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 Centre based Training Laryngoscopy Stroke Update SonographyNewsletter Onsite training Ward rounds Bedside training Nurses Bedside training therapists Standardized treatment protocols - SOPs Teleconsultation Community Hospital DSL Academic Stroke Center DICOM Teleconsultation Stroke Center Teleconsultations + tPA No. Teleconsultations + tPA Teleconsultations total 227 / month Thrombolytic treatment 836 total 14 / month ~ 6000 Stroke patients in the network / year Thrombolysis - Safety Stroke 2005 Thrombolysis: Long term outcome Neurology 2007 Thrombolysis: Long term outcome Neurology 2007