The Australian Stroke Coalition (ASC) has developed a voluntary system for certification of stroke units in Australian hospitals.
About Stroke Unit Certification
Stroke Unit care is the single most powerful intervention to improve stroke outcomes, but Stroke Units cannot be Stroke Units in name only.
As such, Stroke Unit certification is recommended by the World Health Organization, the World Stroke Organization and the Australian Government’s National Strategic Action Plan for Heart Disease and Stroke, as a quality assurance and improvement activity.
The Australian Stroke Coalition (ASC), co-chaired by the Stroke Society of Australasia and the Stroke Foundation, has developed a voluntary system for certification of stroke units in Australian hospitals, which has now been piloted.
Why should your service be certified?
- Certification is needed for the National 30/60/90 targets.
- Provides an external perspective to drive cross-pollination of best practice.
- Provides a rigorous process to improve processes and patient outcomes.
- Helps ensure and build clinical team cohesion.
- Produces a report written by objective peer assessors which can be used for local advocacy and quality improvement. Support may also be provided to sites to help them meet certification requirements.
- Provides national (ASC) and international (World Stroke Organization) recognition.
- Strengthens the confidence for both peers and community in the quality of stroke care.

See what the stroke team at Logan Hospital had to say about the certification process:
Certification process
The certification process involves:
- a facilitated application and documentation evaluation;
- an online Zoom review and virtual site walk-through by a panel of two adjudicators (one medical and one nursing or allied health) and the Stroke Unit Certification Project Officer; and
- final approval by a National Committee.
Voting members of the Committee, chaired by Professor Tim Kleinig, comprise clinical leads from each state and territory, as well as nursing, allied health and consumer representatives.
| Sites that meet the criteria for certification | Stroke Unit Certification is awarded for a period of 4 years. |
| Sites identified as being able to meet the criteria with support | Provisional Approval is granted for a period of 12 months, to enable follow-up of recommended areas before full approval can be granted. |
| Sites that are identified as unable to meet the criteria within 12 months | Certification is not granted, and are provided with support and guidance to improve their standard of stroke care. The aim is for sites to utilise this process to consolidate and strengthen local efforts or help build a case for more resources. |
All sites which achieve certification receive valuable feedback as part of the review process, which can be used to further strengthen their services.
What does it cost?
From July 1 2024, a cost-recovery charge ($4000) will apply per site for program administration and coordination.
Pilot and evaluation
The ASC Stroke Unit Certification pilot project has received strong interest from many sites across the country, as well as support from the Australian stroke community, which has been very encouraging.
The 12-month pilot is now complete, and the sites that have completed the full review process and achieved certification are listed below.
A formal evaluation of the pilot, focused on the feasibility and acceptability of the process, has been undertaken, and is available here:
Sites are encouraged to register their interest to start the certification process.
Resources
Australian hospitals that have achieved ASC Stroke Unit Certification
| Hospital | Certification Level | Date of Certification |
|---|---|---|
| Shoalhaven District Memorial Hospital (NSW) | Stroke Capable Regional General Hospital | February 2023 |
| Alfred Health (VIC) | Comprehensive Stroke Centre | February 2023 |
| Royal Adelaide Hospital (SA) | Comprehensive Stroke Centre | March 2023 |
| St John of God Midland Public and Private Hospitals (WA) | Primary Stroke Centre | March 2023 |
| Launceston General Hospital (TAS) | Primary Stroke Centre | Expired (as of March 2024) |
| Logan Hospital (QLD) | Primary Stroke Centre | May 2023 |
| Echuca Regional Health (VIC) | Stroke Capable Regional General Hospital | June 2023 |
| Alice Springs Hospital (NT) | Stroke Capable Regional General Hospital | July 2023 |
| Box Hill Hospital (VIC) | Primary Stroke Centre | July 2023 |
| Wagga Wagga Base Hospital (NSW) | Primary Stroke Centre | July 2023 |
| Gold Coast University Hospital (QLD) | Comprehensive Stroke Centre | July 2023 |
| Gosford Hospital (NSW) | Primary Stroke Centre | March 2024 |
| Royal Melbourne Hospital (VIC) | Comprehensive Stroke Centre | March 2024 |
| Austin Health (VIC) | Comprehensive Stroke Centre | March 2024 |
| The Northern Hospital (VIC) | Primary Stroke Centre | March 2024 |
| Townsville Hospital (QLD) | Comprehensive Stroke Centre | March 2024 |
| Sunshine Coast University Hospital (QLD) | Primary Stroke Centre | May 2024 |
| Royal North Shore Hospital (NSW) | Comprehensive Stroke Centre | May 2024 |
| Sydney Adventist Hospital (NSW) | Primary Stroke Centre | May 2024 |
| Toowoomba Hospital (QLD) | Primary Stroke Centre | August 2024 |
| Latrobe Regional Hospital (VIC) | Primary Stroke Centre | August 2024 |
| University Hospital Geelong (VIC) | Primary Stroke Centre | August 2024 |
| Canberra Hospital (ACT) | Comprehensive Stroke Centre | August 2024 |
| Princess Alexandra Hospital (QLD) | Comprehensive Stroke Centre | December 2024 |
| Hornsby Ku-ring-gai Hospital (NSW) | Primary Stroke Centre | March 2025 |
| Flinders Medical Centre (SA) | Primary Stroke Centre | April 2025 |
| The Prince Charles Hospital (QLD) | Primary Stroke Centre | December 2025 |
| Grampians Health Ballarat (VIC) | Primary Stroke Centre | December 2025 |
| Maroondah Hospital (VIC) | Primary Stroke Centre | March 2026 |
Sites showing as expired may have this listing removed by contacting the Stroke Unit Certification Coordinator at strokeunitcertification@strokefoundation.org.au or scoote@strokefoundation.org.au
Contact
For more information on the ASC’s Stroke Unit Certification Project, please contact Leah Pett: lpett@strokefoundation.org.au
