, United States. Electronic address: mdotson@health.ucsd.edu.<br /><searchLink fieldCode="AU" term="%22Khalessi+AA%22">Khalessi AA</searchLink>; University of California, San Diego, United States. Electronic address: akhalessi@health.ucsd.edu. – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%229111633%22">Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association</searchLink> [J Stroke Cerebrovasc Dis] 2026 Mar; Vol. 35 (3), pp. 108581. <i>Date of Electronic Publication: </i>2026 Feb 05. – Name: TypePub Label: Publication Type Group: TypPub Data: Journal Article – Name: Language Label: Language Group: Lang Data: English – Name: TitleSource Label: Journal Info Group: Src Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Saunders%22">Saunders </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>9111633 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1532-8511 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2210523057%22">10523057 </searchLink><i>NLM ISO Abbreviation: </i>J Stroke Cerebrovasc Dis <i>Subsets: </i>MEDLINE – Name: PublisherInfo Label: Imprint Name(s) Group: PubInfo Data: <i>Publication</i>: Philadelphia, PA : Saunders<br /><i>Original Publication</i>: New York, NY : Demos Publications, [1991- – Name: SubjectMESH Label: MeSH Terms Group: Su Data: <searchLink fieldCode="MM" term="%22Stroke%22">Stroke*</searchLink>/<searchLink fieldCode="MM" term="%22Stroke+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Stroke%22">Stroke*</searchLink>/<searchLink fieldCode="MM" term="%22Stroke+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Stroke%22">Stroke*</searchLink>/<searchLink fieldCode="MM" term="%22Stroke+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Air+Ambulances%22">Air Ambulances*</searchLink>/<searchLink fieldCode="MM" term="%22Air+Ambulances+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Patient+Transfer%22">Patient Transfer*</searchLink>/<searchLink fieldCode="MM" term="%22Patient+Transfer+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Patient+Care+Team%22">Patient Care Team*</searchLink>/<searchLink fieldCode="MM" term="%22Patient+Care+Team+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Telemedicine%22">Telemedicine*</searchLink>/<searchLink fieldCode="MM" term="%22Telemedicine+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Emergency+Medical+Service+Communication+Systems%22">Emergency Medical Service Communication Systems*</searchLink><br /><searchLink fieldCode="MH" term="%22Time-to-Treatment%22">Time-to-Treatment</searchLink>/<searchLink fieldCode="MH" term="%22Time-to-Treatment+organization+%26+administration%22">organization & administration</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Pilot+Projects%22">Pilot Projects</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Aged%22">Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Time+Factors%22">Time Factors</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Treatment+Outcome%22">Treatment Outcome</searchLink> ; <searchLink fieldCode="MH" term="%22Intelligent+Systems%22">Intelligent Systems</searchLink> ; <searchLink fieldCode="MH" term="%22Interdisciplinary+Communication%22">Interdisciplinary Communication</searchLink> ; <searchLink fieldCode="MH" term="%22Program+Evaluation%22">Program Evaluation</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Improving Life Flight transfer processes is critical. Our telestroke program utilizes the Viz.ai (AI platform) for hyperacute stroke patients with potential vessel occlusions who could benefit from hyperacute transfer. We hypothesized that early incorporation of Life Flight into the multi-team Viz.ai discussion thread would improve communications and streamline transfer times.<br />Methods: We deployed the Viz-Life Flight software module, enabling Life Flight dispatch and helicopter teams access to specific hyperacute transfer cases. Life Flight dispatch and teams were trained on the module use. Variables of interest were collected from stroke databases and Life Flight run-sheets. Likert scale questions were deployed by survey comparing satisfaction.<br />Results: For this pilot experience, the last 5 pre-period patients were compared to the first 5 post-period cases. Median age was 64yrs vs. 65yrs (p = 0.83). Males were 60% vs. 100% (p = 0.18). Time metrics showed: 'SpokeArrival to SpokeDoorOut (DIDO)'(146 min,146 min; 0.75), 'SpokeDoorOut to AdjHubIn (DODI)'(19 min,23 min; 0.21), 'HubDoorIn to GroinPuncture (DTG)'(38 min,33 min; 0.85), 'NIR Contact to Life Flight Activation'(15 min,8 min;p = 0.99), 'SpokeLand to SpokeLift (SpokeDoorOut)'(26 min,24 min; 0.92), and 'SpokeLand to AdjHubLand (aka: 'SpokeLand to HubDoorIn')(45 min,50 min;p = 0.69). In the Post- period, 'Dispatch Notification to Helicopter Notification via Viz' was 3 min, and 'Dispatch Notification via Viz to SpokeLand' was 17 min. Providers rated the Viz-Life Flight communications process higher for satisfaction (30%,89%;p &lt; 0.001), efficiency (26%,91%;p &lt; 0.001), efficacy (30%,93%;p &lt; 0.001), enthusiasm (27%,93%;p &lt; 0.001), and in total (33%,92%;p &lt; 0.001).