1. TEMPiS-Network 4 Stroke Unit Stroke Centers Network-Hospital Implementation of Stroke Wards in each community hospital with Stroke Teams Implementation of Stroke Wards in each community hospital with Stroke Teams Continuous medical training Telemedicine

2. Centre based Training Laryngoscopy Stroke Update Sonography www.tempis.de Newsletter

3. Onsite training Ward rounds Bedside training Nurses Bedside training therapists

4. Standardized treatment protocols - SOPs

5. Teleconsultation – Community Hospital DSL Academic Stroke Center DICOM

6. Teleconsultation – Stroke Center

7. Teleconsultations + tPA

8. No. Teleconsultations + tPA Teleconsultations  13.400 total  227 / month Thrombolytic treatment  836 total  14 / month ~ 6000 Stroke patients in the network / year

9. Thrombolysis - Safety Stroke 2005

10. Thrombolysis: Long term outcome Neurology 2007

11. Thrombolysis: Long term outcome Neurology 2007