InCliPS (Inba Clinical Pathway for local Stroke network) has been utilized among the hospitals in suburban area at Chiba Prefecture. The organization of transferring the stroke patients from acute to rehabilitation hospitals might be improved by the implementation of this clinical pathway. This regional clinical pathway has been useful not only to compile the information about hospitalized medical records but also to investigate the rehabilitation outcome. Following pathway implementation there have been clinically important, but not statistically significant, allied health assessment and decrease hospitalized periods in convalescent rehabilitation hospitals. It is necessary to cooperate among the acute and convalescent rehabilitation hospitals in order to organize the networks for global stroke medical care through the regional clinical pathway. There, however, have been various difficulties for promoting this network because there have been a lot of regional clinical pathways. It is needed to establish the prefectural common clinical pathway for stroke among the hospital networks to reduce the complicated problems. The prefectural common clinical pathway has just been propelled in the project team consisted of the acute and rehabilitation hospitals and prefectural committee.
