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 Facility Designation





For the purposes of Stroke Facility designation, DSHS will accept certifications or survey results from these recognized agencies:


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

For technical difficulties information, call or email:

Shyriece Norris- (512) 834-6700 ext. 2351

Tambra Rogers- (512) 834-6700 ext. 2343

For process or rule clarification, the trauma designation coordinators are: 

Patricia Ashton-Garcia, RN- (512) 484-8401
Assigned Trauma Service Areas (TSA): C – E – L – M – N – O – P – S – T – U – V 

Michael Murray, RN- (512) 284-1724
Assigned Trauma Service Areas (TSA): A – B – D – F – G – H – I – J – K – Q – R

Patricia (Trish) Brachel, RN – (512) 834-6604
Performance Improvement Designation Coordinator

Manager, EMS/Trauma Systems Group

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

For RAC and Funding questions, call or email:

Indra Hernandez – (512) 834-6669

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



Last updated November 14, 2017