<br />Discussion: This VISIION-L initiative, adding the Viz-Life Flight module into the process to enable Life Flight teams to actively participate in hyperacute care discussions early on, resulted in preserved time metrics, and significantly improved satisfaction by approximately 60%. Our aim was to show that the novel deployment of this Viz-Life Flight process into the Life Flight hyperacute transfer process can immediately result in improved multi-team communications with a high degree of satisfaction benefit. Assessing improvement in time-based KPIs will require longer term assessments.<br /> (Copyright © 2026 The Author(s). Published by Elsevier Inc. All rights reserved.) – Name: Abstract Label: Competing Interests Group: Ab Data: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Brett C. Meyer reports a relationship with Sevaro Health Inc that includes: consulting or advisory and equity or stocks. Brett C. Meyer reports a relationship with InSightVue that includes: equity or stocks. Dawn Meyer reports a relationship with Chiesi Pharmaceuticals Inc that includes: speaking and lecture fees. Kunal Agrawal reports a relationship with Community Health Accreditation Partners that includes: consulting or advisory. Thomas Hemmen reports a relationship with Merck & Co Inc that includes: consulting or advisory. Thomas Hemmen reports a relationship with ZOLL Medical Corporation that includes: consulting or advisory. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. – Name: SubjectMinor Label: Contributed Indexing Group: Data: <i>Keywords: </i>BEMI; HEMS; Life Flight; Stroke; Thrombectomy; Transfer – Name: DateEntry Label: Entry Date(s) Group: Date Data: <i>Date Created: </i>20260207 <i>Date Completed: </i>20260707 <i>Latest Revision: </i>20260707 – Name: DateUpdate Label: Update Code Group: Date Data: 20260707 – Name: DOI Label: DOI Group: ID Data: 10.1016/j.jstrokecerebrovasdis.2026.108581 – Name: AN Label: PMID Group: ID Data: 41653946 |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.jstrokecerebrovasdis.2026.108581 Languages: – Code: eng Text: English PhysicalDescription: Pagination: StartPage: 108581 Subjects: – SubjectFull: Time-to-Treatment organization & administration Type: general – SubjectFull: Humans Type: general – SubjectFull: Pilot Projects Type: general – SubjectFull: Male Type: general – SubjectFull: Female Type: general – SubjectFull: Aged Type: general – SubjectFull: Time Factors Type: general – SubjectFull: Middle Aged Type: general – SubjectFull: Treatment Outcome Type: general – SubjectFull: Intelligent Systems Type: general – SubjectFull: Interdisciplinary Communication Type: general – SubjectFull: Program Evaluation Type: general – SubjectFull: Stroke therapy Type: general – SubjectFull: Stroke diagnosis Type: general – SubjectFull: Stroke physiopathology Type: general – SubjectFull: Air Ambulances organization & administration Type: general – SubjectFull: Patient Transfer organization & administration Type: general – SubjectFull: Patient Care Team organization & administration Type: general – SubjectFull: Telemedicine organization & administration Type: general – SubjectFull: Emergency Medical Service Communication Systems Type: general Titles: – TitleFull: VISIION-L: Viz.ai implementation of stroke augmented intelligence and communications platform to improve indicators and outcomes for a comprehensive stroke center and network - Life Flight. A pilot experience. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Meyer BC – PersonEntity: Name: NameFull: Shifflett B – PersonEntity: Name: NameFull: Meyer DM – PersonEntity: Name: NameFull: Agrawal K – PersonEntity: Name: NameFull: Shahripour RB – PersonEntity: Name: NameFull: Modir R – PersonEntity: Name: NameFull: Hemmen T – PersonEntity: Name: NameFull: Pannell JS – PersonEntity: Name: NameFull: Santiago-Dieppa D – PersonEntity: Name: NameFull: Steinberg J – PersonEntity: Name: NameFull: St Germain E – PersonEntity: Name: NameFull: Adrid L – PersonEntity: Name: NameFull: Dotson M – PersonEntity: Name: NameFull: Khalessi AA IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: 2026 Mar Type: published Y: 2026 Identifiers: – Type: issn-electronic Value: 1532-8511 Numbering: – Type: volume Value: 35 – Type: issue Value: 3 Titles: – TitleFull: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association Type: main |
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