Abstract
To promote improvement of the quality of stroke care, the stroke team at Sunagawa City Medical Center (SCMC) provides various services. Stroke team consists of neurosurgeons, a neurologist, experienced nurses, physiotherapists, a speech therapist and case workers. The stroke team performed stroke education to community, general doctors, medical co-workers and rescue team. Stroke education derived early treatment of stroke, increased t-PA treated patients and improvement of mRS. Stroke management IT system (DASCH Pro) assisted improvement of stroke care.